Ploumis Avraam, Transfledt Ensor E, Denis Francis
Twin Cities Spine Center, 913E 26th Street, Minneapolis, MN 55404, USA.
Spine J. 2007 Jul-Aug;7(4):428-36. doi: 10.1016/j.spinee.2006.07.015. Epub 2007 Feb 28.
Degenerative de novo scoliosis is commonly present in older adult patients with spinal pain. The degenerative process including disc bulging, facet arthritis, and ligamentum flavum hypertrophy contributes to the appearance of symptoms of spinal stenosis in these patients.
The etiology, prevalence, biomechanics, classification, symptomatology, and treatment of degenerative lumbar scoliosis in association with spinal stenosis are reviewed.
Review study.
Retrospective analysis of studies focused on all parameters concerning degenerative scoliosis associated with stenosis.
There is a variety of treatment methods of degenerative scoliosis based on symptomatology and radiologic measurements of scoliosis and stenosis. Satisfactory clinical results reported in relevant retrospective studies after operative treatment range from 83% to 96% but with increased percentage of complications. An algorithm for operative treatment corresponding to a newly proposed classification system of degenerative lumbar scoliosis with associated canal stenosis is presented.
There is an increasing prevalence of degenerative scoliosis in the aged population. Even though the exact percentage of patients with symptomatology of spinal stenosis is not known, the main goal is to provide pain relief and improved functional lifestyle with minimum intervention.
退变性原发性脊柱侧弯常见于患有脊柱疼痛的老年患者。退变过程包括椎间盘膨出、小关节关节炎和黄韧带肥厚，这些因素导致了这些患者出现椎管狭窄症状。
综述与椎管狭窄相关的退变性腰椎侧弯的病因、患病率、生物力学、分类、症状学及治疗方法。
综述性研究。
对聚焦于与狭窄相关的退变性脊柱侧弯所有参数的研究进行回顾性分析。
基于脊柱侧弯和狭窄的症状学及影像学测量结果，有多种退变性脊柱侧弯的治疗方法。相关回顾性研究报道，手术治疗后满意的临床结果比例在83%至96%之间，但并发症发生率有所增加。本文提出了一种与新的退变性腰椎侧弯合并椎管狭窄分类系统相对应的手术治疗方案。
老年人群中退变性脊柱侧弯的患病率在不断上升。尽管出现椎管狭窄症状的患者的确切比例尚不清楚，但主要目标是以最小的干预来缓解疼痛并改善功能性生活方式。
