Hemangiomatosis of the skeleton and the spleen.
Hemangiomatosis of the skeleton and the spleen.
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DOI：
10.2106/00004623-195638010-00012
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发表时间：
1956
期刊：
影响因子：
--
通讯作者：
Gorton Ritchie;Francis G. Zeier
中科院分区：
文献类型：
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作者：
Gorton Ritchie;Francis G. Zeier
本章介绍的自然历史仅适用于AIS。其他类型的脊柱侧弯有自己的自然病史和相关问题，可能会显著影响患者满足日常生活需求的能力。公众意识的提高和筛查诊所的增加导致了转诊为骨科意见的儿童数量增加，初次发现时曲度不那么严重，以及更早地进行治疗。每个患者的治疗必须是个体化的，考虑到基于曲度大小、骨骼成熟、性成熟和年龄的曲度进展的可能性(表6-7)。必须避免过度诊断和不必要的治疗。随着我们对AIS自然病史知识的扩展，治疗决定可以基于客观数据而不是主观数据。任何对这种情况的治疗建议都必须有合理的机会以积极的方式改变自然历史。关于自然病史的现有信息是在相对较小的患者群体中积累的，所提出的结论代表了一般性。AIS可能有许多“自然病史”，特别是在曲线进展方面；因此，治疗决定必须个体化。脊柱侧弯的各种治疗的长期结果必须考虑到这种疾病的自然病史。
The natural history presented in this chapter applies only to AIS. Other types of scoliosis have their own natural history and associated problems that may significantly affect the ability of the patient to meet the demands of daily life. Increased public awareness and screening clinics have resulted in an increased number of children referred for orthopaedic opinion, less severe curve magnitude at initial detection, and earlier institution of treatment. Treatment of each patient must be individualized, taking into consideration the probability of curve progression based on curve magnitude, skeletal maturity, sexual maturity, and age (Table 6-7). Overdiagnosis and unnecessary treatment must be avoided. As our knowledge of the natural history of AIS expands, treatment decisions can be based on objective rather than subjective data. Any proposed treatment of this condition must have a reasonable chance of altering the natural history in a positive way. The information available on natural history has been accumulated on relatively small groups of patients and the conclusions presented represent generalities. There are probably many "natural histories" for AIS, especially with reference to curve progression; therefore, treatment decisions must be individualized. Long-term results of various treatments for scoliosis must take into consideration the natural history of the disorder.