青少年脊柱畸形的影像学分析与临床应用
Imaging Analysis and Clinical Application of Spinal Deformities in Adolescents
DOI: 10.12677/acm.2025.1551349, PDF,    科研立项经费支持
作者: 陈庆华:义乌市中心医院放射科,浙江 义乌
关键词: 青少年脊柱畸形影像学CTMRIAdolescents Spinal Deformities Imaging CT MRI
摘要: 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。
Abstract: 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.
文章引用:陈庆华. 青少年脊柱畸形的影像学分析与临床应用[J]. 临床医学进展, 2025, 15(5): 117-124. https://doi.org/10.12677/acm.2025.1551349

参考文献

[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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.