Aliabadi Hamidreza, Grant Gerald
Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Neurosurgery. 2008 Sep;63(3 Suppl):78-85. doi: 10.1227/01.NEU.0000313144.11433.0C.
Congenital thoracolumbar spinal deformities are a common and frequent reason for referral to spine surgeons. Neurosurgeons also treat many neurological diagnoses which may result in a progressive spinal deformity, such as scoliosis. Here we review a variety of congenital anomalies and address the maldevelopments associated with each, as well as the appropriate evaluation of such patients including nonoperative and operative approaches. Advances in the field of spinal deformity correction now allow us to better treat individuals with these types of deformities. It is important for the practicing neurosurgeon to be knowledgeable of surgical and nonsurgical treatments of patients with congenital thoracolumbar spinal deformities in order to better understand which patients will ultimately progress and necessitate surgical treatment.
先天性胸腰椎脊柱畸形是脊柱外科医生会诊的常见且频繁的原因。神经外科医生也治疗许多可能导致进行性脊柱畸形的神经疾病诊断，如脊柱侧凸。在此，我们回顾各种先天性异常，阐述与之相关的发育异常，以及对此类患者的适当评估，包括非手术和手术方法。脊柱畸形矫正领域的进展现在使我们能够更好地治疗患有这些类型畸形的个体。对于执业神经外科医生来说，了解先天性胸腰椎脊柱畸形患者的手术和非手术治疗方法非常重要，以便更好地理解哪些患者最终会病情进展并需要手术治疗。
