Spine Institute of Louisiana, 1500 Line Avenue, Shreveport, LA 71101, USA.
Spine Institute of Louisiana, 1500 Line Avenue, Shreveport, LA 71101, USA.
Neurosurg Clin N Am. 2018 Jul;29(3):467-474. doi: 10.1016/j.nec.2018.02.004.
Adult degenerative scoliosis treatment is complicated by its predilection for an elderly patient population that often exhibits multiple unrelated medical comorbidities. As spine surgeons attempt to treat this disease process with less invasive solutions, the fractional curve at L4, L5, and S1 is often overlooked or undertreated secondary to required increased perioperative morbidity associated with its treatment. A treatment strategy to identify, address, and treat the fractional curve with either open or minimally invasive techniques can lead to improved patient outcomes and decreased revision rates in this complicated pathologic process.
成人退行性脊柱侧凸的治疗较为复杂，因为其偏爱老年患者人群，而老年患者通常会表现出多种不相关的医学合并症。随着脊柱外科医生试图用微创方法来治疗这种疾病，第四腰椎、第五腰椎和第一骶椎的小关节曲线往往被忽视或治疗不足，因为治疗所需的围手术期发病率增加。采用开放或微创技术来识别、处理和治疗小关节曲线的治疗策略，可以改善患者的治疗效果，降低这种复杂病理过程的翻修率。
