退变性脊柱侧凸分型的现状△

Current status of classifications for degenerative scoliosis

摘要:

伴随人口老龄化加剧，中老年群体中退变性脊柱侧凸的发病率正逐渐升高，更多患者选择手术矫正以提高生活质量。在退变性脊柱侧凸的诊治中，分型系统起着重要作用，选择合适的分型系统既有利于评估预后情况，又有助于医师对患者进行规范化、系统化的诊治。近 20 年来关于退变性脊柱侧凸的分型已有十余个，如 SRS-Schwab 分型、Lenke-Silva 分型、 MISDEF 分型等，但尚缺乏可被广泛认可的统一分型方式。本文回顾、分析、评估了其中较为重要的分型，并归纳一个理想的分型系统应包括的要素，以期推动退变性脊柱侧凸理想分型系统的形成，帮助医师选择合理而具体的手术矫正方式。

Abstract:

With the aging of the population, the incidence of degenerative scoliosis (DS) is increasing in the middle- aged and older adults, and more patients are opting for surgical correction to improve their quality of life. In the diagnosis and treatment of DS, a suitable classification plays an important role in the evaluation of patients^， prognosis and helping surgeons to standardize and systematize the treat- ment. There have been more than ten classifications for DS in the last two decades, like SRS-Schwab classification, Lenke-Silva classifica- tion and MISDEF classification, but a widely accepted classification is still absent. This article reviews, analyzes, and evaluates some impor- tant classifications, and then summarizes the elements that should be included in an ideal classification, in order to promote the formation of an ideal classification to help surgeons choose reasonable and detailed correction approaches.