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J Bone Joint Surg：一些主要的脊柱侧凸手术或许是可以避免的

2016-07-09 Seven L 译 MedSci原创

脊柱侧凸生长棒融合
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近期发表在The Journal of Bone & Joint Surgery的研究称，来自约翰霍普金斯医学院的研究者发现，对于早发性脊柱侧凸的重症患儿，最终手术融合在很多情况下是不必要的。翰霍普金斯大学医学院的小儿整形外科医师Paul D. Sponseller博士和他的同事们通过一个国际数据库，对167名在1995-2010年之间使用生长棒治疗的患儿数据进行了分析，137例患者接受了

近期发表在The Journal of Bone & Joint Surgery的研究称，来自约翰霍普金斯医学院的研究者发现，对于早发性脊柱侧凸的重症患儿，最终手术融合在很多情况下是不必要的。

翰霍普金斯大学医学院的小儿整形外科医师Paul D. Sponseller博士和他的同事们通过一个国际数据库，对167名在1995-2010年之间使用生长棒治疗的患儿数据进行了分析，137例患者接受了最终手术融合，30例在与医生交流后选择了不进行。

30例未接受手术融合的患者中，有一半是女性，其平均年龄7.1岁。这些患者接受了平均5.4个延长的程序，并在最近的一次手术后平均随访了3.7年。

在最后生长棒手术后的3-7年时间里，26例患者的脊柱保持直立状态，其余的4例患者由于感染，去除了生长棒，被认为是特殊的情况。

虽然目前的数据表明，对于早发性脊柱侧凸的重症患儿，最终手术融合在很多情况下是不必要的，但是在以后仍需要更多的数据和研究来验证这个结果。

原始出处：

Study finds some major scoliosis surgeries can be avoided.Healio.July 8, 2016


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    2016-12-19 智智灵药

    #脊柱侧凸#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1776594, encodeId=43bb1e765947e, content=<a href='/topic/show?id=cd5884511ca' target=_blank style='color:#2F92EE;'>#脊柱侧凸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84511, encryptionId=cd5884511ca, topicName=脊柱侧凸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Mon Dec 19 06:25:00 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915141, encodeId=f591191514192, content=<a href='/topic/show?id=05343619cf' target=_blank style='color:#2F92EE;'>#Bone#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3619, encryptionId=05343619cf, topicName=Bone)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Thu Aug 11 14:25:00 CST 2016, time=2016-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129398, encodeId=580b129398c2, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:43:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=119572, encodeId=1a2b1195e2ab, content=值得学习。赞！好文。, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Sep 10 17:08:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=107370, encodeId=62d710e370a2, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Aug 30 11:13:00 CST 2016, time=2016-08-30, status=1, ipAttribution=)]
    2016-08-11 apoenzyme

    #Bone#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1776594, encodeId=43bb1e765947e, content=<a href='/topic/show?id=cd5884511ca' target=_blank style='color:#2F92EE;'>#脊柱侧凸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84511, encryptionId=cd5884511ca, topicName=脊柱侧凸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Mon Dec 19 06:25:00 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915141, encodeId=f591191514192, content=<a href='/topic/show?id=05343619cf' target=_blank style='color:#2F92EE;'>#Bone#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3619, encryptionId=05343619cf, topicName=Bone)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Thu Aug 11 14:25:00 CST 2016, time=2016-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129398, encodeId=580b129398c2, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:43:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=119572, encodeId=1a2b1195e2ab, content=值得学习。赞！好文。, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Sep 10 17:08:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=107370, encodeId=62d710e370a2, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Aug 30 11:13:00 CST 2016, time=2016-08-30, status=1, ipAttribution=)]
    2016-09-17 1e10c84am36(暂无匿称)

    不错哦，会学到很多，喜欢梅斯医学文章

    0

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    2016-09-10 ylzr123

    值得学习。赞！好文。

    0

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    2016-08-30 ylzr123

    好文，值得学习，赞！

    0

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