Glocker F X, Berninger U G
Neurologische Universitätsklinik Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland.
Nervenarzt. 2013 Aug;84(8):1007-15; quiz 1016. doi: 10.1007/s00115-013-3827-3.
In this society with an ever increasing number of the elderly there is an increasing number of causes of a bent spine syndrome (camptocormia/dropped head syndrome). The causes include neurological, neuro-orthopedic, rheumatological and psychiatric disorders. Parkinson's disease, dystonia and neuromuscular diseases (motor neuron disease, myositis and muscular dystrophy) with weakness of the axial muscles may result in bent spine syndrome and is often combined with a dropped head. Disc herniation, hypertrophic spondylosis or pseudospondylolisthesis with spinal narrowing may lead to an abnormal flexion of the trunk. Ankylosing spondylitis can produce a disabling bent spine syndrome. Camptocormia may also be mimicked by osteoporotic fractures of the vertebral bones with wedge-shaped vertebrae. In some cases camptocormia is related to a psychogenic disorder.
在这个老年人数量不断增加的社会中，导致脊柱弯曲综合征（弯腰驼背/低头综合征）的病因越来越多。其病因包括神经、神经骨科、风湿和精神疾病。帕金森病、肌张力障碍以及伴有轴性肌肉无力的神经肌肉疾病（运动神经元病、肌炎和肌肉萎缩症）可能导致脊柱弯曲综合征，且常伴有低头症状。椎间盘突出、肥厚性脊柱炎或伴有椎管狭窄的假性椎体滑脱可能导致躯干异常前屈。强直性脊柱炎可导致致残性脊柱弯曲综合征。椎体骨质疏松性骨折形成楔形椎体也可能表现出弯腰驼背症状。在某些情况下，弯腰驼背与精神性疾病有关。
