青少年特发性脊柱侧凸术前柔韧性影响因素及评估方法研究进展  

Influencing factors and evaluation methods of preoperative flexibility in patients with adolescent idiopathic scoliosis:research progress

作　　者：白锦毅 陈自强[1] 赵颖川[1] 李明[1] BAI Jin-yi;CHEN Zi-qiang;ZHAO Ying-chuan;LI Ming(Department of Orthopaedics,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)长海医院骨科,上海200433

出　　处：《第二军医大学学报》2020年第11期1183-1187,共5页Academic Journal of Second Military Medical University

基　　金：国家自然科学基金(81372012)。

摘　　要：脊柱侧凸柔韧性评估是青少年特发性脊柱侧凸患者术前常规检查,其对确定融合节段、选择手术入路、预测术后矫形效果等具有重要意义。然而,随着矫形理念的革新和内固定矫形器械不断发展,目前常用的脊柱侧凸柔韧性评估方法如仰卧位侧屈位法、支点侧屈位法、牵引法等暴露出预测性差、评估标准不一致及射线暴露损害等问题。因此,如何针对脊柱侧凸患者临床特点选择合适的脊柱侧凸柔韧性评估方法至关重要。本文就青少年特发性脊柱侧凸柔韧性的影响因素及不同脊柱柔韧性评估方法作一综述。The assessment of flexibility of scoliosis is a conventional preoperative examination for adolescent idiopathic scoliosis,and it is important in selecting fusion level,deciding surgical approach,and predicting postoperative correction.With the innovation of orthopaedic concepts and the continuous development of internal fixation orthopaedic instruments,the commonly used methods for assessing scoliosis flexibility,including supine side-bending,fulcrum-bending and traction,however,have showed some disadvantages such as poor predictability,inconsistent evaluative criteria and radiation exposure.Therefore,it is important to choose a suitable method to evaluate the flexibility of scoliosis according to the clinical characteristics.This paper reviews the influencing factors and different evaluation methods for the flexibility of adolescent idiopathic scoliosis.

关 键 词：青少年特发性脊柱侧凸 柔韧性 影像学 影响因素 

分 类 号：R682.3[医药卫生—骨科学]