特发性脊柱侧弯 adolescence idiopathic scoliosis -- 从基本理论到临床
DESCRIPTION
特发性脊柱侧弯 Adolescence Idiopathic Scoliosis -- 从基本理论到临床. Part 1. 发病率与自然史. 0.5%-3%,>10 o 0.15%-0.3%,>30 o Always occur adolescently severe case , male:female=1:8 已知侧弯进展的危险因素 : 性别,骨骼剩余生长能力,弧度的部位,弧度的严重程度。. Risser 指数. 0 级:未出现髂骨骨骺 Ⅰ 级:开始出现髂骨骨骺 - PowerPoint PPT PresentationTRANSCRIPT
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Adolescence Idiopathic Scoliosis -- Part 1
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0.5%-3%,>10o0.15%-0.3%,>30oAlways occur adolescentlysevere case , male:female=1:8:
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Risser03/4
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Triradiate cartilage
Open Closed
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30>50-70
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/Adam sign7
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Tanner
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YRisser
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//Adam
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//
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:1436BendingForce Bending64
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Radiographic Measurement ManualSpinal Deformity Study Group2004
Michael F. O Brien. MDTimothy R. Kuklo. MDKathy M. Blanke.RNLawrence G. Lenke. MD
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7125
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XC7
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Bending
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XC7-S1C7T2T5T10T12L2S1
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Force Bending
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Fulcrum Bending
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Traction
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12
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12
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RSHradiographic shoulder heightmm+-
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Clavicle Angle+-
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T1
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/HRLhorizontal reference linePCRLpelvic coronal reference lineFHRLfemoral horizontal reference line
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EV (end vertebrae)
NV(neutral vertebrae)
SV(stable vertebrae) CSVL
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CobbT2-T5T6-T11T12-L1L2-L5
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(centroid)
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CSVLCenter sacral vertical line
C7PLC7Plumbline
- +
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(apical vertebral translation,AVT)CSVLmmCSVLC7PL
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Cobb
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Cobb
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(apical vertebral rotation,AVR)Nash-Moe
01234
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0
1
22/3
3
4
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Risser03/4
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Triradiate cartilage
Open Closed
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Adolescent Idiopathic Scoliosis -- Part 2
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Lenke
proximal thoracic (PT) T2----T5 Main thoracic (MT) T6----T11 Thoracolumbar (TL) T12----L1 Lumbar (L) L2------L5
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Lenke
Side Bending remaining Cobb 25
T2-T5 Kyphosis 20T10-L2: Kyphosis 20 PTMT/TL-L
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Lenke
PTMTTL/L1MMT2MDT3MMDM4M TM5M()TL/L6MTL/L- MT
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Lenke38(21)40(30)49(4)57(38)62(47)38(24)55(30)66(46)32(21)
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Lenke87(56)54(44)40(37)71(40)58(45)15(0)46(27)9(0)29(11)
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Lenke1ABCCSVL
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LenkeApex CSVLLumbar Modifier A,2-3
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Lenke1ABC
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Lenke1ABC
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Lenke1ABC
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Lenke2-N+T5-T12
- Hypo< 10 NNormal10- 40+ Hyper> 40
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Lenke2-N++50+25-4
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Lenke42
ABC
-N+
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Lenke
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Lenke1-6333144453233+32+13
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Lenke2172329534536+26-37
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Lenke38740544637-63+4584