Zhang Baihui,Ye Wensong,Zhu Weiwei,et al.Research advances of adding-on phenomenon after operations for adolescent idiopathic scoliosis[J].Journal of Clinical Pediatric Surgery,2020,19(02):140-144.[doi:10.3969/j.issn.1671-6353.2020.02.010]
青少年特发性脊柱侧凸矫形术后adding-on现象的研究进展
- Title:
- Research advances of adding-on phenomenon after operations for adolescent idiopathic scoliosis
- 分类号:
- R726.8;R682.3
- 摘要:
- 青少年特发性脊柱侧凸矫形术后adding-on现象时有发生，常见于LenkeⅠ、LekeⅡ型的青少年特发性脊柱侧凸患儿。通常导致脊柱侧弯的矫正度数丢失，躯干冠状面失平衡，进而可能导致矫形手术失败，最终需要翻修手术。该问题一直困扰着小儿脊柱外科医师，同时增加患儿痛苦和治疗费用，因此研究分析青少年特发性脊柱侧凸矫形术后发生adding-on现象的危险因素以指导临床治疗很有必要。本文就adding-on现象发生的危险因素、预防策略等最新文献进行回顾，以期全面认识此并发症，并为矫形手术提供帮助，希望能减少此现象的发生。
- Abstract:
- Adding-on phenomenon occurs frequently in adolescent idiopathic scoliosis after orthopedic operations.Common in Lenke Ⅰ/Ⅱ adolescent idiopathic scoliosis,it usually causes the loss of corrective degrees of scoliosis and the coronal balance of trunk,leading to the failure of orthopedic surgery.Eventually a revision operation is required.It bothers surgeons and brings extra pains and treatment costs to patients.Therefore it is necessary to analyze its risk factors and take the corresponding preventive measures.This article reviews the latest literatures on the risk factors and preventive strategies of adding-on phenomenon for understanding its complications comprehensively and providing assistance for orthopedic surgery to reduce its occurrence.
参考文献/References:
1 Lenke LG.The lenke classification system of operative adolescent idiopathic scoliosis[J].Neurosurg Clin N Am,2007,18(2):199-206.DOI:10.1016/j.nec.2007.02.006.
2 Marks M,Newton PO,Petcharaporn M,et al.Postoperative segmental motion of the unfused spine distal to the fusion in 100 patients with adolescent idiopathic scoliosis[J].Spine (Phila Pa 1976),2012,37(10):826-832.DOI:10.1097/BRS.0b013e31823b4eab.
3 Suk SI,Lee SM,Chung ER,et al.Determination of distal fusion level with segmental pedicle screw fixation in single thoracic idiopathic scoliosis[J].Spine (Phila Pa 1976),2003,28(5):484-491.DOI:10.1097/01.BRS.0000048653.75549.40.
4 Cho RH,Yaszay B,Bartley CE,et al.Which Lenke 1A curves are at the greatest risk for adding-on...and why?[J].Spine (Phila Pa 1976),2012,37(16):1384-1390.DOI:10.1097/BRS.0b013e31824bac7a.
5 杨长伟,夏士博,杨明园,等.青少年特发性脊柱侧凸术后adding-on现象病例分析及分类初探[J].中国骨与关节杂志,2017,6(1):10-14.DOI:10.3969/j.issn.2095-252X.2017.01.003. Yang CW,Xia SB,Yang MY,et al.Cases report of postoperative adding-on phenomenon in adolescent idiopathic scoliosis and a preliminary classification[J].Chinese Journal of Bone & Joint,2017,6(1):10-14.DOI:10.3969/j.issn.2095-252X.2017.01.003.
6 Yang C,Li Y,Yang M,et al.Adding-on phenomenon after surgery in lenke type 1,2 adolescent idiopathic scoliosis:is it predictable?[J].Spine (Phila Pa 1976),2016,41(8):698-704.DOI:10.1097/BRS.0000000000001303.
7 耿翔,王孝宾,吕国华,等.Lenke 1A型青少年特发性脊柱侧凸患者胸弯融合术后附加现象的原因分析[J].中国脊柱脊髓杂志,2013,23(7):622-627.DOI:1004-406X (2013)-07-0622-06. Geng X,Wang XB,Lv GH,et al.Risk factors for distal adding-on phenomenon in type Lenke 1A scoliosis[J].Chinese Journal of Spine & Spinal Cord,2013,23(7):622-627.DOI:1004-406X (2013)-07-0622-06.
