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应对复杂的胸椎脊柱畸形:对生活质量影响及新兴治疗方法的多方面分析——一名47岁男性的病例报告

Navigating Complex Thoracic Spinal Deformity: A Multifaceted Analysis of Life Quality Impacts and Emerging Therapeutic Approaches - Case Report of a 47-Year-Old Man.

作者信息

Elhaie Mohammadreza, Koozari Abolfazl, Azimi Sayed Mehrdad, Khademi Mohammadreza, Abedi Iraj

机构信息

Department of Medical Physics, School of Medicine, Isfahan University of Medical Sciences, Iran.

Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Iran.

出版信息

Adv Biomed Res. 2025 Apr 30;14:35. doi: 10.4103/abr.abr_371_24. eCollection 2025.

Abstract

This case report presents a 47-year-old male with severe thoracic scoliosis measuring 80 degrees and significant kyphosis. The patient reported chronic back pain, restricted mobility, compromised cardiopulmonary function, low self-esteem, and limited activities. Radiographs confirmed the deformity without congenital anomalies. Adult spinal deformities pose challenges due to skeletal maturity. Non-operative management has limited effectiveness for severe cases. Surgery risks must be weighed against benefits. Novel understandings of spinal biomechanics may enable less invasive corrections. The profound impacts of deformity on quality of life were demonstrated. A comprehensive, individualized approach is needed. Ongoing research may improve outcomes and redefine care standards.

摘要

本病例报告介绍了一名47岁男性,患有严重的胸椎侧弯,侧弯角度达80度,且伴有明显的后凸畸形。患者自述有慢性背痛、活动受限、心肺功能受损、自卑以及活动受限等问题。X光片证实了畸形情况,且无先天性异常。由于骨骼成熟,成人脊柱畸形带来了挑战。非手术治疗对于严重病例效果有限。必须权衡手术风险与益处。对脊柱生物力学的新认识可能使矫正手术的创伤更小。畸形对生活质量的深远影响得到了证实。需要一种全面、个性化的治疗方法。正在进行的研究可能会改善治疗效果并重新定义护理标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec54/12087926/52b254d0bd75/ABR-14-35-g001.jpg

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