Aref Youssef, Bono Christopher M, Najafian Alireza
California University of Science, Medicine School of Medicine, Colton, CA, USA.
Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Spine J. 2025 Mar;25(3):403-410. doi: 10.1016/j.spinee.2024.10.009. Epub 2024 Nov 4.
Large and heavy breasts, termed macromastia, is a common cause of neck and back pain in females that may present as early as puberty. With focus usually elsewhere, macromastia is not usually a primary consideration when a patient initially presents to a spine specialist, particularly a spine surgeon. Axial pain is among the most common indications for breast reduction by plastic surgeons. Breast reduction surgery has been demonstrated to be an effective treatment for many women with back pain from macromastia. Awareness among spine specialists may prevent unneeded spinal intervention prompted by an overestimation of the contribution of vertebral degenerative changes to axial pain in affected women. This review aims to broaden spine providers' understanding of macromastia and its evaluation and treatment, including the role of breast reduction surgery to lessen axial pain.
乳房体积大且重量重，即巨乳症，是女性颈部和背部疼痛的常见原因，最早可能在青春期出现。由于关注点通常在其他方面，当患者最初就诊于脊柱专科医生，尤其是脊柱外科医生时，巨乳症通常不是首要考虑因素。轴性疼痛是整形外科医生进行乳房缩小术最常见的指征之一。乳房缩小术已被证明是治疗许多因巨乳症导致背痛的女性的有效方法。脊柱专科医生提高认识可能会避免因高估椎体退变对受影响女性轴性疼痛的影响而进行不必要的脊柱干预。本综述旨在拓宽脊柱医疗人员对巨乳症及其评估和治疗的理解，包括乳房缩小术在减轻轴性疼痛方面的作用。
