儿童早发性脊柱侧弯的系统治疗

早发性脊柱侧弯是儿童脊柱外科乃至儿童骨科治疗的难点,需要在术前进行详细检查,若存在其他畸形则需要联合相应学科进行评估。早发性脊柱侧弯的治疗方法包括非手术治疗和手术治疗,其中手术治疗分为融合手术与非融合手术,需要根据病情和儿童发育特点采用合适的治疗方法,并不断调整,以达到系统化治疗的目的。其治疗目标不应是仅仅矫正脊柱畸形,维持正常脊柱和胸廓发育、减少并发症和促进整体健康也必须纳入考虑的范畴。

Systemic treatments of pediatric early-onset scoliosis

As a management dilemma in pediatric orthopedics and spinal surgery,early onset scoliosis(EOS)requires thorough preoperative examinations and deformities beyond orthopedics need the consultations of multiple specialties.Current management options for EOS include non-surgical measures and surgery(including fusion and non-fusion).Systemic managements of EOS require appropriate interventions constant adjustments according to specific conditions and developmental characteristics of children.The therapeutic objective is not only focusing upon spinal malformations,but also maintaining normal spinal and thoracic developments,reducing the occurrences of complications and promoting overall health.