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重视成人脊柱畸形术后的近端交界性后凸 被引量：3

Focus on the proximal junctional kyphosis following correction of adult spine deformity
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摘要 成人脊柱畸形（adult spine deformity,ASD）若出现畸形不断进展、合并冠矢状面失平衡以及保守治疗无效的疼痛,常需手术。与青少年特发性脊柱侧凸畸形不同,成人脊柱侧凸畸形的术后并发症相对较多,如近端交界性后凸（proximal junctional kyphosis,PJK）。有文献报道PJK在成人脊柱畸形术后的发生率高达20%以上,严重的PJK会引起疼痛、功能丧失、畸形进展等一系列问题,
作者 邱勇
机构地区 南京大学医学院附属鼓楼医院脊柱外科
出处 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2014年第8期677-679,共3页 Chinese Journal of Spine and Spinal Cord
关键词 术后并发症 脊柱畸形 交界性 成人 特发性脊柱侧凸畸形 后凸 近端 保守治疗
分类号 R682.3 [医药卫生—骨科学] R619 [医药卫生—外科学]
  • 相关文献

参考文献15

  • 1朱锋,鲍虹达,邱勇,刘臻,毛赛虎,朱泽章,何守玉,王斌.比较经椎弓根与Smith-Peterson截骨对退变性侧后凸畸形冠矢状面平衡重建的影响[J].中华骨科杂志,2014,34(4):347-354. 被引量：25
  • 2Yagi M,Rahm M,Gaines R,et al. Characterization and surgical outcomes of proximal junctional failure in surgically treated patients with adult spinal deformity[J]. Spine,2014,39(10):E607-614.
  • 3Helgeson MD,Shah SA,Newton PO,et al. Evaluation of proximal junctional kyphosis in adolescent idiopathic scoliosis following pedicle screw,hook,or hybrid instrumentation[J]. Spine,2010,35(2):177-181.
  • 4Bridwell KH,Lenke LG,Cho SK,et al. Proximal junctional kyphosis in primary adult deformity surgery:evaluation of 20 degrees as a critical angle[J]. Neurosurgery,2013,72(6):899-906.
  • 5Kim HJ,Bridwell KH,Lenke LG,et al. Proximal junctional kyphosis results in inferior SRS pain subscores in adult deformity patients[J]. Spine,2013,38(11):896-901.
  • 6Yagi M,Akilah KB,Boachie-Adjei O. Incidence,risk factors and classification of proximal junctional kyphosis:surgical outcomes review of adult idiopathic scoliosis[J]. Spine,2011,36(1):E60-68.
  • 7Glattes RC,Bridwell KH,Lenke LG,et al. Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion:incidence,outcomes,and risk factor analysis[J]. Spine,2005,30(14):1643-1649.
  • 8Hart R,McCarthy I,O′Brien M,et al. Identification of decision criteria for revision surgery among patients with proximal junctional failure after surgical treatment of spinal deformity[J]. Spine,2013,38(19):E1223-1227.
  • 9Maruo K,Ha Y,Inoue S,et al. Predictive factors for proximal junctional kyphosis in long fusions to the sacrum in adult spinal deformity[J]. Spine,2013,38(23):E1469-1476.
  • 10Kim HJ,Bridwell KH,Lenke LG,et al. Patients with proximal junctional kyphosis requiring revision surgery have higher post-op lumbar lordosis and larger sagittal balance corrections[J]. Spine,2014,39(9):E576-580.

二级参考文献25

  • 1Aebi M.The adult scoliosis[J].Eur Spine J,2005,14(10): 925-948.
  • 2Grubb SA,Lipscomb HJ,Coonrad RW.Degenerative adult onset scoliosis[J].Spine (Phila Pa 1976),1988,13(3): 241-245.
  • 3Pritchett JW,Bortel DT.Degenerative symptomatic lumbar scoliosis[J].Spine (Phila Pa 1976),1993,18(6): 700-703.
  • 4Lowe T,Berven SH,Schwab FJ,et al.The SRS classification for adult spinal deformity: building on the King/Moe and Lenke classification systems[J].Spine (Phila Pa 1976),2006,31(19): S119-S125.
  • 5Mac-Thiong JM,Transfeldt EE,Mehbod AA,et al.Can c7 plumbline and gravity line predict health related quality of life in adult scoliosis[J]? Spine (Phila Pa 1976),2009,34(15): E519-527.
  • 6Schwab F,Lafage V,Farcy JP,et al.Surgical rates and operative outcome analysis in thoracolumbar and lumbar major adult scoliosis: application of the new adult deformity classification[J].Spine (Phila Pa 1976),2007,32(24): 2723-2730.
  • 7Terran J,Schwab F,Shaffrey CI et al.The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort[J].Neurosurgery,2013,73(4): 559-568.
  • 8Enercan M,Ozturk C,Kahraman S,et al.Osteotomies/spinal column resections in adult deformity[J].Eur Spine J,2013,22 Suppl 2: S254-S264.
  • 9Smith-Petersen M,Larson CB,Aufranc OE.Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis [J].J Bone Joint Surg,1945,27(1): 1-11.
  • 10Kim KT,Suk KS,Cho YJ,et al.Clinical outcome results of pedicle subtraction osteotomy in ankylosing spondylitis with kyphotic deformity[J].Spine (Phila Pa 1976),2002,27(6): 612-618.

共引文献24

同被引文献10

引证文献3

二级引证文献8

中国脊柱脊髓杂志
2014年 第8期

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