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对成人退行性脊柱畸形矢状面和冠状面失平衡的再认识 被引量:1

Further understanding on the occurrence of sagittal imbalance and coronal imbalance in adult degenerative spinal deformity patients
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摘要 成人退行性脊柱畸形是一种复杂的脊柱退行性三维结构改变,常表现为脊柱侧凸或后凸畸形^([1])。研究表明,成人退行性脊柱畸形导致的矢状面和冠状面失平衡是导致腰背部进行性疼痛、下肢疼痛麻木、间歇性跛行、功能障碍及心理障碍等问题的主要因素,也是评估和预测手术疗效的最重要指标之一^([2-11])。因此,如何正确认识和处理脊柱矢状面和冠状面平衡问题,是治疗成人退行性脊柱畸形的重要环节。 Adult degenerative spinal deformity is a de novo due to spinal degeneration after bone maturation,which involves not only the spinal curvature on the sagittal plate,but also the spinal curvature on the coronal plate,or coexisting.Previous studies have confirmed that sagittal and coronal imbalances are associated with the occurrence of lower back pain,sciatica,numbness,intermittent claudication,functional impairment,and psychological disorders.In addition,sagittal imbalance and coronal imbalance play an important role in evaluating and predicting preoperative and postoperative clinical symptoms and treatment outcomes.Hence,it is crucial to correctly understand the sagittal and coronal plane imbalance in treating adult degenerative spinal deformities.
作者 鲁世保 陈小龙 LU Shi-bao;CHEN Xiao-long(Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing,100053,China)
出处 《中国骨与关节杂志》 CAS 2024年第7期481-483,共3页 Chinese Journal of Bone and Joint
关键词 脊柱弯曲 脊柱疾病 矢状面失平衡 冠状面失平衡 Spinal curvatures Spinal diseases Sagittal imbalance Coronal imbalance
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