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特发性脊柱侧弯诊治的历史与未来
Diagnosis and management of idiopathic scoliosis: history and future
- 第三军医大学学报 2019年41卷第19期 页码：1855-1858
- 作者机构：
400038 重庆，陆军军医大学(第三军医大学)第一附属医院骨科，全军矫形外科中心
- 作者简介：
[许建中，博士，主任医师，教授，博士生导师。担任中国研究型医院学会脊柱外科专业委员会副主任委员，中国康复医学会骨与关节及风湿病专业委员会副主任委员，中华医学会结核病学分会骨科专业委员会副主任委员，中国医药生物技术协会骨组织库分会副主任委员，重庆市预防医学会骨与关节病预防与控制专业委员会主任委员，重庆市医师协会骨科医师分会副会长；主持国家“863”重大专项、军队重大项目、重庆市重大课题、国家地方联合工程实验室等科研项目18项；获国家科技进步二等奖1项，军队科技进步一等奖2项，重庆市科技进步一等奖2项，黄家驷生物医学工程奖二等奖1项，入选国家科技部创新人才推进计划重点领域创新团队核心成员。获中国医师奖提名奖、军队院校育才教育银奖、总后优秀教师、重庆市医学会学术成就奖、重庆市名医、重庆市优秀教育科研成果一等奖，获得国家专利26项；担任10余种杂志的常委或编委。发表学术论文200余篇，其中被SCI收录89篇。主编、主译专著各1部、副主编专著2部，参编专著23部。主要从事脊柱外科、骨组织工程、骨修复材料，脊柱畸形、脊柱结核、上颈椎损伤方面的研究。E-mail:xjzslw@163.comXU Jianzhong, E-mail:xjzslw@163.com
- 基金信息：
DOI：10.16016/j.1000-5404.201908037
中图分类号： R682.3收稿：2019-08-05，
修回：2019-08-30，
纸质出版：2019-10-15
- 稿件说明：
移动端阅览
许建中. 特发性脊柱侧弯诊治的历史与未来[J]. 第三军医大学学报, 2019,41(19):1855-1858.
Jianzhong XU. Diagnosis and management of idiopathic scoliosis: history and future[J]. Journal of Third Military Medical University, 2019, 41(19): 1855-1858.
许建中. 特发性脊柱侧弯诊治的历史与未来[J]. 第三军医大学学报, 2019,41(19):1855-1858. DOI： 10.16016/j.1000-5404.201908037.
Jianzhong XU. Diagnosis and management of idiopathic scoliosis: history and future[J]. Journal of Third Military Medical University, 2019, 41(19): 1855-1858. DOI： 10.16016/j.1000-5404.201908037.
摘要
脊柱侧弯是在冠状面(后前位X线片)上Cobb角至少10°的三维脊柱畸形，临床上最常见的是特发性脊柱侧弯，所谓特发性是指没有明确的病因。熟悉并认知脊柱侧弯历史，将利于理解脊柱侧弯诊治的现状及在未来如何解决相关的问题。过去20年，特发性脊柱侧弯的影像评估、内植物研发、临床分型、矫形技术等已取得了很大进步并被广泛接受，但特发性脊柱侧弯的病因、手术策略等依然存在争议。现对特发性脊柱侧弯(包括青少年特发性脊柱侧弯和早发脊柱侧弯)的历史进行简要回顾、总结矫治技术现状及存在的问题。预计在不远的将来，脊柱侧弯病因学和自然转归研究、微创矫治技术及生长棒技术可能会获得更多关注并取得突破性进展。
Abstract
Scoliosis is a 3D deformity of the spine measuring at least 10° of angulation on the posterior-anterior radiograph. Idiopathic scoliosis
the most common one
is the type without definite cause. Histories make men wise
and the course of learning about scoliosis helps us to understand the current problems in its diagnosis and treatment and enhances the development of future modalities. In the past 2 decades
great achievements have been made in imaging
instrumentation
classification
and corrective techniques for idiopathic scoliosis
which have provided new insights on the diagnosis and management of this condition
but its etiology and surgical strategy still remain controversial. So
in this article
we review the general history of idiopathic scoliosis (including adolescent idiopathic scoliosis and early onset scoliosis)
summarize the current status and problems in order to provide guidance on the available surgical alternatives to address these conditions. In the near future
strategies should be focused on the etiology and natural history of idiopathic scoliosis
minimally invasive surgery techniques for adolescent idiopathic scoliosis and the development of growth friendly implants for early onset scoliosis.
关键词
Keywords
references
KOSTUIK J P. The history of spinal deformity[J]. Spine Deform, 2015, 3(5): 417-425. DOI:10.1016/j.jspd.2015.07.003.
MARKETOS S G, SKIADAS P. Hippocrates. The father of spine surgery[J].Spine, 1999, 24(13): 1381-1387. DOI:10.1097/00007632-199907010-00018.
MARKETOS S G, SKIADAS P K. Galen: a pioneer of spine research[J]. Spine, 1999, 24(22): 2358-2362. DOI:10.1097/00007632-199911150-00012.
