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成人退变性脊柱侧凸

Adult Degenerative Scoliosis.

作者信息

Cristante Alexandre Fogaça, Silva Ricardo Teixeira E, Costa Guilherme Henrique Ricardo da, Marcon Raphael Martus

机构信息

Departamento de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Feb;56(1):1-8. doi: 10.1055/s-0040-1709736. Epub 2020 Jul 22.

DOI:10.1055/s-0040-1709736
PMID:33627892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7895612/
Abstract

Populational aging increases the incidence of musculoskeletal degenerative processes, such as adult scoliosis (AS). Adult scoliosis is defined as a spinal deformity in the coronal plane with a Cobb angle > 10°. Adult scoliosis may be iatrogenic or result from a degenerative process (scoliosis ) or a pre-existing scoliosis. Adult scoliosis is a potentially limiting condition that affects a heterogeneous group of patients. Clinical treatment proved to be ineffective and surgery is often indicated. The present paper reviews AS pathophysiology, clinical presentation and diagnosis, in addition to surgical indications and the main techniques currently used.

摘要

人口老龄化增加了肌肉骨骼退行性病变的发生率,如成人脊柱侧凸(AS)。成人脊柱侧凸被定义为冠状面脊柱畸形,Cobb角>10°。成人脊柱侧凸可能是医源性的,或由退行性病变(脊柱侧凸 )或既往存在的脊柱侧凸引起。成人脊柱侧凸是一种潜在的限制性疾病,影响着不同类型的患者群体。临床治疗已被证明无效,通常需要进行手术。本文除了综述成人脊柱侧凸的手术指征和目前使用的主要技术外,还对其病理生理学、临床表现和诊断进行了综述。

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1
Adult Degenerative Scoliosis.成人退变性脊柱侧凸
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2
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J Neurosurg Spine. 2018 Jun;28(6):573-580. doi: 10.3171/2017.8.SPINE161266. Epub 2018 Mar 23.
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Correlations of spinopelvic parameters with quality of life of patients with adult degenerative scoliosis after posterior correction.后路矫形治疗成人退行性脊柱侧凸后脊柱骨盆参数与患者生活质量的相关性。
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L1-pelvic angle: a convenient measurement to attain optimal deformity correction.

本文引用的文献

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Adult spinal deformity.成人脊柱畸形。
Lancet. 2019 Jul 13;394(10193):160-172. doi: 10.1016/S0140-6736(19)31125-0. Epub 2019 Jul 11.
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Clinical Evaluation, Imaging, and Management of Adolescent Idiopathic and Adult Degenerative Scoliosis.青少年特发性和成人退变性脊柱侧凸的临床评估、影像学检查及治疗
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Effect of spinal fusion on degenerative scoliosis in elderly patients and analysis of influencing factors.脊柱融合术对老年患者退行性脊柱侧凸的影响及影响因素分析
Am J Transl Res. 2023 Feb 15;15(2):1168-1176. eCollection 2023.
全球脊柱护理倡议:降低中低收入社区脊柱相关残疾的世界脊柱护理执行摘要。
Eur Spine J. 2018 Sep;27(Suppl 6):776-785. doi: 10.1007/s00586-018-5722-x. Epub 2018 Aug 27.
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The comprehensive anatomical spinal osteotomy and anterior column realignment classification.综合解剖性脊柱截骨术及前柱重新排列分类
J Neurosurg Spine. 2018 Nov 1;29(5):565-575. doi: 10.3171/2018.4.SPINE171206. Epub 2018 Aug 24.
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Degenerative Scoliosis.退行性脊柱侧凸
Curr Rev Musculoskelet Med. 2017 Dec;10(4):547-558. doi: 10.1007/s12178-017-9445-0.
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Patient profiling can identify patients with adult spinal deformity (ASD) at risk for conversion from nonoperative to surgical treatment: initial steps to reduce ineffective ASD management.患者分析可识别出患有成人脊柱畸形(ASD)且有从非手术治疗转为手术治疗风险的患者:减少无效 ASD 管理的初始步骤。
Spine J. 2018 Feb;18(2):234-244. doi: 10.1016/j.spinee.2017.06.044. Epub 2017 Jul 5.
7
Effectiveness of Operative and Nonoperative Care for Adult Spinal Deformity: Systematic Review of the Literature.成人脊柱畸形手术与非手术治疗的有效性:文献系统综述
Global Spine J. 2017 Apr;7(2):170-178. doi: 10.1177/2192568217699182. Epub 2017 May 1.
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Long fusion correction of degenerative adult spinal deformity and the selection of the upper or lower thoracic region as the site of proximal instrumentation: a systematic review and meta-analysis.成人退变性脊柱畸形的长节段融合矫正及近端器械置入部位选择上胸段或下胸段:一项系统评价与Meta分析
BMJ Open. 2016 Nov 15;6(11):e012103. doi: 10.1136/bmjopen-2016-012103.
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Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF.腰椎椎间融合术:技术、适应证以及椎间融合选择的比较,包括后路腰椎椎间融合术(PLIF)、经椎间孔腰椎椎间融合术(TLIF)、改良经椎间孔腰椎椎间融合术(MI-TLIF)、斜外侧腰椎椎间融合术/前斜外侧腰椎椎间融合术(OLIF/ATP)、侧方腰椎椎间融合术(LLIF)和前路腰椎椎间融合术(ALIF)
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