8 Wang Y,Hansen ES,Høy K,et al.Distal adding-on phenomenon in Lenke 1A scoliosis:risk factor identification and treatment strategy comparison[J].Spine (Phila Pa 1976),2011,36(14):1113-1122.DOI:10.1097/BRS.0b013e3181f51e95.
9 Yang M,Zhao Y,Yin X,et al.Prevalence,risk factors,and characteristics of the "Adding-On" phenomenon in idiopathic scoliosis after correction surgery:a systematic review and Meta-Analysis[J].Spine (Phila Pa 1976),2018,43(11):780-790.DOI:10.1097/BRS.0000000000002423.
10 Qin X,Xia C,Xu L,et al.Natural history of postoperative Adding-On in adolescent idiopathic scoliosis:what are the risk factors for progressive Adding-On?[J].Biomed Res Int,2018,2018:3247010.DOI:10.1155/2018/3247010.
11 Lee CS,Hwang CJ,Lee DH,et al.Five major controversial issues about fusion level selection in corrective surgery for adolescent idiopathic scoliosis:a narrative review[J].Spine J,2017,17(7):1033-1044.DOI:10.1016/j.spinee.2017.03.020.
12 Wang Y,Bünger CE,Zhang Y,et al.Distal adding-on in Lenke 1A scoliosis:how to more effectively determine the onset of distal adding-on[J].Spine (Phila Pa 1976),2013,38(6):490-495.DOI:10.1097/BRS.0b013e318273ed11.
13 Matsumoto M,Watanabe K,Hosogane N,et al.Postoperative distal adding-on and related factors in Lenke type 1A curve[J].Spine (Phila Pa 1976),2013,38(9):737-744.DOI:10.1097/BRS.0b013e318279b666.
14 Shi J,Ye F,Zhou Y,et al.Related factors analysis of distal adding-on phenomenon in major thoracic curve after posterior selective fusion[J].Chinese Journal of Reparative & Reconstructive Surgery,2016,30(10):1258-1263.DOI:10.7507/1002-1892.20160257.
15 Shigematsu H,Cheung JP,Bruzzone M,et al.Preventing fusion mass shift avoids postoperative distal curve adding-on in adolescent idiopathic scoliosis[J].Clin Orthop Relat Res,2017,475(5):1448-1460.DOI:10.1007/s11999-016-5216-2.
16 Joo YS,Hwang CJ,Cho JH,et al.Does sacral slanting affect distal adding-on in lenke type 1a adolescent idiopathic scoliosis?[J].Spine (Phila Pa 1976),2018,43(17):990-997.DOI:10.1097/BRS.0000000000002722.
17 Cao K,Watanabe K,Hosogane N,et al.Association of postoperative shoulder balance with adding-on in Lenke Type II adolescent idiopathic scoliosis[J].Spine (Phila Pa 1976),2014,39(12):705-712.DOI:10.1097/BRS.0000000000000325.
18 Cao K,Watanabe K,Kawakami N,et al.Selection of lower instrumented vertebra in treating Lenke type 2A adolescent idiopathic scoliosis[J].Spine (Phila Pa 1976),2014,39(4):253-261.DOI:10.1097/BRS.0000000000000126.
19 Bai J,Chen K,Wei Q,et al.Selecting the LSTV as the lower instrumented vertebra in the treatment of lenke types 1a and 2a adolescent idiopathic scoliosis:a minimal 3-year follow-up[J].Spine (Phila Pa 1976),2018,43(7):390-398.DOI:10.1097/BRS.0000000000002375.
20 Sponseller PD,Betz R,Newton PO,et al.Differences in curve behavior after fusion in adolescent idiopathic scoliosis patients with open triradiate cartilages[J].Spine (Phila Pa 1976),2009,34(8):827-831.DOI:10.1097/BRS.0b013e31819139ef.
21 Studer D,Awais A,Williams N,et al.Selective fusion in adolescent idiopathic scoliosis:a radiographic evaluation of risk factors for imbalance[J].J Child Orthop,2015,9(2):153-160.DOI:10.1007/s11832-015-0653-0.
22 孙旭,邱勇,孙超,等.特发性胸椎侧凸选择性融合术后远端叠加现象[J].中国脊柱脊髓杂志,2013,23(2):103-108.DOI:1004-406X (2013)-02-0103-06. Sun X,Qiu Y,Sun C,et al.Distal adding-on phenomenon after selective fusion for idiopathic thoracic scoliosis[J].Chinese Journal of Spine & Spinal Cord,2013,23(2):103-108.DOI:1004-406X (2013)-02-0103-06.
