news

한어Русский языкEnglishFrançaisIndonesianSanskrit日本語DeutschPortuguêsΕλληνικάespañolItalianoSuomalainenLatina

Summer vacation is already halfway over. When Ningbo mother Ms. Li (pseudonym) saw her daughter doing homework in the study, she was furious:"Why are you lying down again? Sit up straight! I've reminded you dozens of times a day but you won't listen. Do you want to get a 'steel nail'?"

My colleague Ms. Zheng (pseudonym) has the same problem. "When my son sits at the desk, he is crooked and his shoulders are obviously uneven. He is growing taller now, and I am worried about him.Scoliosis。”

Such scenes happen in many families every day.

The reporter learned from the Spine Surgery Department of the Orthopedic Center of Ningbo Second Hospital thatSince the summer vacation, the number of teenagers coming to see a doctor for scoliosis has increased by 3 to 5 times compared to usual.Recently, Liu Jiangtao, deputy director of the hospital's spine surgery department, performed scoliosis correction surgery on an 18-year-old boy named Xiao Yuan (pseudonym). Xiao Yuan's Cobb angle (a key indicator for measuring scoliosis) has reached 56 degrees, 10 of the 12 thoracic vertebrae have been moved, and 18 screws have been inserted into his back.

1.8m tall boy's spine twisted into an "S" shape

18 screws implanted in surgery after the college entrance examination

Before the surgery, Xiao Yuan had been followed up at Liu Jiangtao's clinic for two years. Among the adolescent patients followed up during these two years, Xiao Yuan was not only the oldest, but also had the highest Cobb angle.

The first time Xiao Yuan walked into Liu Jiangtao's clinic was two years ago. He was 1.8 meters tall and thin. His baggy T-shirt could not cover his obviously uneven shoulders. Once he took off his T-shirt,Spine twisted into an "S" shapeMore eye-catching.

“The child always hunches over and sits in a crooked position.We didn’t think it was scoliosis. Xiao Yuan’s mother, who accompanied us, was anxious and self-blaming. “As he got older, he talked less. We thought it was puberty, but then we thought about it carefully. Maybe it was because he was laughed at by his classmates at school because of his ugly appearance. I felt guilty when I thought about it…”

Liu Jiangtao carefully examined Xiao Yuan's X-ray film and said, "This child is a typicalAdolescent idiopathic scoliosis, the Cobb angle has exceeded 45°, reaching the surgical indication. "Xiao Yuan's mother couldn't bear the "criticism" all of a sudden, and asked persistently: "Can't I wear a brace to correct it?"

Liu Jiangtao shook his head and explained: Xiao Yuan has a large scoliosis angle, and his growth and development have basically stopped, and he has missed the age for brace correction. If he does not have surgery, not only will his appearance be ugly, but he may also suffer from intractable back pain and even affect his cardiopulmonary function during exercise. If he wants to have surgery after he becomes an adult, the surgery will cause greater damage and slower recovery.

Considering that Xiao Yuan was in the busiest period of his high school studies, Liu Jiangtao suggested that he should first maintain regular follow-up visits, closely observe the progression of his scoliosis, and perform surgery within a certain period of time. Xiao Yuan's parents approved this plan after careful consideration.

Immediately after the college entrance examination, Xiao Yuan was pushed into the operating room as scheduled. With the professional assistance of the anesthesia team and operating room nursing team of Ningbo Second Hospital, Liu Jiangtao led doctors Jiang Luyong and Lin Jiayi to successfully complete the scoliosis correction surgery for Xiao Yuan.Eighteen screws were inserted into Xiao Yuan's back.

After the operation, Xiao Yuan's chest was straight and he looked much more energetic."Higher" by 5cm.The parents were very pleased to see this scene, "The whole spirit and energy are different!"

Comparison of Xiao Yuan's surgery before and after

Ningbo children flock to see this disease during summer vacation

The youngest patient was only 5 years old

On the day the reporter interviewed Liu Jiangtao, heIn one morning, we saw seven patients with scoliosis. Most of them were between 10 and 16 years old, and the youngest was only 5 years old.

