青少年特发性脊柱侧凸支具治疗的研究进展

Research progress of the brace treatment in adolescent idiopathic scoliosis

青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)是一种常见的脊柱三维畸形,可引起多种并发症,严重影响患者生活质量。支具治疗是目前疗效最确切、应用最广泛的脊柱侧凸保守治疗方式,已有近百年的历史。近年来,随着新兴技术与多学科融合的发展,支具设计与治疗方案也更个性化、合理化。目前的支具研究在证实疗效的同时也逐渐关注其作用机制与影响因素。本文对现有脊柱侧凸支具治疗的研究现况进行综述,分别阐述支具的种类、适应证、优缺点、疗效及影响因素等,并对其发展前景进行展望。

Adolescent idiopathic scoliosis（AIS） is a common three-dimensional deformity of the spine, which can cause a variety of complications and seriously affect life quality of the patients. Brace treatment is the most effective and widely used conservative treatment for scoliosis,which has a history of nearly one hundred years. In recent years, with the development of new technology and multi-disciplinary integration, the design and treatment of the brace are also more individualized and more rational. Current research of the brace has gradually focused on the mechanism and influencing factors besides confirming the curative effect. In this paper, we reviewed the types, indications, advantages and disadvantages, efficacy and influencing factors of the brace therapy based on current research status, and prospected its development in the future.