青少年特发性脊柱侧凸矫形术后adding-on现象的研究进展

青少年特发性脊柱侧凸矫形术后adding-on现象时有发生,常见于LenkeⅠ、LekeⅡ型的青少年特发性脊柱侧凸患儿。通常导致脊柱侧弯的矫正度数丢失,躯干冠状面失平衡,进而可能导致矫形手术失败,最终需要翻修手术。该问题一直困扰着小儿脊柱外科医师,同时增加患儿痛苦和治疗费用,因此研究分析青少年特发性脊柱侧凸矫形术后发生adding-on现象的危险因素以指导临床治疗很有必要。本文就adding-on现象发生的危险因素、预防策略等最新文献进行回顾,以期全面认识此并发症,并为矫形手术提供帮助,希望能减少此现象的发生。

Research advances of adding-on phenomenon after operations for adolescent idiopathic scoliosis

Adding-on phenomenon occurs frequently in adolescent idiopathic scoliosis after orthopedic operations.Common in Lenke I/II adolescent idiopathic scoliosis,it usually causes the loss of corrective degrees of scoliosis and the coronal balance of trunk,leading to the failure of orthopedic surgery.Eventually a revision operation is required.It bathers surgeons and brings extra pains and treatment costs to patients.Therefore it is necessary to analyze its risk factors and take the corresponding preventive measures.This article reviews the latest literatures on the risk factors and preventive strategies of adding-on phenomenon for understanding its complications comprehensively and providing assistance for orthopedic surgery to reduce its occurrence.