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新旧弯腰症

The old and the new camptocormia.

作者信息

Karbowski K

机构信息

Neurology Department, University Hospital Inselspital, Bern, Switzerland.

出版信息

Spine (Phila Pa 1976). 1999 Jul 15;24(14):1494-8. doi: 10.1097/00007632-199907150-00017.

Abstract

A forced posture with a forward-bent trunk was termed camptocormia by the French neurologist Souques in 1915. In his case history, which consisted of young soldiers, the condition occurred acutely, was usually psychogenic, lasted for months, and could be cured quickly and durably by a "persuasive" electrotherapy. Numerous similar cases were observed during the World War I and II and immediately thereafter. In the last 10 years, the same term has been used to describe kyphotic postural anomalies resulting from a primary or neurogenic affection of the paravertebral muscles. This condition mainly occurs in older women, takes a chronically progressive course, and responds well to corticosteroid therapy. To avoid misunderstandings of nomenclature, this somatic disease should not be designated as camptocormia, but rather as thoracolumbar kyphosis in old age.

摘要

1915年,法国神经学家苏凯将躯干前屈的强迫姿势称为“脊柱前弯症”。在他以年轻士兵为对象的病例记录中,这种病症急性发作,通常由心理因素引起,持续数月,通过“说服性”电疗可迅速且持久地治愈。在第一次世界大战、第二次世界大战期间以及战后不久,人们观察到了大量类似病例。在过去10年里,同一术语被用于描述由椎旁肌肉原发性或神经源性病变导致的驼背姿势异常。这种病症主要发生在老年女性中,呈慢性进行性病程,对皮质类固醇治疗反应良好。为避免命名上的误解,这种躯体疾病不应被称为脊柱前弯症,而应称为老年胸腰椎驼背。

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