最后审阅： 18 九月 2021
最后更新： 11 六月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 年龄＞10 岁
  • 青春期后 6 到 12 个月
  • 姿势不对称
  • 无痛或极其轻微的疼痛
  • 神经系统检查正常，没有神经系统症状
  • 前屈时椎旁突起
  • 椎旁突起处的脊柱侧凸测量仪检测值＞5°
  • 腹壁反射不对称
更多 关键诊断因素

其他诊断因素

  • 肩部不对称
  • 腰线不对称
  • 胸壁或乳房不对称
  • 咽反射正常
  • 躯干失代偿
其他诊断因素

危险因素

  • 阳性家族史
  • 青春期生长突增高峰
更多 危险因素

诊断性检查

首要检查

  • 临床检查
更多 首要检查

需考虑的检查

  • 颈椎、胸椎、腰椎和骨盆的站立后前位 X 线片
  • 颈椎、胸椎、腰椎和骨盆的站立侧位 X 线片
  • 颈椎、胸椎、腰椎、骶椎和脑干的磁共振成像
更多 需考虑的检查

治疗流程

持续性治疗

筛查时脊柱侧凸测量仪测量值＜5° 或冠状面 Cobb 角测量值≤10°

站立位冠状面 Cobb 角测量值为 11°-20°

站立位冠状面 Cobb 角测量值为 21°-45°

站立位冠状面 Cobb 角测量值＞45°

撰稿人

作者

Ryan M. Ilgenfritz, MD, MS

Pediatric Orthopaedic Surgeon

Department of Orthopaedics

Nemours Children’s Hospital

Orlando

FL

利益声明

RMI declares that he has no competing interests.

Stuart L. Weinstein, MD

Ignacio V. Ponseti Chair and Professor of Orthopaedics

Department of Orthopaedics and Rehabilitation

University of Iowa Hospitals and Clinics

Iowa City

IA

利益声明

SLW is a former board member of the Journal of Bone and Joint Surgery (ended in 2013); he was involved in a NIH RO1 research grant programme until 2015; and he is an author of several references cited in this monograph.

同行评议者

John M. (Jack) Flynn, MD

Associate Chief of Orthopaedic Surgery

The Children's Hospital of Philadelphia

Philadelphia

PA

利益声明

JMF declares that he has no competing interests.

Amer Samdani, MD

Director

Pediatric Spine Surgery

Shriners Hospitals for Children

Philadelphia

PA

利益声明

AS is a paid consultant for Synthes Spine, Depuy Spine, and SpineVision.

Andre Tomasino, MD

Neurosurgeon

Department of Neurosurgery

Hospital Munich-Bogenhausen

Munich

Germany

利益声明

AT declares that he has no competing interests.

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