早期脊椎:欧洲可以提供最佳实践指南吗?
Brice Ilharreborde1, Muharrem Yazici2,3, Selcen Yüksel4
1Department of Pediatric Orthopaedic, Robert Debré Hospital, AP-HP, Paris Cité University, Paris, France.
Journal of children's orthopaedics
|December 3, 2025
概括
欧洲专家制定了48条关于早期发病脊柱病 (EOS) 管理的指导方针. 这项研究的目的是建立控制形的最佳实践,同时允许EOS患者的脊柱生长.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱形研究 脊柱形研究
- 临床指南开发 临床指南开发
背景情况:
- 早期脊椎病变 (EOS) 的管理是有争议的,缺乏足够的临床证据.
- 目前的治疗目标包括控制形并使胸部/脊柱生长.
- 欧洲EOS患者需要最佳实践指南.
研究的目的:
- 制定欧洲最佳实践指南,用于早期发病的脊柱形脊柱病的管理.
- 在风险因素,评估和治疗策略方面达成专家共识.
- 为了区分异态和非异态EOS的指导方针.
主要方法:
- 一个欧洲的德尔菲方法,涉及儿科骨科外科医生.
- 在风险因素,临床/放射性评估和治疗 (保守性/手术) 上建立共识.
- 单独分析固态和非固态EOS,需要80%的同意才能达成共识.
主要成果:
- 在第一轮 (40.9%) 的122个陈述中,共识达到了50个 (40.9%).
- 在第三轮中,在72个重新评估的陈述中,69个 (96%) 获得了进一步的共识.
- 总共制定了48条指导方针:33条是针对异常病的,15条是针对非异常病的EOS.
结论:
- 早发性脊椎病是一种罕见的,异质的,可能危及生命的疾病.
- 在EOS管理方面达成共识是一项挑战,特别是在非病病例中.
- 这项研究提供了48条专家推出的指导方针,以提高早期发生的脊椎病的护理.
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