通过手术矫正畸形治疗同胞青少年特发性脊柱侧凸。

Hong Jin Kim, Javier Pizones, Dong-Gune Chang
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引用次数: 0

摘要

同胞青少年特发性脊柱侧凸(AIS)反映了遗传假说;然而,相关研究却鲜有发表。此外,据我们所知,文献中还没有关于同胞兄弟姐妹同时患有 AIS 并接受畸形矫正的报道。一名 15 岁的少女在偶然发现脊柱侧弯后,因背部疼痛到我院就诊。全脊柱X光检查发现了伦克分类 3CN 型。患者接受了从 T4 到 L3 的后路器械融合术和右侧第 7 到第 10 根肋骨的胸廓成形术,从而矫正了畸形。四年后,她 16 岁的弟弟也因背痛来我院就诊,偶然发现脊柱有侧弯。全脊柱X光检查发现了伦克分类 2AN 型。患者接受了从 T5 到 L2 的后路器械融合术和右侧第 8 到第 10 根肋骨的胸廓成形术,从而矫正了畸形。总之,我们报告了两个患有 AIS 的兄弟姐妹,他们因不同类型的弯曲而接受了手术治疗。他们在通过后路器械融合进行畸形矫正后,均取得了良好的疗效。我们的罕见病例证明了遗传异质性是一个复杂的多基因模型。
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Adolescent Idiopathic Scoliosis in Siblings Treated by Surgical Deformity Correction.

Adolescent idiopathic scoliosis (AIS) in siblings reflects genetic hypothesis; however, few studies have been published. Furthermore, to the best of our knowledge, there have been no reports in the literature of both siblings with AIS who underwent deformity corrections. A 15-year-old adolescent girl visited our clinic with back pain after recognition of the incidental findings of a scoliotic curve in the spine. Whole spine radiographs detected Lenke classification type 3CN. The patient underwent deformity correction with posterior instrumented fusion from T4 to L3 with thoracoplasty of the right 7th to 10th rib. Four years later, her 16-year-old younger brother also visited our clinic with back pain after recognition of the incidental findings of a scoliotic curve in the spine. Whole spine radiographs detected Lenke classification type 2AN. The patient underwent deformity correction with posterior instrumented fusion from T5 to L2 with thoracoplasty of the right 8th to 10th rib. In conclusion, we report on two siblings with AIS who underwent surgical treatment for different types of curves. They showed favorable outcomes after performing deformity correction with posterior instrumented fusion. Our rare case supports the underlying basis of genetic heterogeneity as a complex polygenic model.

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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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