脊柱侧凸
Overview
脊柱侧凸 is a curvature of the spine that occurs most often in adolescents, 但成年人也会出现这种情况. An estimated 60 percent of the older population have what is known as 成人脊柱侧凸. As people live longer 和 are more active, this number is expected to increase.
Adult scoliosis is most common in people between the ages of 50 和 80. It is characterized by a side-to-side curvature of the spine caused by degeneration of the spine's facet joints, 哪一个像铰链一样帮助脊柱弯曲.
随着人们年龄的增长, the cartilage that protects the joints may develop arthritic changes, causing the joints to become irritated 和 inflamed resulting in back 和 leg pain. Some adults had childhood scoliosis that worsened with age or was untreated in their youth.
脊柱曲度是用度来衡量的. 不像青少年脊柱侧凸的缓慢发展, 成人脊柱侧弯可以保持不变, can progress slowly 和 can progress at higher rates of more than 3 degrees a year. Often, the condition causes significant physical pain 和 can impact quality of life.
我们治疗脊柱侧凸的方法
UCSF is home to one of the largest centers in the country dedicated to evaluating 和 treating spinal disorders such as scoliosis. 病人 have access to the most up-to-date diagnostic imaging techniques 和 to innovative treatments that are not widely available. 我们的团队包括十大赌博平台排行榜知名的神经外科专家, 整形外科手术, 神经学, 疼痛管理, 物理治疗, 精神病学, 放射学和风湿病学. 这些专家一起为每个病人制定个性化的计划.
Treatment for scoliosis usually begins with 物理治疗 to stabilize the spine 和 medications to manage pain. 病人 who do not respond to these treatments may require spinal surgery. Our team’s expertise in state-of-the-art surgical repair 和 rehabilitation results in less time under anesthesia, 更快的恢复和, 最终, 提高生活质量.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
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加州最好，排名第一. 神经病学全国排名第二 & 神经外科
迹象 & 症状
Mid to lower back pain 和 back stiffness are often the first 症状 of degenerative 成人脊柱侧凸.
其他症状包括:
- 弯曲的姿势
- 坐或站困难
- 腿部肌肉不协调导致行走困难
- 座头鲸
- 身体向一侧倾斜
- 神经损伤，导致四肢无力、麻木和疼痛
- 突出的肋
- 脊柱弯曲导致的高度降低
- 呼吸急促和疲劳，由上脊柱弯曲引起
- 脊柱刚度
诊断
进行诊断, 脊柱专家会记录你的病史, 包括你的症状信息, 既往治疗及脊柱侧凸家族史.
A physical examination will include tests to measure your range of motion, 平衡, 反应, 肌肉力量, 感觉和神经功能.
站在x射线, 从正面和侧面, will be taken to document the curvature of your spine 和 to determine how fast the curve is progressing.
核磁共振成像 和 CT扫描 may be performed to determine the health of the discs above 和 below your curve 和 to determine if there is any nerve compression.
治疗
Treatment usually begins with 物理治疗 和 medications, including:
- Anti-inflammatory medications 和 occasional mild narcotics for pain relief
- 硬膜外类固醇注射缓解腿部疼痛
- 物理治疗以稳定脊柱
手术
For patients whose back or leg pain doesn't respond to medication 和 物理治疗, 可以考虑手术治疗. 脊柱手术治疗成人脊柱侧凸是复杂的, considering the average patient's age 和 the possibility of other medical conditions, 比如骨质疏松症, 但是病人的年龄不应该排除手术的可能性.
Research has shown that age is not as important as a person's health in determining the success of the surgery 和 rate of recovery. 病人 considering surgery are encouraged to adapt a healthy diet 和 weight, 并在手术前后参加锻炼计划.
脊柱融合术
脊柱融合术 surgery may be recommended for patients who have pain despite other treatments.
Fusion surgery is performed to fuse the vertebrae so the spine can't bend. 这样可以稳定脊柱，防止过度运动和塌陷. 必要时，手术也可以矫正畸形. 目标是将曲线修正50%或更多.
其他的程序
在某些情况下，更微创的方法是可能的. Corrective surgery may require less significant bone cutting when combined with an advanced procedure called the transpsoas方法. This procedure differs from traditional approaches because the surgeon accesses the space between the discs from a patient's side, 而不是从前面或后面, 保留背部主要肌肉, 从切口取出的骨头和韧带.
The transpsoas方法 enables a surgeon to correct a side-to-side curvature 和 improve the front to back 平衡, 被称为矢状平衡. Restoring sagittal 平衡 is perhaps the single most important factor contributing to a good outcome following treatment for 成人脊柱侧凸.
One of these procedures, involving an incision on the patient's side, is called 极端外侧体间融合.
The UCSF脊柱中心 specializes in treating complex cases of scoliosis in adults, 使用最先进的手术修复和康复, 这导致了有限的麻醉, 更快的病人动员和恢复, 并最终提高生活质量.
UCSF脊柱中心
十大赌博平台排行榜 at the UCSF脊柱中心 are experts in the surgical repair 和 rehabilitation for 成人脊柱侧凸, 包括高危个案. Our team is part of a high volume service with over 10 years of experience 和 over 150 medical research papers published on adult spinal deformity.
加州大学旧金山分校的治疗进展, 包括微创手术入路, 先进的神经监测技术和三维成像, 允许有限的麻醉, 更快的病人动员和恢复 并最终提高生活质量. 我们也进行“联合手术”,"两个脊柱外科十大赌博平台排行榜一起给一个病人做手术, 而不是一个外科十大赌博平台排行榜. UCSF is one of only a few centers in the country to offer this approach. UCSF十大赌博平台排行榜的研究发表在 《十大赌博平台排行榜》2013年1月刊, found that co-surgery for complex spinal disorders results in reduced surgical times, 某些复杂病例的失血和并发症.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only 和 is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
