退变性脊柱侧凸手术治疗进展

摘要

Degenerative scoliosis is one of the important reasons of low back pain in middle-aged and elderly.The surgical treatment has been gradually paid more attention to in recent years.Pain and the quality of life are the key points of the surgical treatment.In addition to neurogenic compression,clinical symptoms and health-related quality of life are also closely related to the three-dimensional deformity of spine.Researchers try to employ different classifications of degenerative scoliosis to guide personalizedly surgical treatment.In the future,osteoporosis and complications may be the research highlights in the surgical treatment of degenerative scoliosis.%退变性脊柱侧凸是中老年人群腰腿部疼痛的重要原因之一.其手术治疗直至近年才逐步被重视.解除患者疼痛症状、改善生活质量是外科治疗的关键.除了压迫所致的神经源性症状外,脊柱三维畸形也与患者临床症状及健康相关生存质量有密切关系.新一代椎弓根螺钉技术,使得高龄患者的脊柱畸形矫形成为现实.学者们试图从不同方面对退变性脊柱侧凸进行分型,以更好地认识疾病及指导外科治疗.而骨质疏松与手术并发症是退变性脊柱侧凸手术治疗未来需着重研究的内容.