新型矫形支具治疗青少年特发性脊柱侧弯
A novel braces for treatment of adolescent idiopathic scoliosis
廖昌和 1朱古鑫 2刘东娟 2梁爽 2马航展3
作者信息
- 1. 广东省广州市番禺区中医院脊柱外科,广东 广州 511400;广州中医药大学,广东 广州 610006
- 2. 广州中医药大学,广东 广州 610006
- 3. 广东省广州市番禺区中医院脊柱外科,广东 广州 511400
- 折叠
摘要
[目的]评价新型侧弯矫形支具治疗青少年特发性脊柱侧弯的疗效.[方法]2021年10月-2023年1月,初诊青少年特发性脊柱侧弯52例患者纳入本研究,采用随机数字表法分为两组.其中,26例采用新型支具治疗,另外26例采用传统支具治疗.比较两组患者的临床和影像资料.[结果]与治疗前相比,治疗12个月时两组患者身高和SRS-22评分均显著增加(P＜0.05).治疗后12个月新型组的SRS-22评分显著高于传统组[(90.3±8.8)vs(82.1±4.7),P＜0.001].影像方面,佩戴支具即刻和治疗后12个月两组主弯Cobb角和顶椎偏移(apical translation,AT)均较治疗前显著减小(P＜0.05).新型组在佩戴即刻及治疗后12 个月的 Cobb 角[(5.6±3.6)° vs(8.1±4.7)°,P=0.041;(10.1±8.5)° vs(13.4±6.5)°,P=0.032]和治疗 12 个月 AT[(7.9±7.7)mm vs(11.3±5.8)mm,P=0.029]均显著优于传统组.新型组的即刻矫正率[(78.1±10.2)％vs(65.0±11.2)％,P=0.035]和最终矫正率[(64.3±15.2)％vs(44.5±14.3)％,P=0.004]均显著优于传统组(P＜0.05).[结论]两种支具对青少年特发性脊柱侧弯均有矫正效果,相比之下,新型支具矫正效果更佳,其生活质量方面整体也优于传统支具.
Abstract
[Objective]To evaluate the clinical efficacy of a new brace for correction of adolescent idiopathic scoliosis.[Methods]From October 2021 to January 2023,52 children who were newly diagnosed of adolescent idiopathic scoliosis,were included in this study and di-vided into two groups by randomized number table method.Of them,26 patients were treated with the new brace(the NB group),while other 26 patients were treated with the traditional brace(the TB group).The clinical and imaging data of the two groups were compared.[Results]Compared with those before treatment,the body height and SRS-22 scores in both groups were significantly increased 12 months after treat-ment(P＜0.05).At 12 months after treatment,the NB group proved significantly better than the TB group regarding SRS-22 scores[(90.3±8.8)vs(82.1±4.7),P＜0.001].As for imaging,Cobb angle and apical translation(AT)of main curve were significantly decreased in both groups immediately after wearing the brace and 12 months after treatment compared with those before treatment(P＜0.05).The NB group was significantly superior to the TB group in terms of Cobb angle immediately after wearing brace and 12 months after treatment[(5.6±3.6)° vs(8.1±4.7)°,P=0.041;(10.1±8.5)° vs(13.4±6.5)°,P=0.032],and AT 12 months after treatment[(7.9±7.7)mm vs(11.3±5.8)mm,P=0.029].In addition,the NB group was also significantly superior to the TB group in terms of immediate correction rate[(78.1±10.2)％vs(65.0±1 1.2)％,P=0.035)and the final correction rate[(64.3±15.2)％vs(44.5±14.3)％,P=0.004].[Conclusion]Both kinds of braces are effective in the cor-rection of adolescent idiopathic scoliosis.By contrast,the new brace had considerably better correction efficiency,with better quality of life of the patients over the the traditional brace.
关键词
青少年特发性脊柱侧弯/矫形/支具疗法Key words
adolescent idiopathic scoliosis/correction/brace therapy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据