Keep the "second lifeline" and let the spine healthy do not follow the "curve" road

Author:Guangming Daily client Time:2022.06.28

There are beams in the house, human spine, and spine is known as the "second lifeline of the human body". It supports the weight of the human body and brings together many blood vessel nerves. Data show that in recent years, the incidence of spine -related diseases has risen rapidly, but the age of onset has decreased year by year. Children and adolescent spine health problems cannot be ignored.

According to reports, the number of spine bending in primary and secondary school students in my country has exceeded 5 million. How to keep the spine health and let children and teenagers "stand upright" as "China's backbone". The reporter interviewed Professor Zhang Xuejun and his team experts from the Orthopedic Department of Beijing Children's Hospital affiliated to the Capital Medical University.

The spine is healthy, and you need to pay attention to it urgently

With the development of society, the popularization of electronic products such as mobile phones and computers, sedentary lack of spine health problems caused by lack of exercise and long -term bowing habits, which are very common among teenagers. Many children have sore back muscles in their teens, and even problems such as forward leaning, osteoporosis, and lumbar disc herniation have a great impact on children's growth and development.

The most harmfulness in spinal health is the spinal curve. Data show that spine bending has become the third largest high incidence of children and adolescents in my country after obesity and myopia. "Spinal bending can cause external deformities such as humpback, high and low shoulders, bone development asymmetric, etc., and will also affect the development of the chest and organ, which is related to the normal operation of the heart system and respiratory system." Zhang Xuejun said that the spine side curve Mainly divided into 3 types. The first is congenital spine bending. If pregnant women have bad medication history, have mental illness, or are affected by the environment, children may have spine malformations during embryonic development. The second is the acquired spinal bending, which is caused by uneven muscle tension, malnutrition, trauma or irregular posture. The third is a special spine bending, which is a spinal curve caused by unknown reasons, accounting for 60%-70%.

A survey shows that the cause of spine bending of children aged 5-15 in my country is about 2.4%. Before the age of 8, the incidence ratio of men and women was 1: 2, and 8 years old was 1: 8. Yao Ziming, an orthopedic doctor of Beijing Children's Hospital, introduced that the spine side curvature is specifically manifested in the normal posture of children, the shoulder or pelvic bone is asymmetric and the torso shift; When looking from the side, the patient will lose the normal curve. In severe cases, it can affect cardiopulmonary function and even affect the spinal cord, causing paralysis. Some small patients with spinal bending also have depression, inferiority, fear of interaction with people, and seriously affect their academic and life.

The word "early" should be the first, standardize treatment

"The most important thing for spinal bending is early detection, early diagnosis, and early treatment." Zhang Xuejun emphasized that the prevention and early diagnosis and systematic treatment of spinal curve are very important. If you can detect merger and treatment in time, you can control and relieve the disease by wearing conservative treatments such as branches.

According to Zhang Xuejun, the orthopedic department of Beijing Children's Hospital has been struggling and hard work for more than 60 years, and the comprehensive field of childbirth has been leading the country. Since the 1980s, the Beijing Children's Hospital has established children and adolescent spine correction centers. Through scientific correction and treatment, many "small tree seedlings" with spine bending are upright, "we emphasize that it is not necessary and not surgery."

Under what circumstances need surgery? Zhang Xuejun gave a standard, "The spinal bending treatment plan for adolescents should be determined according to the child's age, bone maturity and side curvature." For those who are less than 25 degrees of corners, they can be corrected by exercise and observe closely and observe closely. ; If the side bending angle is between 25-40 degrees, the bone maturity is low. It is recommended to correct the treatment. Parents must strictly supervise and even wear them all over the weather. If the side is less than 20 degrees, the bone maturity is high, it is recommended to continue observation. Zhang Xuejun believes that in medicine, 45 degrees is generally used as a surgical indicator. For patients with severe diseases, as early as possible, as early as possible, surgery can reduce the risk of surgery and increase success rate.

"Spinal bending surgery is very risky. Once the surgery is wrong, the consequences are unimaginable." Yao Ziming said that spinal surgery is like walking on the "cliffs". The guarantee and experience are very important. Scoliosis orthopedic is a large -scale surgery with high risk, high consumption, and complex treatment process. It is the "final line of defense" for treatment. It is not necessary. "We also advocate personalized treatment. Each child is a unique individual. It is necessary to design the most suitable treatment plan for each child." Yao Ziming said that at present, the orthopedic department of Beijing Children's Hospital is focusing on the "gene screening" of spine bending. The project is committed to more accurately exploring the cause of the cause "right medicine", and at the same time screening other patients, analyzing potential genetic possibilities, and timely prevention.

Comprehensive popular science, enhance consciousness

The problem of spine health affects the physical and mental health of children and adolescents, and is closely related to daily life, but still has insufficient attention and lack of scientific understanding. "Schools and families are two major positions. School doctors, teachers, and parents are three major aspects. Only by doing well in science education can young people be better." Zhang Xuejun admitted.

In order to improve the attention of children and parents to spinal health, strengthen the awareness of diagnosis, surgery and postoperative rehabilitation, and psychological health care of children and adolescents, the orthopedic department of Beijing Children's Hospital will organize spinal rehabilitation summer camps every summer. More than a dozen orthopedic experts will give lectures in the camp in person, respectively from various aspects such as prevention, diagnosis, treatment, rehabilitation, psychological care, nutrition and plastic surgery, and to hold a science popularization series of lectures for children and parents present, let children and parents and children and parents and parents and parents and parents and parents and parents and parents and parents and parents go to children and parents. Parents have knowledge of scientific prevention and control. "We must continue the spine -side bending summer camp for a year, so that more children, parents and teachers can grasp the knowledge of science science science science knowledge for spinal bending disease prevention, treatment and rehabilitation." Zhang Xuejun told reporters.

In the early identification of spinal health, "family first screening" is also very important. Zhang Xuejun said that parents and teachers should pay more attention to their children's posture. They can see whether the shoulders are equal to the shoulders, whether the head is in the middle, or let the child stand straight at 90 degrees, and observe whether the sides of the spine are on both sides of the spine. Symmetric and other methods to judge. "After discovering the problem, you must go to a regular hospital for diagnosis in time. Do not easily listen to the‘ expert ’guidance or purchase some institutions’ correction ‘artifact’. ”Zhang Xuejun solemnly reminded.

Prevention is greater than treatment. Parents should also remind their children to maintain the correct posture. For example, pay attention to sitting when studying, do not crooked their heads, remind children not to "Erlang's legs". Proper physical exercise, especially the training of waist muscles, is also an important way to protect spine health. Zhang Xuejun called for a systematic project to prevent and control the spinal bending prevention and control work. Spine. (Guangming Daily All -Media Reporter Lu Lu Promotional Shen Xinyi)

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