资源描述：
《特发性脊柱侧弯畸形的分型与治疗 ppt课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、AdolescentScoliosis ClassificationandTreatment 特发性脊柱侧弯畸形的分型与治疗JaneS.Hoashi,MD,MPH,PatrickJ.Cahill,MD,JamesT.Bennett,MD,AmerF.Samdani,MD*NeurosurgClinNAm24(2013)173–183KEYWORDSAdolescentidiopathicscoliosisLenkeclassificationScoliosisPediatricspinedeformityPediclescrews青少年特发性脊柱侧弯Lenke分型弓根螺钉矫形KEYPO
2、INTSAdolescentidiopathicscoliosis(AIS)canbeclassifiedaccordingtotheLenkeclassificationsystem,whichincorporatescurvemagnitude,flexibility,thelumbarmodifier,andthesagittalplane.青少年特发性脊柱侧凸（AIS）可根据Lenke分类系统进行分类，该系统包括曲线大小，柔韧性。TheLenkeclassificationservesasaguidewithrespecttolevelselectioninpatientswi
3、thAIS.Lenke分类可作为AIS患者融合水平选择的指南。ThewidespreaduseofpediclescrewshasresultedinmostAISbeingtreatedthroughaposteriorapproach.椎弓根螺钉的广泛使大多数AIS可以用后路治疗。INTRODUCTIONAdolescentidiopathicscoliosis(AIS)isaspinalconditioncausingdeformityofthespinein3dimensions:thecoronal,sagittal,andaxialplanes.AISisdefinedas
4、anycurveequaltoorgreaterthan10inthecoronalplane1,2inpatients10to18yearsold.3Itisadiagnosisofexclusionaftercongenital,neuromuscular,neural,orsyndromiccausesofscoliosishavebeenruledout.Preoperativemag-neticresonanceimagingisusefulforrulingoutneuralcausesofscoliosis,suchassyringomyeliaorChiarimalfo
5、rmation,althoughitsuseasapreop-erativescreeningtooliscontroversial.4,5AgeneticcomponenthasbeendescribedregardingthecauseofAIS.6–11Withanincidenceof11%amongfirst-degreerelatives,12itisnotuncommonforahealthcareprovidertomanagemultiplemem-bersofafamilywithscoliosis.青少年特发性脊柱侧凸（AIS）是一种脊柱疾病，在三维方面引起脊柱畸
6、形：冠状面，矢状面和轴面。AIS被定义为10-18岁患者冠状面等于或大于10。排除先天性，神经肌肉，神经或综合征引起的脊柱侧凸原因。术前磁共振成像对于排除脊柱侧凸的神经原因，如脊髓空洞症或Chiari畸形是有用的，尽管其作为术前筛查工具的使用还存在争议.已经报道了AIS的原因.在一级亲属中，发生率为11％，医疗保健提供者报道一个家庭有多个脊柱侧弯患者的情况并不少见。AISaffectsapproximately2%to3%oftheadolescentpopulation,butfewerthan10%ofpatientswithAISneedtreatment.13Thehigher
7、thecurvemagnitude,thelowertheprevalenceandthehigherthefemale/maleratio.Curvesgreaterthan30havea0.1%to0.3%prevalenceandaffectfemales10timesmorethanmales.AIS对青春期人群的影响约为2％〜3％，而AIS患者中只有不到10％需要治疗。曲度越重，患病率越低，女性比例越高。曲度大于30的患病率为0.1％
