青少年特发性脊柱侧凸患者色努支具治疗结束时的脊柱畸形情况

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背景：支具常用于治疗青少年特发性脊柱侧凸（AIS）。但因支具型号各异，色努（Chêneau）支具治疗脊柱畸形结束后的远期疗效鲜有报道，并且效果也不尽相同。

目的本研究旨在分析AIS患者从色努支具治疗开始至骨骼生长及治疗结束期间的临床及放射学数据，
以确定色努支具在患者日常生活中的实际治疗结果和预期效果。

材料和方法。追踪观察色努支具治疗开始至骨骼生长结束期间52例AIS患者的情况。分析初始Risser征、
治疗时的年龄、性别、侧凸趋势和身体质量指数等临床数据。

结果。开始行支具治疗时，患者的平均年龄为13.1岁，平均侧凸角度为30.9°。支具治疗4个月时，
侧凸角度减小至20.1°。在支具治疗结束9个月后，平均治疗时间为17个月，侧凸角度又回升至30.3°。
对于发育成熟程度较低的患儿，初始侧凸角度小于发育成熟程度较高的患儿，故在治疗结束时，脊柱畸形问题较少。此外，在支具治疗期间，肥胖患儿脊柱侧凸的矫正程度低于正常体重的患儿。

结论。经色努支具治疗，AIS患者的初始侧凸矫正率为35%。在支具治疗结束9个月后，发现侧凸程度与治疗开始时的畸形程度相同。

作者简介

Konstantinos Tsaknakis

University Medical Center Goettingen

Email: konstantinos.tsaknakis@med.uni-goettingen.de
ORCID iD: 0000-0002-7102-5892

MD, Pediatric Orthopaedics, Department of Trauma, Orthopaedic and Plastic Surgery

德国, Goettingen

Lena Braunschweig

University Medical Center Goettingen

Email: lena.braunschweig@med.uni-goettingen.de

MD, PhD, Pediatric Orthopaedics, Department of Trauma, Orthopaedic and Plastic Surgery

德国, Goettingen

Heiko Lorenz

University Medical Center Goettingen

Email: heiko.lorenz@med.uni-goettingen.de

MD, Pediatric Orthopaedics, Department of Trauma, Orthopaedic and Plastic Surgery

德国, Goettingen

Anna Hell

University Medical Center Goettingen

编辑信件的主要联系方式.
Email: anna.hell@med.uni-goettingen.de
ORCID iD: 0000-0002-6655-7130

MD, Pediatric Orthopaedics, Department of Trauma, Orthopaedic and Plastic Surgery

德国, Goettingen

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