23 施剑雄,郭晓华,初同伟.叠加现象致翻修特发性脊柱侧凸一例[J].中国修复重建外科杂志,2017,31(12):1526.DOI:10.7507/1002-1892.201703098. Shi JX,Guo XH,Chu TW.One case of revision idiopathic scoliosis caused by superposition[J].Chinese Journal of Reparative & Reconstructive Surgery,2017,31(12):1526.DOI:10.7507/1002-1892.201703098.
相似文献/References:
[1]杜朝峻,丁力,胡英超,等.手术治疗婴幼儿法洛四联症83例[J].临床小儿外科杂志,2010,9(06):413.
DU Chao jun,DING Li,HU Ying chao,et al.Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.[J].Journal of Clinical Pediatric Surgery,2010,9(02):413.
[2]李勇,尹强,周小渔,等.术中胆道造影在先天性胆总管囊肿手术中的应用[J].临床小儿外科杂志,2010,9(06):430.
LI Yong,YIN Qiang,ZHOU Xiao yu,et al.The clinic application experience on intraoperative cholangiography in pediatric surgery.[J].Journal of Clinical Pediatric Surgery,2010,9(02):430.
[3]许芝林,王强,李琰,等.乙状结肠冗长症的术式选择探讨[J].临床小儿外科杂志,2010,9(06):432.
XU Zhi lin,WANG Qiang,LI Yan,et al.Initiatory exploration of the standard of surgical treatment methods for Dolichosigmoid.[J].Journal of Clinical Pediatric Surgery,2010,9(02):432.
[4]常绘文,沈振亚.右腋下小切口在儿童心内手术中的应用[J].临床小儿外科杂志,2010,9(06):439.
[5]胡明,施诚仁,严志龙.脐环小切口治疗婴幼儿腹盆腔疾病的探讨[J].临床小儿外科杂志,2010,9(06):471.
[6]丁勇,魏华,孔燕,等.横裁包皮岛状皮瓣法在尿道下裂治疗中的应用[J].临床小儿外科杂志,2010,9(06):474.
[7]江峰赵阳孙莲萍金惠明马杰.婴幼儿阻塞性脑积水两种手术方式的疗效比较[J].临床小儿外科杂志,2011,10(01):0.
JIANG Feng,ZHAO Yang,SUN Liang ping,et al.Endoscopic third ventricul ostomy versus ventricul operitoneal shunt:clinical study of obstructive hydro cephalus in infants.[J].Journal of Clinical Pediatric Surgery,2011,10(02):0.
[8]王伟程少文彭磊林忠勤张伟陈庆玉寇冬权.弹性髓内钉在儿童肱骨骨折中的应用[J].临床小儿外科杂志,2011,10(01):0.
WANG Wei,CHENG Shaowen,PENG Lei,et al.Application of elastic intramedullary nailing in pediatric humeral fractures.[J].Journal of Clinical Pediatric Surgery,2011,10(02):0.
[9]景登攀张根领孙蔓丽.改良Snodgrass术治疗尿道下裂疗效观察[J].临床小儿外科杂志,2011,10(01):0.
[10]陈快 黄金狮 戴康临 陶俊峰 赖勇强 陶强. 腹腔镜与开腹Ladd手术治疗新生儿肠旋转不良效果比较[J].临床小儿外科杂志,2011,10(02):128.
[J].Journal of Clinical Pediatric Surgery,2011,10(02):128.
[11]冯磊,张学军.儿童脊柱侧凸矫正手术中神经电生理监测方案的选择及技术难点[J].临床小儿外科杂志,2020,19(02):93.[doi:10.3969/j.issn.1671-6353.2020.02.001]
Feng Lei,Zhang Xuejun.Protocol selecting and technical dilemmas of intraoperative neurophysiological monitoring during corrective procedures for pediatric scoliosis[J].Journal of Clinical Pediatric Surgery,2020,19(02):93.[doi:10.3969/j.issn.1671-6353.2020.02.001]
备注/Memo
收稿日期:2019-02-14。
基金项目:浙江省医药卫生科技面上项目（编号：2018260443）
通讯作者:朱伟玮,Email:6515174@zju.edu.cn