脊柱侧凸

迹象 & 症状

中下背部疼痛和背部僵硬往往是退行性成人脊柱侧凸的第一个症状.

Other 症状 include:

• 弯曲的姿势
• Difficulty sitting or st和ing
• Difficulty walking due to loss of leg muscle coordination
• 座头鲸
• Leaning towards one side
• Nerve damage, causing weakness, numbness 和 pain in legs 和 feet
• 突出的肋
• Reduction in height due to a curved spine
• Shortness of breath 和 fatigue, caused by an upper spine curve
• Spinal stiffness

诊断

To make a diagnosis, a spine specialist will record your medical history, including information about your 症状, previous treatments 和 family history of scoliosis.

身体检查包括测量你的活动范围的测试, 平衡, 反应, 肌肉力量, sensation 和 neurologic function.

站在x射线, from the front 和 side, 将被用来记录你脊柱的曲度，并确定曲度的进展速度.

核磁共振成像 和 CT扫描 是否可以检查颈椎曲线上下椎间盘的健康状况以及是否存在神经压迫.

治疗

治疗通常从物理治疗和药物治疗开始，包括:

• 消炎药和偶尔的轻度麻醉药来缓解疼痛
• Epidural steroid injections to relieve leg pain
• Physical therapy to stabilize the spine

手术

对于背部或腿部疼痛对药物和物理治疗无效的患者, surgery may be considered. Spinal surgery to treat 成人脊柱侧凸 is complex, 考虑到病人的平均年龄和其他医疗十大赌博靠谱网络平台的可能性, such as osteoporosis, but a patient's age should not rule out surgery.

研究表明，在决定手术成功率和恢复率方面，年龄不如一个人的健康重要. 鼓励考虑手术的患者适应健康的饮食和体重, 和 participate in an exercise regimen before 和 after surgery.

脊柱融合术 surgery

脊柱融合术 尽管有其他治疗方法，但仍有疼痛的患者可建议进行手术.

进行融合手术是为了融合椎骨，使脊柱不会弯曲. 这样可以稳定脊柱，防止过度运动和塌陷. 手术 also corrects the deformity, when needed. The goal is to correct the curve by 50 percent or more.

其他的程序

In some cases a more minimally invasive approach may be possible. 矫正手术可能需要较少的骨切割，如果结合一种先进的手术称为 transpsoas approach. 该手术与传统手术不同，因为外科十大赌博平台排行榜从患者一侧进入椎间盘之间的间隙, rather than from the front or back, sparing major back muscles, bones 和 ligaments from an incision.

经腰肌入路使外科十大赌博平台排行榜能够纠正侧对侧弯曲并改善前后平衡, known as sagittal 平衡. 恢复矢状面平衡可能是促进成人脊柱侧凸治疗后良好结果的最重要因素.

其中一种手术是在病人的一侧切开 extreme lateral interbody fusion.

UCSF脊柱中心专门治疗成人脊柱侧凸的复杂病例, using state-of-the-art surgical repair 和 rehabilitation, which results in limited anesthesia, quicker patient mobilization 和 recovery, 和 最终 improved quality of life.

UCSF Spine Center

加州大学旧金山分校脊柱中心的十大赌博平台排行榜是成人脊柱侧凸手术修复和康复方面的专家, including high-risk cases. 我们的团队是高容量服务的一部分，拥有超过10年的经验，发表了150多篇关于成人脊柱畸形的医学研究论文.

Treatment advances at UCSF, including minimally invasive surgical approaches, advanced neuromonitoring techniques 和 3-dimensional imaging, allows for limited anesthesia, 更快的病人活动和恢复，最终提高生活质量. We also perform "co-surgery," in which two spine surgeons operate together on a patient, rather than just one surgeon. 加州大学旧金山分校是全国仅有的几个提供这种方法的中心之一. Research by UCSF doctors, published in the January 2013 issue of Spine Deformity, 发现联合手术治疗复杂脊柱疾病可减少手术时间, blood loss 和 complications for certain complex cases.