成人退变性脊柱侧凸研究进展

摘要

Adult degenerative scoliosis (ADS) refers to spinal structural scoliosis after skeletal maturity caused by asymmetric degeneration of one or a plurality of intervertebral discs and/or facets, mainly occurred in the elderly more than 50 years old. Being one of the important reasons of low back pain, lower limb pain and intermittent claudication for elderly patients, ADS seriously affects life quality of patients. So it is of great importance to study the characteristics and methods of diagnosis and treatment for ADS. In this paper, research progress of the epidemiological and clinical characteristics, evaluation and classification as well as treatment for ADS were reviewed chiefly.%成人退变性脊柱侧凸（ADS）是指骨骼发育成熟之后，由1个或多个椎间盘和/或关节突关节的不对称性退变导致的脊柱结构性侧凸，主要发生于50岁以上的中老年人群，是引起老年患者腰痛、下肢痛、间歇性跛行的重要原因之一，严重影响患者的生存质量。深入研究ADS的特征和诊治方法具有非常重要的现实意义。该文主要综述ADS的流行病学与临床特征、评估与分类、治疗等方面的研究进展。