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| 青少年特发性脊柱侧凸诊疗专家共识 |
| 白玉树1△,陈锴1△,邵杰1,翟骁1,陈铭2,李危石3,许建中4,钱邦平5,朱泽章5,朱锋5,李淳德6,仉建国7,沈建雄7,郝定均8,朱晓东9,杨军林10,张学军11,张雪松2,张方迤12,王其杰13,张文智14,海涌15,赵建华16,邱勇5,王岩2,邱贵兴7,李明1* |
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(1. 海军军医大学(第二军医大学)第一附属医院脊柱外科, 上海 200433;
2. 中国人民解放军总医院骨科, 北京 100853;
3. 北京大学第三医院骨科, 北京 100191;
4. 陆军军医大学西南医院骨科, 重庆 400038;
5. 南京大学医学院附属鼓楼医院脊柱外科, 南京 210008;
6. 北京大学第一医院骨科, 北京 100433;
7. 北京协和医院骨科, 北京 100730;
8. 西安交通大学医学院附属红会医院脊柱外科, 西安 710054;
9. 复旦大学附属华山医院骨科, 上海 200050;
10. 上海交通大学医学院附属新华医院小儿骨科, 上海 200092;
11. 首都医科大学附属北京儿童医院骨科, 北京 100045;
12. 美国华盛顿州立大学附属港景医院骨科, 西雅图 98109;
13. 新加坡国立大学医院骨科, 新加坡 117597;
14. 香港大学矫形及创伤外科学系, 香港 999077;
15. 首都医科大学附属北京朝阳医院骨科, 北京 100020;
16. 陆军军医大学陆军特色医学中心(大坪医院)脊柱外科, 重庆 400042
△共同第一作者
*通信作者) |
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| 摘要: |
| 青少年特发性脊柱侧凸（AIS）是一种涉及冠状面、矢状面和轴状面的复杂三维畸形，其发病率不容忽视。随着技术的发展和研究的深入，越来越多的医院和医师开始探索AIS的规范化诊疗。对于AIS，从病因学、筛查与诊断、分型、评估与检查，到治疗方法的选择、热点问题的探讨及生活质量的评估，都需要全面而深入的认识，从而确保诊疗过程科学、规范、及时。基于循证医学的原则，经多位脊柱外科专家多次讨论，达成了关于AIS诊疗的共识，旨在为临床工作提供参考与指导。 |
| 关键词: 青少年特发性脊柱侧凸 诊断 治疗 筛查 手术规划 生活质量 |
| DOI：10.16781/j.CN31-2187/R.20240805 |
| 投稿时间：2024-11-29修订日期：2025-01-07 |
| 基金项目:海军军医大学（第二军医大学）第一附属医院科普创新创优专项资助计划（chkpyy011）. |
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| Consensus on diagnosis and treatment of adolescent idiopathic scoliosis |
| BAI Yushu1△,CHEN Kai1△,SHAO Jie1,ZHAI Xiao1,CHEN Ming2,LI Weishi3,XU Jianzhong4,QIAN Bangping5,ZHU Zezhang5,ZHU Feng5,LI Chunde6,ZHANG Jianguo7,SHEN Jianxiong7,HAO Dingjun8,ZHU Xiaodong9,YANG Junlin10,ZHANG Xuejun11,ZHANG Xuesong2,ZHANG Fangyi12,WANG Qijie13,ZHANG Wenzhi14,HAI Yong15,ZHAO Jianhua16,QIU Yong5,WANG Yan2,QIU Guixing7,LI Ming1* |
(1. Department of Spinal Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China;
3. Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China;
4. Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing 400038, China;
5. Department of Spinal Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China;
6. Department of Orthopedics, Peking University First Hospital, Beijing 100433, China;
7. Department of Orthopedics, Peking Union Medical College Hospital, Beijing 100730, China;
8. Department of Spinal Surgery, Honghui Hospital Affiliated to Xi'an Jiaotong University School of Medicine, Xi'an 710054, Shaanxi, China;
9. Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai 200050, China;
10. Department of Orthopedics, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China;
11. Department of Pediatric Orthopedics, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China;
12. Department of Orthopedics, Harbor View Hospital, Washington State University, Seattle 98109, USA;
13. Department of Orthopedics, National University Hospital, Singapore 117597, Singapore;
14. Department of Orthopedics and Traumatology, The University of Hong Kong, Hong Kong 999077, China;
15. Department of Orthopedics, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China;
16. Department of Spinal Surgery, Army Special Medical Center (Daping Hospital), Army Medical University, Chongqing 400042, China
△Co-first authors.
* Corresponding author) |
| Abstract: |
| Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity involving coronal, sagittal, and axial planes, with a prevalence that should not be overlooked. With advancements in technology and in-depth research, an increasing number of hospitals and physicians are exploring standardized diagnostic and treatment approaches for AIS. Comprehensive and in-depth understanding is required for AIS, including its etiology, screening and diagnosis, classification, assessment and examination, treatment options, exploration of current focus, and evaluation of quality of life. Such understanding ensures that the diagnostic and treatment are scientific, standardized, and timely. Based on the principles of evidence-based medicine, a consensus on the diagnosis and treatment of AIS is reached after multiple discussions among spinal surgery experts, aiming to provide reference and guidance for clinical practice. |
| Key words: adolescent idiopathic scoliosis diagnosis treatment screening surgery planning quality of life |
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