During the consultation, almost every child will undergo a physical examination in the forward bending position. The specific requirements are to put the feet together, straighten the knees, let the hands hang naturally, put the hands together, and bend forward 90 degrees. The doctor will observe the degree of scoliosis from behind. If scoliosis is suspected, the doctor will recommend that parents take a full-length spinal X-ray of the child to further clarify the diagnosis through imaging examinations.

“The peak periods of children's growth are between 0-5 years old and 10-15 years old. During these two periods, the spine grows relatively fast and the chance of problems is higher.In terms of gender,The incidence rate is higher in girls than in boys."Liu Jiangtao said that in recent years, many parents have become more aware of their children and will bring them to the hospital for a check-up if they find their children have uneven shoulders, one shoulder blade protruding significantly, hunched back, or unbalanced walking.

Judging from the outpatient clinic situation in the morning, the scoliosis of these children is not serious, with Cobb angles between 10° and 20°. They just need to strengthen spinal rehabilitation exercises and maintain regular follow-up.

Liu Jiangtao is analyzing the patient's X-ray

Liu Jiangtao introduced that scoliosis refers to a three-dimensional deformity in which the spine bends sideways with vertebral rotation, among which adolescent idiopathic scoliosis is the most common.It is most common in adolescents aged 10 to 16 years old.From the perspective of imaging,Most patients have an S-shaped or C-shaped spine, with external manifestations including uneven shoulders, razor back, and an unbalanced trunk.The disease usually progresses rapidly during adolescence."It affects the child's physical and mental health. Severe scoliosis can even cause chest deformity and affect cardiopulmonary function."

Once scoliosis is discovered, what are the treatment options?

Liu Jiangtao said that for idiopathic scoliosis with a Cobb angle of less than 10°, regular check-ups are recommended, for 10°-20°, enhanced spinal rehabilitation exercises are recommended, for 20°-40°, wearing orthopedic braces are recommended for intervention, and for 40°-45° or above, surgical treatment is recommended.

Is scoliosis really related to poor sitting posture?

These exercises can prevent scoliosis

It is understood that in China, the incidence of adolescent scoliosis is 2%-4%, second only toobesityScoliosis has become the third largest disease that harms young people in my country, and its incidence has been increasing year by year in recent years. Therefore, "scoliosis" has become a nightmare for many old fathers and mothers.

Many parents are concerned about:Is scoliosis related to bad sitting posture? What exercises can prevent and treat scoliosis?

"There is a certain relationship. As for the common adolescent idiopathic scoliosis,In addition to bad sitting posture,Some studies suggest that the occurrenceIt may be related to genetics, neurology,hormone, bones, muscles and other factors."Liu Jiangtao said that parents should not be overly anxious about scoliosis. First, it is not terrible, because the proportion of scoliosis patients who need surgery is extremely low. Second, as long as early screening, early diagnosis and scientific treatment are carried out, the progression of the disease can be effectively controlled.

“Generally speaking,The intervention effect is better for children aged 12 to 16 years old, and the older the age, the more difficult it is to correct.It is best for girls to receive treatment within 2-3 years of menarche, as the effect will be better. If the development is basically completed at the age of 16-18, it will be difficult to correct it. "

How can teenagers prevent scoliosis in daily life?

Liu Jiangtao suggested that, first of all, parents should urge their children to develop good posture and form habits.Pay attention to your sitting, standing, sleeping and walking postures.Secondly, while correcting the posture, teenagersYou should actively participate in physical exercise.“Bilateral symmetrical exercises are recommended, such as running, swimming, skipping rope, hanging on the horizontal bar, etc.This type of exercise can strengthen the waist, back, abdomen, and shoulder muscles to achieve spinal health care. "In addition, it is necessary to properly match food.Noticeproteinintake and a balanced diet,Promotes healthy musculoskeletal development.

Source: Ningbo Evening News