青少年特发性脊柱侧凸术后远端叠加现象进展
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中南大学湘雅医院

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国家自然科学基金项目(面上项目)


Progress of distal adding-on phenomenon of adolescent idiopathic scoliosis
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Xiangya Hospital, Central South University

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The National Natural Science Foundation of China (General Program)

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    摘要:

    青少年特发性脊柱侧凸(Adolescent Idiopathic Scoliosis,AIS)是最常见的脊柱侧凸畸形。远端叠加(distal adding-on)现象是AIS患者后路选择性胸弯融合术后常见的并发症。adding-on现象可影响患者生活质量。既往文献报道的主要危险因素有下固定椎的选择、生长潜能、胸弯和腰弯相关因素、L4椎体倾斜方向、肩平衡、冠状面平衡等。但目前关于adding-on现象发生发展的危险因素尚存在争议。本文对adding-on现象的定义、流行病学、危险因素及防治进行综述,以期进一步认识此并发症。

    Abstract:

    Adolescent Idiopathic Scoliosis (AIS) is the most common scoliosis deformity. Distal adding-on is a common complication after selective posterior thoracic fusion in AIS patients. adding-on phenomenon can affect the quality of life of patients. The main risk factors reported in the previous literature include the selection of lowest instrumented vertebra, growth potential, factors related to thoracic curvature and lumbar curvature, L4 vertebral tilt direction, shoulder balance, coronal balance, etc. However, there is still controversy about the risk factors of adding-on phenomenon. This article reviews the definition, epidemiology, risk factors and prevention of adding-on phenomenon in order to further understand this complication.

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  • 收稿日期:2022-10-25
  • 最后修改日期:2022-12-22
  • 录用日期:2023-04-11
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