Cristante Alexandre Fogaça, Silva Ricardo Teixeira E, Costa Guilherme Henrique Ricardo da, Marcon Raphael Martus
Departamento de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Feb;56(1):1-8. doi: 10.1055/s-0040-1709736. Epub 2020 Jul 22.
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.
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。