Lu Yilin, Zhang Xiang, Li Junyu, Li Weishi, Yu Miao
Department of Orthopaedics, Peking University Third Hospital, Beijing, China.
Clin Spine Surg. 2025 Mar 1;38(2):39-44. doi: 10.1097/BSD.0000000000001674. Epub 2024 Sep 9.
Camptocormia, also known as bent spine syndrome, primarily affects individuals with Parkinson disease (PD). This review provides an overview of camptocormia in PD, covering its definition, epidemiology, causes, diagnosis, and treatment. In the epidemiology section, we delve into its prevalence, gender disparities, and ongoing genetic research. Regarding diagnosis and assessment, we discuss evolving diagnostic criteria and measurement techniques, as well as new diagnostic tools. For management and treatment, a wide array of options is available, from conservative methods such as physical therapy and botulinum toxin injections to surgical interventions such as spinal orthopedic surgery and deep brain stimulation. We stress the significance of personalized care and multidisciplinary collaboration. This comprehensive review aims to provide clinicians, researchers, and healthcare professionals with a comprehensive understanding of camptocormia in PD, highlighting its clinical features, diagnostic strategies, management approaches, and future perspectives.
弯腰驼背症,也被称为脊柱弯曲综合征,主要影响帕金森病(PD)患者。本综述概述了帕金森病中的弯腰驼背症,涵盖其定义、流行病学、病因、诊断和治疗。在流行病学部分,我们深入探讨了其患病率、性别差异以及正在进行的基因研究。关于诊断和评估,我们讨论了不断演变的诊断标准和测量技术,以及新的诊断工具。对于管理和治疗,有各种各样的选择,从物理治疗和肉毒杆菌毒素注射等保守方法到脊柱矫形手术和深部脑刺激等手术干预。我们强调个性化护理和多学科协作的重要性。本全面综述旨在为临床医生、研究人员和医疗保健专业人员提供对帕金森病中弯腰驼背症的全面理解,突出其临床特征、诊断策略、管理方法和未来展望。