Guillaumat M
Département de chirurgie orthopédique, Hôpital Saint-Joseph, Paris.
Bull Acad Natl Med. 1999;183(4):705-18; discussion 718-9.
Idiopathic scoliosis arises at any age in childhood. Its increasing is usually progressive, following growth, with a peak at puberty. Well codified determining factors for severity are: age at beginning, angulation and bone maturation. Functional and consequential effects remain anyway limited. Many scoliosis increase in adult life, giving way to deterioration, prevailing at the lumbar level, with osteo-arthritic changes and typical patterns such as dislocation at the junctional areas. Functional repercussion may thus arise, mainly pain and, in severe thoracic scoliosis impairment of the pulmonary function. A special form of degenerative scoliosis may appear over 45 or 50 years of age with progressive backache and/or radicular pain.
特发性脊柱侧弯在儿童期的任何年龄都可能出现。其进展通常是渐进性的，随生长而发展，在青春期达到高峰。明确的严重程度决定因素包括：发病年龄、角度和骨骼成熟度。然而，其功能和相关影响仍然有限。许多脊柱侧弯在成年期会加重，导致病情恶化，以腰椎水平为主，伴有骨关节炎变化和典型模式，如交界区脱位。因此可能会产生功能影响，主要是疼痛，在严重的胸椎脊柱侧弯中还会出现肺功能受损。一种特殊形式的退行性脊柱侧弯可能出现在45岁或50岁以上，伴有进行性背痛和/或神经根性疼痛。