SANAN A, RENGACHARY S S. The history of spinal bio-mechanics[J]. Neurosurgery, 1996, 39(4): 657-668. DOI:10.1097/00006123-199610000-00001.
孙东, 张泽华, 代飞, 等.三维CT观测原发性青少年脊柱侧弯患者胸椎肋横突孔的形态[J].第三军医大学学报, 2013, 35(22): 2464-2468. DOI:10.16016/j.1000-5404.2013.22.019.
SUN D, ZHANG Z H, DAI F, et al . Three-dimensional computerized tomography of costo-transverse foramen in adolescent idiopathic scoliosis patients[J ] . J Third Mil Med Univ, 2013, 35(22): 2464-2468. DOI:10.16016/j.1000-5404.2013.22.019.
DEWALD R L, RAY R D. Skeletal traction for the treatment of severe scoliosis[J]. J Bone Joint Surg Am, 1970, 52(2): 233-238. DOI:10.2106/00004623-197052020-00003.
HARRINGTON P R. The history and development of Harrington instrumentation[J]. Clin Orthop Relat Res, 1973(93): 110-112. DOI:10.1097/00003086-197306000-00013.
LUQUE E R. Segmental spinal instrumentation for correction of scoliosis[J]. Clin Orthop Relat Res, 1982(163): 192-198.
COTREL Y, DUBOUSSET J, GUILLAUMAT M. New universal instrumentation in spinal surgery[J]. Clin Orthop Relat Res, 1988, 227: 10-23.
ROY-CAMILLE R, ROY-CAMILLE M, DEMEULENAERE C. Osteosynthesis of dorsal, lumbar, and lumbosacral spine with metallic plates screwed into vertebral pedicles and articular apophyses[J]. Presse Med, 1970, 78(32): 1447-1448.
KIM Y J, LENKE L G, BRIDWELL K H, et al . Free hand pedicle screw placement in the thoracic spine: is it safe?[J ] . Spine, 2004, 29(3): 333-342; discussion 342. DOI:10.1097/01.brs.0000109983.12113.9b.
SUK S I, LEE C K, KIM W J, et al . Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis[J ] . Spine, 1995, 20(12): 1399-1405.
CHANG K W, WANG Y F, ZHANG G Z, et al . Tai Chi pedicle screw placement for severe scoliosis[J ] . J Spinal Disord Tech, 2012, 25(3): E67-E73. DOI:10.1097/BSD.0b013e31823db498.
LEE S M, SUK S I, CHUNG E R. Direct vertebral rotation: a new technique of three-dimensional deformity correction with segmental pedicle screw fixation in adolescent idiopathic scoliosis[J]. Spine, 2004, 29(3): 343-349. DOI:10.1097/01.brs.0000109991.88149.19.
SCHWAB F, BLONDEL B, CHAY E, et al .The comprehensive anatomical spinal osteotomy classification[J ] . Neurosurgery, 2014, 74(1):112-120; discussion 120. DOI: 10.1227/NEU.0000000000000182o.
LENKE L G, BETZ R R, HARMS J, et al . Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis[J ] . J Bone Joint Surg Am, 2001, 83(8): 1169-1181.
SUK S I. Pedicle screw instrumentation for adolescent idiopathic scoliosis: the insertion technique, the fusion levels and direct vertebral rotation[J]. Clin Orthop Surg, 2011, 3(2): 89-100. DOI:10.4055/cios.2011.3.2.89.
YANG S, ANDRAS L M, REDDING G J, et al . Early-onset scoliosis: A review of history, current treatment, and future directions[J ] . Pediatrics, 2016, 137(1). DOI: 10.1542/peds.2015-0709.
BEAUCHAMP E C, ANDERSON R C E, VITALE M G. Modern surgical management of early onset and adolescent idiopathic scoliosis[J]. Neurosurgery, 2019, 84(2): 291-304. DOI:10.1093/neuros/nyy267.
MCCARTHY R E, MCCULLOUGH F L. Shilla growth guidance for early-onset scoliosis: results after a minimum of five years of follow-up[J]. J Bone Joint Surg Am, 2015, 97(19): 1578-1584. DOI:10.2106/JBJS.N.01083.
ZHU Z Z, TANG N L, XU L L, et al . Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls[J ] . Nat Commun, 2015, 6: 8355. DOI:10.1038/ncomms9355.
ANDERSEN M R, FAROOQ M, KOEFOED K, et al . Mutation of the planar cell polarity gene VANGL1 in adolescent idiopathic scoliosis[J ] . Spine, 2017, 42(12): E702-E707. DOI:10.1097/BRS.0000000000001927.
GRAUERS A, WANG J W, EINARSDOTTIR E, et al . Candidate gene analysis and exome sequencing confirm LBX1 as a susceptibility gene for idiopathic scoliosis[J ] . Spine J, 2015, 15(10): 2239-2246. DOI:10.1016/j.spinee.2015.05.013.
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