医学
脊柱侧凸
畸形
退行性椎间盘病
脊椎滑脱
前凸
神经源性跛行
外科
背痛
冠状面
腰痛
腰椎
矢状面
射线照相术
解剖
椎管狭窄
替代医学
病理
出处
期刊:Journal of the American Academy of Orthopaedic Surgeons
[American Academy of Orthopaedic Surgeons]
日期:2003-05-01
卷期号:11 (3): 174-183
被引量:132
标识
DOI:10.5435/00124635-200305000-00004
摘要
Degenerative lumbar scoliosis is a lateral deviation of the spine that typically develops after age 50 years. Clinical presentation varies, but the deformity frequently is associated with loss of lordosis, axial rotation, lateral listhesis, and spondylolisthesis. Although the etiology is unclear, degenerative scoliosis is associated with degenerative disk disease, facet incompetence, and hypertrophy of the ligamenta flava, typically leading to neurogenic claudication and back pain. Rarely, sagittal or coronal imbalance may develop. Indications for treatment include pain, progressive deformity, radiculopathy or myelopathy, and cosmetic deformity. Nonsurgical care focuses on patient education, exercise, and nonnarcotic medication. Surgical management should be considered carefully, balancing the benefits and risks for the patient.
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