特发性脊柱侧弯|Symptoms & Causes
儿童和青少年的特发性脊柱侧弯的症状是什么?
在孩子的成长过程中,特发性脊柱侧弯的迹象通常变得更加明显。这些包括:
- 肩膀不平坦
- one shoulder blade protruding more than the other
- ribs more prominent on one side
- 腰围不均匀
- 臀部高度差
Idiopathic scoliosis is often first discovered during a pediatric checkup or school screening. This is particularly true in children who wear loose-fitting clothes that might cover up the symptoms. If a pediatrician or school nurse suspects your child has scoliosis, they may recommend an evaluation by a pediatric orthopedist or spinal specialist.
是什么导致儿童和青少年的特发性脊柱侧弯?
没有明确的特发性脊柱侧弯的原因,也没有防止脊柱发展左右曲线的趋势的方法。特发性脊柱侧弯可能会在家庭中运行,但研究人员尚未证实这一点。
特发性脊柱侧弯|Diagnosis & Treatments
How is idiopathic scoliosis diagnosed in kids and teens?
Clinicians who suspect idiopathic scoliosis conduct a detailed medical history and physical exam to confirm the diagnosis. During the physical exam, the doctor may use the亚当的前弯曲测试to detect abnormal curvature of the spine. For this test, your child bends forward from the waist, hangs their arms loosely in front of them, and reaches for the floor. If your child has scoliosis, one side of their rib cage will be more prominent than the other. The doctor may also order an x-ray, which allows them to see an image of the spine.
特发性脊柱侧弯有哪些治疗选择?
Treatment for idiopathic scoliosis depends on a number of factors, including your child’s age, severity of their spinal curve, location of the curve, and the pattern and progression of the curve. In many instances, simple observation is the first form of treatment.
Children with轻度脊柱侧弯,通常会在定期探访医生时监视小于25度的曲线,以确保曲线不会变得更糟。
Children with中度脊柱侧弯,通常用25至45度的曲线处理支撑。随着孩子的成长,支撑物使脊柱保持直接的位置。这可以部分纠正曲线,也可以防止其变得更加严重。如果曲线尽管有支撑,曲线会变得更糟,那么孩子可能需要手术。
Children with严重的脊柱侧弯, a curve greater than 45 degrees, usually need surgery. The most common surgical procedure is aspinal fusion。For this procedure, the surgeon uses metal rods, hooks, screws, and wires to correct the spinal curve and secure the spine in a straight position while the fusion heals and becomes solid.
患有特发性脊柱侧弯的孩子和青少年的长期前景是什么?
Idiopathic scoliosis is not a life-threatening condition. Most children and adolescents with idiopathic scoliosis can look forward to normal, active lives. Your child’s outlook depends in large part on the nature and severity of their scoliosis as well as their age. Early diagnosis and treatment are important components of minimizing the long-term effects of scoliosis.
我们如何照顾孩子和青少年的特发性脊柱侧弯
这脊柱分裂at Boston Children’s Hospital is the largest and busiest pediatric spine center in the United States. Our spine specialists see thousands of spine patients and perform hundreds of spine surgeries each year. We treat all types of scoliosis and other spine conditions, from the most common to the most complex.
通过早期干预,我们的大多数患者成功接受了支撑以及其他非侵入性疗法,包括物理疗法和Schroth疗法。用于脊柱侧弯的最广泛使用的支架,Boston Brace, was developed at Boston Children’s more than 40 years ago. While we are proud of this legacy, we work closely with our patients and their families to determine which brace is right for them.
对于需要手术的儿童,我们的手术团队包括外科医生,麻醉学家以及具有特定技能和脊柱手术专业知识的护士。团队的每个成员都在确保手术前,期间和之后确保质量和安全方面发挥作用。
特发性脊柱侧弯|患者资源
脊柱侧弯的患者和家庭指南
This e-book for patients and families shares information about the diagnosis and management of scoliosis, and offers advice about how to live with the condition.
How to put on a Boston brace (video)
蒂莫西·赫雷斯科(Timothy Hresko)博士,来自波士顿儿欧宝彩票平台童医院骨科中心,demonstrates how to help a patient with scoliosis put on a Boston Brace.
拥抱支架数字幻灯片
患者和提供者提供建议,以帮助其他脊柱侧弯的人在戴上支撑时壮成长。
How to support your child who has to wear a brace
波士顿儿童的专家回答有关戴上支撑的感觉以及父母在必须穿男孩时如何抚养的问题。