特发性脊柱侧弯 IDIOPATHIC SCOLIOSIS 病人手册
ISBN: 978-983-42600-9-5 2013 Lembah Pantai, 50603 Kuala Lumpur 03 7949 2061/7949 2446 03 7949 4642 Izmo Graphics Associates No. 31, Jalan 8/119 Taman Taynton View, Cheras 56000 Kuala Lumpur (603) 913 22 777 studio@izmo.com II
特发性脊柱侧弯 IDIOPATHIC SCOLIOSIS 病人手册 编辑 Kwan Mun Keong Chris Chan Yin Wei Lee Chee Khean III
1. 简介 1 1 2 3 3 2. 治疗方法 4 4 4 5 3. 手术治疗 6 7 8 9 11 4. 背部运动 12 5. 背部保健 13 15 6. 鸣谢 16 7. 参考 16 8. 身高的测量 17 9. 身高的图表 18 10. 想要问医生的问题 10 IV
简介 什么是脊柱侧弯? C S (Cobb 10 Angle) (Scoliosis) 80 90% (Idiopathic Scoliosis) 1 (Adolescent Idiopathic Scoliosis, AIS) 3 5% 2 图解 1 脊柱侧弯的类型 特发性 (Infantile) 0-3 3-10 (Juvenile) 其他原因 (congenital) (syndromic) (Adolescent) (Neuromuscular) 10-18 1
我有患上脊柱侧弯吗? v v v v v v 3 3 图解 2 2
怎样诊断脊柱侧弯? Cobb Angle = X Cobb Angle ±3 X X X 10 Cobb Angle 图解 3 (Stephen I, Esses JB, et al. Textbook of Spinal Disorders. Philadelphia: Lippincott Company; 1995, ms. 272) 在一年内我能拍多少次的 X 光? 1.5mSv 20mSv 13 X ( Radiological Society of North America, Inc.(RSNA)) 3
治疗方法 观察 Sudut Cobb (X ) 治疗方法 10-20 20-45 > 45 4 6 4 穿背架 穿背架的疗效 (Scoliosis Research Society, SRS) 92% 3 49% 图解 4 1. 2. 4
背架 (Braces) 的类型 SpineCor TLSO 图解 5 SpineCor Thoracolumbosacral Orthosis (TSLO) 20-23 20-23 3 X 2 X X 6 2 6 2 SpineCor TLSO 5
手术治疗 >45 手术的目的. 8 8 2007 12 2008 5 2008 12 图解 6 6
2. 50-75% 图解 7 3. 4. 7
手术的方法 后侧脊椎融合术 (posterior spinal fusion) (Rods) (Pedicle screws) 图解 8 (pedicle screws) (Rod) (bone grafting) (Rods) (Screws) 8
手术会有什么风险? 5% 4 2006 SRS AIS 类型 风险率 % 病人人数 = 4369 (Wound Infection) 1.35 (Pulmonary Not Pulmonary Embolus) 0.96 (Implant Related) 0.64 (Neurologic) 0.32 (Dural Tear) 0.18 (Nonfatal Bleed) 0.14 (Deep Vein Thrombosis) 0.05 (Pulmonary Embolus) 0.02 (Blood Loss-fatal) 0.02 (Air embolus-fatal)0.02 0.5% 9
如果你不进行手术, 你的脊柱侧弯将会发生什么变化? 图解 9 3 组别 结果 6 5-10 5 >50 1 100 6 10
手术后的注意事项 1. 24 2. 3 4 3. 3 4 4. 5. 11
背部运动 1. 2. 1 5 2 5 3 5 10 15 20 12
背部保健 (intervertebral disc) (intervertebral disc) 13
14
[1] [2] [3] [4] [1] [2] [3] [4] 15
鸣谢 1. Jenny Wong Fei Mun 2. Valerie Hew Yook Ping 3. Shirley Wong Kueng Chii 4. Winnie Loke Lai Sing 参考 1. Riseborough EJ, Wynne-Davies R. A genetic survey of idiopathic scoliosis in Boston, Massachusetts. J Bone Joint Surg Am 1973;55:974-82. 2. Ueno M, Takaso M, Nakazawa T, Imura T, Saito W, Shintani R, et al. A 5-year epidemiological study on the preva lence rate of idiopathic scoliosis in Tokyo: school screening of more than 250,000 children. J Orthop Sci 2011;16: 1-6. 3. Rowe DE, Bernstein SM, Riddick MF, Adler F, Emans JB, Gardner-Bonneau D. A meta-analysis of the efficacy of non operative treatments for idiopathic scoliosis. J Bone Joint Surg Am 1997; 79:664-74. 4. Coe JD, Arlet V, Donaldson W, Berven S, Hanson DS, Mudiyam R, et al. Complications in spinal fusion for adolescent idiopathic scoliosis in the new millennium. A report of the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2006;31:345-9. 5. Weinstein SL, Ponseti IV. Curve progression in idiopathic scoliosis. J Bone Joint Surg Am 1983;65:447-55. 6. Weinstein SL. Natural history. Spine 1999;24:2592-600. 16
测量身高 1. 2. 3. 4. 5. 6. 7. 8. 9. 0.1 10. 3 17
0 =...cm 0 0 140 140 4 1 0.4 18
您想要问医生的问题 ( ) Universiti Malaya
备录 Universiti Malaya
备录 Universiti Malaya