|
|
青少年脊柱畸形的影像学分析与临床应用
|
Abstract:
青少年脊柱畸形是影响青少年生长发育的重要疾病，其早期诊断与干预对于提高生活质量至关重要。近年来，随着影像学技术的不断进步，计算机断层扫描(CT)和磁共振成像(MRI)在脊柱畸形的早期检测和评估中扮演了越来越重要的角色。现有研究显示，CT和MRI不仅能够清晰展示脊柱的解剖结构变化，还能有效评估畸形的严重程度及其对周围组织的影响。然而，尽管影像学技术在青少年脊柱畸形的诊断中取得了一定的进展，仍然存在许多挑战，如影像学评估标准的缺乏、不同影像学技术的应用适应性以及临床转化的不足等。因此，本综述旨在系统分析青少年脊柱畸形的影像学特征及其诊断方法，探讨相关影像学技术在临床实践中的应用现状与前景，以期为临床医生提供有价值的参考。
Adolescent spinal deformity is an important disease that affects the growth and development of adolescents. Its early diagnosis and intervention are crucial to improve the quality of life. In recent years, with the continuous advancement of imaging technology, computed tomography (CT) and magnetic resonance imaging (MRI) have played an increasingly important role in the early detection and evaluation of spinal deformities. Existing studies show that CT and MRI can not only clearly show the anatomical changes of the spine, but also effectively evaluate the severity of the deformity and its impact on surrounding tissues. However, although imaging technology has made some progress in the diagnosis of spinal deformities in adolescents, many challenges still exist, such as the lack of imaging evaluation standards, the adaptability of application of different imaging technologies, and the inadequate clinical transformation. Therefore, this review aims to systematically analyze the imaging characteristics and diagnostic methods of spinal deformities in adolescents, and explore the current status and prospects of relevant imaging technologies in clinical practice, in order to provide clinicians with valuable reference.
| [1] | Zloof, Y., Ankory, R., Braun, A.E., Braun, M., Abuhasira, S., Schwartz, N., et al. (2022) The Hereditary Nature of Adolescent Spinal Deformities: A Study of Over 600,000 Adolescents. Spine, 47, 841-846. https://doi.org/10.1097/brs.0000000000004355 |
| [2] | Wang, H., Xiu, P., Wang, L. and Song, Y. (2019) Progress in Perioperative Pain Management of Pediatric and Adolescent Spinal Deformity Corrective Surgery. Chinese Journal of Reparative and Reconstructive Surgery, 33, 644-649. |
| [3] | Zhan, Q.Y., Xie, L.X. and Wang, C. (2023) Promoting Critical Care System and Capacity Building in Pulmonary and Critical Care Medicine Subspecialties. Chinese Journal of Medical History, 103, 3149-3151. |
| [4] | Ocakoglu, G., Taskapilioglu, M.O., Kaya, I.S., Akesen, B. and Dogan, S. (2022) Statistical Shape Analyses of Pediatric Patients with Scoliosis after Surgical Correction. Turkish Neurosurgery, 33, 252-257. https://doi.org/10.5137/1019-5149.jtn.38065-22.2 |
| [5] | Babaee, T., Esfandiari, E., Rouhani, N., Nakhaee, M., Saeedi, M., Hedayati, Z., et al. (2022) The Italian Spine Youth Quality of Life Questionnaire: Reliability and Validity of the Persian Version in Adolescents with Spinal Deformities. Spine Deformity, 10, 775-782. https://doi.org/10.1007/s43390-022-00475-y |
| [6] | Ghorbani, F., Kamali, M., Ranjbar, H., Kamyab, M., Razavi, H. and Babaee, T. (2024) Brace Compliance Process in Adolescents with Spinal Deformities: A Qualitative Study. PLOS ONE, 19, e0305754. https://doi.org/10.1371/journal.pone.0305754 |
| [7] | Bautista, A.G., Reyes, J.L., Lee, N.J., Fields, M.W., Sardar, Z.M., Lenke, L.G., et al. (2024) Patient-Specific Rods in Adolescent and Adult Spinal Deformity Surgery: A Narrative Review. International Journal of Spine Surgery, 18, S57-S63. https://doi.org/10.14444/8642 |
| [8] | Shaw, K.A., O'Sullivan, M., Wang, X. and Aubin, C. (2025) Biomechanical Principles of Spinal Deformity Correction in the Thoracolumbar Spine. Journal of the American Academy of Orthopaedic Surgeons. https://doi.org/10.5435/jaaos-d-24-01156 |
