库里蒂巴脊柱中心青少年特发性脊柱侧凸的流行病学模式

Q4 Medicine
E. Vialle, A. Arruda, J. Guasque, Bárbara Miroski de Oliveira Pinto, Gabriel Trentini Beraldo
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引用次数: 0

摘要

【摘要】目的:评估库里蒂巴- pr一家脊柱外科中心治疗的青少年特发性脊柱侧凸(AIS)患者的概况。方法:前瞻性多中心研究,目前仅分析该中心的数据。所有从基本卫生服务中心转来评估畸形的患者都接受了全脊柱全景x线摄影,使用Cobb法评估脊柱曲度,使用Risser分类评估骨骼成熟度,使用Lenke分类评估脊柱侧凸。所有患者的临床照片和使用SRS-30问卷的生活质量评估也被采取。结果:30例脊柱侧凸患者,平均年龄14.63±3岁。女性患病率:男性1.5:1。患者平均Cobb为45.96°,大多数患者骨骼成熟度接近Risser 4(48.3%)。60%的患者有胸弯(Lenke 1), 13.3%的患者有双弯(Lenke 3或6)。63.3%的患者延迟就医,从转诊到专科就诊平均耗时18个月。60%的患者在第一次预约后转介手术治疗。结论:本中心人口样本符合文献。首次咨询专家时的Cobb bb 40°和高手术转诊率表明早期诊断失败,需要公共政策来更好地了解和帮助青少年特发性脊柱侧凸。证据水平IV;描述性流行病学研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EPIDEMIOLOGICAL PATTERNS OF ADOLESCENT IDIOPATHIC SCOLIOSIS IN A SPINAL CENTER IN CURITIBA
ABSTRACT Objective: Evaluation of the profile of the population with adolescent idiopathic scoliosis (AIS) treated at a center specializing in spine surgery in Curitiba-PR. Methods: Prospective multicenter study, being analyzed, at the moment, only data from the center in question. All patients referred from the basic health service for evaluation of deformity underwent panoramic radiography of the total spine to evaluate the curvature using the Cobb method, evaluation of skeletal maturity using the Risser classification, and the classification of scoliosis using the Lenke classification. Clinical photographs of all patients and an assessment of the quality of life using the SRS-30 questionnaire were also taken. Results: Thirty patients with scoliosis and a mean age of 14.63 ± 3 years were evaluated. Prevalence of female:male 1.5:1. Patients had a mean Cobb of 45.96°, and most were close to Risser 4 skeletal maturity (48.3%). 60% had a thoracic curve (Lenke 1), and 13.3% had a double curve (Lenke 3 or 6). 63.3% of cases had a delay in medical care, taking an average of 18 months between referral and consultation with a specialist. 60% of patients were referred for surgical treatment after the first appointment. Conclusion: The population sample of this center follows the literature. A Cobb >40° in the first consultation with a specialist and a high referral rate to surgery suggest the failure of early diagnosis and the need for public policies for better knowledge and assistance for adolescent idiopathic scoliosis. Level of Evidence IV; Descriptive Epidemiological Study.
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
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