摘要

Importance:Adolescent idiopathic scoliosis, a lateral curvature of the spine of unknown cause with a Cobb angle of at least 10°, occurs in children and adolescents aged 10 to 18 years. Idiopathic scoliosis is the most common form and usually worsens during adolescence before skeletal maturity. Severe spinal curvature may be associated with adverse long-term health outcomes (eg, pulmonary disorders, disability, back pain, psychological effects, cosmetic issues, and reduced quality of life). Early identification and effective treatment of mild scoliosis could slow or stop curvature progression before skeletal maturity, thereby improving long-term outcomes in adulthood.
Objective:To update the 2004 US Preventive Services Task Force (USPSTF) recommendation on screening for idiopathic scoliosis in asymptomatic adolescents.
Evidence Review:The USPSTF reviewed the evidence on the benefits and harms of screening for and treatment of adolescent idiopathic scoliosis.
Findings:The USPSTF found no direct evidence on screening for adolescent idiopathic scoliosis and health outcomes and no evidence on the harms of screening. The USPSTF found inadequate evidence on treatment with exercise and surgery. It found adequate evidence that treatment with bracing may slow curvature progression in adolescents with mild or moderate curvature severity (Cobb angle 

译文

重要性: 青少年特发性脊柱侧凸,是一种原因不明的脊柱侧弯,Cobb 角至少为 10 °,发生于 10 至 18 岁的儿童和青少年。特发性脊柱侧凸是最常见的形式,通常在骨骼成熟之前的青春期恶化。严重的脊柱弯曲可能与不良的长期健康结果有关 (例如,肺部疾病、残疾、背痛、心理影响、美容问题和生活质量下降)。轻度脊柱侧凸的早期识别和有效治疗可以减缓或阻止骨骼成熟前的弯曲进展,从而改善成年期的长期结果。
目的: 更新 2004 美国预防服务工作组 (USPSTF) 关于筛查无症状青少年特发性脊柱侧凸的建议。
证据审查: USPSTF 审查了关于青少年特发性脊柱侧凸筛查和治疗的益处和危害的证据。
结果: USPSTF 没有发现青少年特发性脊柱侧凸筛查和健康结果的直接证据,也没有发现筛查危害的证据。USPSTF 发现锻炼和手术治疗的证据不足。它发现足够的证据表明,支具治疗可能会减缓轻度或中度弯曲严重程度的青少年的弯曲进展 (Cobb 角

Scoliosis

骨科 脊柱畸形 疾病
概述  :  

脊柱侧凸俗称脊柱侧弯,是一种脊柱的三维畸形,包括冠状位、矢状位和轴位上的序列异常,应对其高度重视。脊柱侧弯是威胁青少年与儿童的一种常见病症,如果错过最佳的治疗时机,将会酿成严重的后果,患者的心肺功能也会受到影响,在严重的情况下,将会瘫痪。   病因 结构性脊柱侧弯也被划分成多种不同的类型,特发性脊柱侧凸的原因不清楚,目前认为先天性脊柱侧凸是胚胎发育不良所引起,神经性脊柱侧弯由小儿麻痹后遗症等引发。针对脊柱侧弯症状患者,采取辩证分型的

Scoliosis 英 /ˌskəʊliˈəʊsɪs; ˌskɒliˈəʊsɪs/  美 /ˌskoʊliˈoʊsɪs/                     

释义   n. [外科] 脊柱侧凸

复数 scolioses

例句   She had two hip replacements, a brain tumour, pneumonia, heart problems and scoliosis. 她做过两次髋骨手术,患有脑瘤、肺炎、心脏病和脊柱侧凸等疾病。

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