摘要
目的探讨脊柱侧凸病因学构成的变化与发展情况。方法对621例脊柱侧凸患者 ,以及其中的391例9～28岁常见手术年龄组患者分别进行病因学分类 ,并对两者的病因学构成百分比进行比较。结果非特发性脊柱侧凸病例占总病例数的25.3 %(157/621) ,占9～28岁年龄组脊柱侧凸病例的34.0 %(133/391) ,其中先天性脊柱侧凸并发脊髓发育性畸形高达38.6 %。结论脊柱侧凸可由多种原因引起 ,随着临床诊断水平的提高 ,其病因学的构成百分比已发生变化。与脊柱侧凸伴随的脊髓发育性畸形是脊柱侧凸矫形手术后神经系统并发症的重要原因之一 。
Objective The differential and etiological diagnosis of scoliosis had been largely improved, with the development of the modern clinical diagnostic technology. The present study was to analyze the current etiologic agents and classification of scoliosis. Methods The etiology of 621 consecutive cases suffering from scoliosis was analyzed and classified. There were 174 males and 447 females, with male to female ratio of 1∶2.6. The age ranged from 4 months to 79 years, with an average of 18 years. As the corrective surgery of scoliosis was commonly performed on the patients with the age between 9 and 28 year, the patients in this age range interval were independently analysed for their etiology , and compared with the overall scoliosis group. Results The prevalence of non idiopathic scoliosis was 25.3%of the total scoliosis group, and this accounted for 34.0%of the 9-28 year scoliosis group. Congenital scoliosis complicated with developmental spinal cord malformation reached a rate as high as 38.6%. Conclusion The etiological distribution of scoliosis has currently changed. The complex cord malformation is one of the most important risks for potential neurologic complications during scoliosis surgery, but these neurologic complications may be prevented by the precise pre operative evaluation and management of the cord malformations.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2000年第5期265-268,共4页
Chinese Journal of Orthopaedics
