Graham Randall B, Sugrue Patrick A, Koski Tyler R
Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Clin Spine Surg. 2016 Apr;29(3):95-107. doi: 10.1097/BSD.0000000000000367.
The treatment of adult degenerative scoliosis begins in the outpatient setting when evaluating a patient both radiographically. Assessing the flexibility of the deformity is essential in determining what techniques will be required to achieve the goals of correction. Ultimately the surgeon's comfort and experience and the patient's medical risk stratification determine the strategy needed to address either a focal pathology or ultimate deformity correction.
成人退行性脊柱侧凸的治疗始于门诊,此时需对患者进行影像学评估。评估畸形的柔韧性对于确定实现矫正目标所需的技术至关重要。最终,外科医生的舒适度和经验以及患者的医疗风险分层决定了处理局部病变或最终畸形矫正所需的策略。