| [9] | Wang, Z., Zhu, W., Li, G. and Guo, X. (2024) Comparative Efficacy of Six Types of Scoliosis-Specific Exercises on Adolescent Idiopathic Scoliosis: A Systematic Review and Network Meta-Analysis. BMC Musculoskeletal Disorders, 25, Article No. 1070. https://doi.org/10.1186/s12891-024-08223-1 |
| [10] | Pasha, S. (2019) 3D Deformation Patterns of S Shaped Elastic Rods as a Pathogenesis Model for Spinal Deformity in Adolescent Idiopathic Scoliosis. Scientific Reports, 9, Article No. 16485. https://doi.org/10.1038/s41598-019-53068-7 |
| [11] | Chaudhary, R.K., Kaucha, D., Banskota, B., Barakoti, R.K. and Banskota, A.K. (2021) Correlation between Radiological Outcome and Health Related Quality of Life after Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. Journal of Nepal Health Research Council, 19, 44-47. https://doi.org/10.33314/jnhrc.v19i1.3245 |
| [12] | McQuivey, K.S., Sheridan, J.R., Chung, A., Mayfield, C., Gulbrandsen, M., Brinkman, J.C., et al. (2021) Hospital Outcomes of Scoliosis Surgery in Children with Prader-Willi Syndrome: Comparison with Adolescent Idiopathic Scoliosis. Spine Deformity, 9, 1641-1647. https://doi.org/10.1007/s43390-021-00359-7 |
| [13] | Shtaya, A., Wahab, S., Waters, R., Chakraborty, A., McGillion, S. and Dare, C. (2022) Carbon Fibre Instrumentation for Scoliosis Surgery in Children with Spinal Cord Intramedullary Tumours: A Novel Technical Note. Acta Neurochirurgica, 165, 83-88. https://doi.org/10.1007/s00701-022-05314-7 |
| [14] | Siwiec, A., Domagalska-Szopa, M., Kwiecień-Czerwieniec, I., Dobrowolska, A. and Szopa, A. (2024) Impact of Idiopathic Scoliosis on the Cardiopulmonary Capacity of Adolescents. Journal of Clinical Medicine, 13, Article 4414. https://doi.org/10.3390/jcm13154414 |
| [15] | Suh, S.W. and Kim, W.S. (2023) Lower Limb Joint Burden during Walking in Adolescent Idiopathic Scoliosis: Investigation of Mechanical Work during Walking. The Spine Journal, 23, 1692-1699. https://doi.org/10.1016/j.spinee.2023.06.393 |
| [16] | Shah, S.A., Henstenburg, J.M., Newton, P.O. and Parent, S. (2023) Updated Criteria for Fusion Level Selection in Adolescent Idiopathic Scoliosis Including Use of Three-Dimensional Analysis. Journal of the American Academy of Orthopaedic Surgeons, 31, e298-e307. https://doi.org/10.5435/jaaos-d-21-01175 |
| [17] | Bizzoca, D., Solarino, G., Moretti, A.M., Moretti, L., Dramisino, P., Piazzolla, A., et al. (2023) Gender-Related Factors Influence the Subjective Perception of Deformity in Patients Undergoing Surgery for Idiopathic Scoliosis. Journal of Personalized Medicine, 13, Article 1585. https://doi.org/10.3390/jpm13111585 |
| [18] | Mihaescu, B., Sora, E.M., Manu, A., Pencea, V. and Gavriliu, S. (2024) Semi-Segmented Lumbar Supernumerary Hemivertebra Resection in Congenital Scoliosis: A Case Report. Journal of Medical Case Reports, 18, Article No. 639. https://doi.org/10.1186/s13256-024-04998-y |
| [19] | Ito, Y., Doi, T., Ohtomo, N., Fujii, Y., Ono, K., Kojima, E., et al. (2023) A Novel Screening Method for Scoliosis Using a Bodysuit and 3-Dimensional Imaging. Spine, 48, 1289-1294. https://doi.org/10.1097/brs.0000000000004658 |
| [20] | Ghorbani, F., Ranjbar, H., Kamyab, M., Kamali, M. and Ganjavian, M.S. (2022) School Time Experiences of Adolescents with Spinal Deformities during Brace Treatment: A Qualitative Study. Medical Journal of the Islamic Republic of Iran, 36, Article 148. https://doi.org/10.47176/mjiri.36.148 |
| [21] | Renganathan, G., Manaswi, N., Ghionea, I. and Cukovic, S. (2021) Automatic Vertebrae Localization and Spine Centerline Extraction in Radiographs of Patients with Adolescent Idiopathic Scoliosis. Studies in Health Technology and Informatics, 281, 288-292. |
