青少年特发性脊柱侧凸矫形手术肩平衡评价指标的研究进展

Research progress on the assessment for shoulder balance of surgical treatment in adolescent idiopathic scoliosis

青少年特发性脊柱侧凸(AIS)是一种常见的青少年脊柱畸形,其发病原因不明,外科矫形手术是治疗AIS的常规手段。随着AIS矫形技术的不断发展,术后肩平衡问题也越来越受到外科医师及患者的关注。一直以来,AIS矫形手术肩平衡的评价指标缺乏统一标准,给术前制定手术方案及术后评价肩平衡矫形效果带来困难。目前相关研究多集中于对AIS术前及术后影像学指标、外观指标及患者主观感知度进行评价,以期获得各项指标与肩平衡的相关性,最终指导临床实践。本文回顾了近年来发表的相关文献,通过综述相关指标(影像学指标、外观指标及患者主观感知度)与AIS矫形手术肩平衡相关性的研究进展,为今后临床及基础研究提供参考。

Adolescent idiopathic scoliosis(AIS) is a common adolescent spinal deformity with unknown etiology.Surgical treatment is a routine method for treating AIS. With the development of AIS orthopedic technology, shoulder balance has been increasingly concerned by surgeons and patients. However, there has been a lack of uniform standards for the assessment of shoulder balance in AIS orthopedic surgery, which make it difficult to perform a surgical plan and evaluate the shoulder balance after surgery. To solve this problem, previous studies were trying to investigate the correlation between various indicators(imaging parameters, appearance index and subjective perception of patients) and shoulder balance, which could ultimately guide clinical practice. The aim of this study is to review the research progress on correlation between the related indicators(imaging parameters, appearance index and subjective perception of patients)and shoulder balance for surgical treatment of AIS, which provides an academic and practical foundation for the later clinical or basic research.