Adler D, Almansour H, Akbar M
Zentrum für Wirbelsäulenchirurgie, Klinik für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
Orthopade. 2018 Apr;47(4):276-287. doi: 10.1007/s00132-018-3533-8.
Adult spinal deformity (ASD) is a complex entity that has had emerging significance for spine surgeons in the last decade. Sagittal and/or coronary deformities can have a high impact (disability, pain) on the quality of patients' life. Radiologic diagnostics determine the common spinopelvic parameters as the basis for classification of ASD.
Conservative treatment options may be sufficient in mild cases. The deformity's complexity frequently demands the entire spectrum of methods and techniques in spinal surgery. This article gives an overview on the development of the ASD, the correct classification as well as the indication for surgical therapy.
成人脊柱畸形（ASD）是一种复杂的病症，在过去十年中对脊柱外科医生而言其重要性日益凸显。矢状面和/或冠状面畸形会对患者生活质量产生重大影响（导致残疾、疼痛）。放射学诊断确定常见的脊柱骨盆参数，作为成人脊柱畸形分类的基础。
在轻度病例中，保守治疗方案可能就足够了。畸形的复杂性常常需要脊柱外科手术中使用各种方法和技术。本文概述了成人脊柱畸形的发展、正确分类以及手术治疗的适应证。
