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特发性脊柱侧凸临床常见,已为脊柱外科医师所熟悉,而神经纤维瘤病性脊柱侧凸临床上较少见,尽管两者有时影像学表现相似,但后者常具有畸形发生早、发展快、侧弯僵、术中出血多、术后假关节发生率高等特点,在治疗方式、手术时机、术式选择等方面两者有着很大不同,因而不能等同对待。为让广大脊柱外科医生对神经纤维瘤病性脊柱侧凸有全面了解,本刊特邀请了几位有经验的脊柱外科专家,对神经纤维瘤病性脊柱侧凸的分型、自然史、治疗方法选择、术后并发症处理、伴发病的诊断与治疗等,作一全面介绍与讨论,以供读者参考。
Idiopathic scoliosis is a common clinical, spinal surgeons are familiar, and neurofibromatosis of the scoliosis is clinically rare, although the two sometimes similar imaging findings, but the latter often have deformity early, Rapid development, stiff side, intraoperative bleeding, postoperative high incidence of pseudarthrosis in the treatment, timing of surgery, surgical options and so there are two very different, and therefore can not be treated equally. For the majority of spinal surgeons on neurofibromatosis with scoliosis have a comprehensive understanding of this issue invited a number of experienced spine surgeon, neurofibromatosis of the scoliosis type, natural history, treatment Method selection, postoperative complications, with the diagnosis and treatment of disease, make a comprehensive introduction and discussion for readers reference.