[退行性腰椎结石病变和治疗决策]
1Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
Zhonghua yi xue za zhi
|August 21, 2024
退行性腰椎侧凸（DLS）是一种以腰椎异常弯曲为主要特征的脊柱畸形，常见于50岁及以上人群。其发病机制涉及多种因素，包括椎间盘退变、韧带与肌肉退化，以及遗传和环境因素。在治疗方面，药物治疗、物理治疗和运动疗法等非手术治疗被视为首选方案；但对于严重病例，个体化的外科干预也是一种可行选择，而合理的分型是手术决策的关键。目前的研究主要侧重于脊柱的骨性结构，忽视了神经和肌肉因素。未来跨学科研究有望探索更全面且有效的治疗方式，以促进患者脊髓功能的恢复。 关键词：退行性腰椎侧凸，DLS，脊柱畸形，椎间盘退变，非手术治疗，手术干预，分型，脊髓功能恢复
退行性腰椎侧凸（DLS）是一种以腰椎异常弯曲为主要特征的脊柱畸形，常见于50岁及以上人群。其发病机制涉及多种因素，包括椎间盘退变、韧带与肌肉退化，以及遗传和环境因素。在治疗方面，药物治疗、物理治疗和运动疗法等非手术治疗被视为首选方案；但对于严重病例，个体化的外科干预也是一种可行选择，而合理的分型是手术决策的关键。目前的研究主要侧重于脊柱的骨性结构，忽视了神经和肌肉因素。未来跨学科研究有望探索更全面且有效的治疗方式，以促进患者脊髓功能的恢复。 关键词：退行性腰椎侧凸，DLS，脊柱畸形，椎间盘退变，非手术治疗，手术干预，分型，脊髓功能恢复
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