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  • 邹一鸣,赵检,白锦毅,杨长伟,康一凡.特发性脊柱侧凸的生物力学特点及治疗策略研究进展[J].第二军医大学学报,2019,40(4):356-361    [点击复制]
  • ZOU Yi-ming,ZHAO Jian,BAI Jin-yi,YANG Chang-wei,KANG Yi-fan.Biomechanical characteristics and therapy strategy of idiopathic scoliosis: research advances[J].Acad J Sec Mil Med Univ,2019,40(4):356-361   [点击复制]
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特发性脊柱侧凸的生物力学特点及治疗策略研究进展
邹一鸣1,赵检2,白锦毅2,杨长伟2,康一凡1*
0
(1. 海军军医大学(第二军医大学)东方肝胆外科医院骨科, 上海 200438;
2. 海军军医大学(第二军医大学)长海医院骨科脊柱外科, 上海 200433
*通信作者)
摘要:
特发性脊柱侧凸是一种病因未明的脊柱畸形疾病,在其发病过程与治疗方法选择上,生物力学因素起着重要作用。脊柱及其附件的空间载荷不均等、椎体发育的不平衡以及骨盆倾斜和旋转导致的基座不稳均对特发性脊柱侧凸的病情演变有重要影响,而支具治疗和椎弓根钉棒系统治疗都以生物力学特点为中心不断发展进步。本文从发病过程和治疗策略出发,总结了特发性脊柱侧凸的生物力学特点。
关键词:  特发性脊柱侧凸  生物力学  病因学  治疗
DOI:10.16781/j.0258-879x.2019.04.0356
投稿时间:2018-12-24修订日期:2019-04-04
基金项目:国家自然科学基金(31870985),上海市自然科学基金(16ZR1449100).
Biomechanical characteristics and therapy strategy of idiopathic scoliosis: research advances
ZOU Yi-ming1,ZHAO Jian2,BAI Jin-yi2,YANG Chang-wei2,KANG Yi-fan1*
(1. Department of Orthopedics, Eastern Hepatobiliary Surgery Hospital, Naval Medical University(Second Military Medical University), Shanghai 200438, China;
2. Department of Spine Surgery, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Idiopathic scoliosis is a spinal deformity without clear etiology, and biomechanical factors play an important role in its pathogenesis and treatment. The spatial load inequality of the spine and its accessories, the unbalanced development of the vertebral body, and the pedestal instability caused by pelvic inclination and rotation have important influences on the development of idiopathic scoliosis. Both brace therapy and pedicle screw-rod system therapy are based on biomechanical characteristics and are continuously progressing. This review sums up the research advances on biomechanical characteristics of idiopathic scoliosis and its therapy strategy in recent years.
Key words:  idiopathic scoliosis  biomechanics  etiology  therapy