CAJ | 학술논문

骨关节植入物%骨与关节综述%脊柱侧凸%少儿型脊柱侧凸%青少年型脊柱侧凸%脊柱侧凸非融合手术%脊柱内固定器%生长棒系统%纵向可延伸式钛肋假体%生长导向技术%生长调节技术%可生长三维矫形技术%国家自然科学基金骨關節植入物%骨與關節綜述%脊柱側凸%少兒型脊柱側凸%青少年型脊柱側凸%脊柱側凸非融閤手術%脊柱內固定器%生長棒繫統%縱嚮可延伸式鈦肋假體%生長導嚮技術%生長調節技術%可生長三維矯形技術%國傢自然科學基金
골관절식입물%골여관절종술%척주측철%소인형척주측철%청소년형척주측철%척주측철비융합수술%척주내고정기%생장봉계통%종향가연신식태륵가체%생장도향기술%생장조절기술%가생장삼유교형기술%국가자연과학기금

背景:儿童脊柱侧凸的治疗是脊柱外科的挑战之一,外科手术治疗尚没有满意的方法. 目的:综述儿童脊柱侧凸外科治疗方法的发展及现状,分析各种方法的利弊,展望儿童脊柱侧凸非融合手术治疗的发展. 方法:以“Scoliosis,Infantile scoliosis,Juvenile scoliosis,fusionless surgery,spinal implant”为英文检索词,“脊柱侧凸,少儿型脊柱侧凸,青少年型脊柱侧凸,脊柱内固定器,脊柱侧凸非融合手术”为中文检索词,检索Pubmed数据库、CNKI数据库2001至2012年发表的相关文献.共检索到113篇文献,排除无关重复的文献,保留36篇进行综述. 结果与结论:目前脊柱侧凸外科治疗主要方法中,撑开技术可以保证脊柱的生长但需要不断的后期延长,生长导向技术可以避免不断的延长手术,但脊柱的生长不能得到保证,也不能纠正脊柱的旋转畸形;而生长调节技术对脊柱畸形的纠正有一定的作用,但它对严重脊柱畸形的作用是不确定的;可生长三维矫形技术的动物实验证明既能保证脊柱的生长,同时能纠正脊柱的旋转,术后不需要不断地延长,理论上是较理想的治疗方法,需要临床研究验证.
배경:인동척주측철적치료시척주외과적도전지일,외과수술치료상몰유만의적방법. 목적:종술인동척주측철외과치료방법적발전급현상,분석각충방법적리폐,전망인동척주측철비융합수술치료적발전. 방법:이“Scoliosis,Infantile scoliosis,Juvenile scoliosis,fusionless surgery,spinal implant”위영문검색사,“척주측철,소인형척주측철,청소년형척주측철,척주내고정기,척주측철비융합수술”위중문검색사,검색Pubmed수거고、CNKI수거고2001지2012년발표적상관문헌.공검색도113편문헌,배제무관중복적문헌,보류36편진행종술. 결과여결론:목전척주측철외과치료주요방법중,탱개기술가이보증척주적생장단수요불단적후기연장,생장도향기술가이피면불단적연장수술,단척주적생장불능득도보증,야불능규정척주적선전기형;이생장조절기술대척주기형적규정유일정적작용,단타대엄중척주기형적작용시불학정적;가생장삼유교형기술적동물실험증명기능보증척주적생장,동시능규정척주적선전,술후불수요불단지연장,이론상시교이상적치료방법,수요림상연구험증.
@@@@BACKGROUND:Treatment of scoliosis in children is a chal enging in spinal surgery. To date, there is no satisfactory surgical method for the treatment of scoliosis in children. @@@@OBJECTIVE:To review the development and current situation of the non-fusion surgery for the treatment of children with scoliosis, to analyze the pros and cons of various methods and to prospect the future. @@@@METHODS:The PubMed database and CNKI database from 2001 to 2012 were retrieved by computer with the key words of“scoliosis, infantile scoliosis, juvenile scoliosis, fusionless surgery, spinal implant”in English and Chinese. A total of 113 literatures were screened out, and then the repetitive and irrelevant researches were eliminated, then 36 literatures were included for the final review. @@@@RESULTS AND CONCLUSION:To date, among the main methods of scoliosis surgery, lengthening technology can guarantee the growth of the spine, but subsequent lengthening surgery was needed;growth guiding technology could avoid subsequent lengthening surgery, but the growth of spine could not be guaranteed and could not correct the rotational deformity of spine;growth regulating technology could correct deformity, but the capacity of serious spinal deformity was indeterminacy;animal experiment of automatic growth three-dimensional orthopaedic technology has demonstrated that it could guarantee the growth of the spine, and could correct the deformity at the same time without subsequent lengthening surgery. Theoretical y, automatic growth three-dimensional orthopaedic technology is the perfect solution for children scoliosis, but it stil needs clinical checking.