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首页> 外文期刊>Asian spine journal. >What Should an Ideal Adult Spinal Deformity Classification System Consist of?: Review of the Factors Affecting Outcomes of Adult Spinal Deformity Management
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What Should an Ideal Adult Spinal Deformity Classification System Consist of?: Review of the Factors Affecting Outcomes of Adult Spinal Deformity Management

机译：理想的成人脊柱畸形分类系统应包括什么？：回顾影响成人脊柱畸形管理结果的因素

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This literature review aims to determine potential clinical factors or comorbidities besides radiological parameters that affect the outcome of adult spinal deformity (ASD) management and review existing classifications associated with ASD. ASD is a multifactorial disease that comprises pathologies like radiological spine deformity, coexistence of spinal canal stenosis, radiculopathy, and multiple comorbidities. The available classification systems of ASD are predominantly based on radiological parameters and do not consider related clinical conditions. ASD patients with different combinations of these parameters behave differently and need different management strategies. We conducted a narrative literature review with search limited to English language of PubMed/MEDLINE using Medical Subject Heading (MeSH) terms. The terms specific to the review were ASD and several other related terminologies. We analyzed the information of the selected papers including factors affecting surgical outcomes for degenerative scoliosis. We reviewed 614 citations. Based on the inclusion criteria, 39 citations were selected for full-text retrieval; of these, 28 were excluded because of not fulfilling the inclusion criteria. Thus, 11 studies were selected and included for the final analysis. The presence of leg pain, spinal stenosis, obesity, osteoporosis, smoking, and age of patients were major influencing factors. Furthermore, the factors included in the available classifications, such as the Scoliosis Research Society–Schwab classifications, were reviewed and results were tabulated. This review highlights the significance of neurological symptoms, spinal stenosis, osteoporosis, obesity, age, and smoking, which markedly affect the management of ASD. With increasing number of patients being diagnosed and treated with ASD, there has been a growing need to comprehensively classify these patients into clinicoradiological subgroups.
机译：这篇文献综述旨在确定可能影响成人脊柱畸形（ASD）治疗结果的放射学参数以外的潜在临床因素或合并症，并综述与ASD相关的现有分类。 ASD是一种多因素疾病，包括诸如放射脊柱畸形，椎管狭窄并存，神经根病和多种合并症等病理。可用的ASD分类系统主要基于放射学参数，不考虑相关的临床情况。具有这些参数不同组合的ASD患者行为不同，需要不同的管理策略。我们使用医学主题词（MeSH）词进行了叙述性文献综述，搜索范围仅限于PubMed / MEDLINE的英语。审查专用的术语是ASD和其他几个相关术语。我们分析了所选论文的信息，包括影响退行性脊柱侧弯手术效果的因素。我们审查了614次引用。根据纳入标准，选择了39篇全文检索的引文。其中，有28个因不符合纳入标准而被排除在外。因此，选择了11项研究并将其纳入最终分析。主要的影响因素是腿痛，脊柱狭窄，肥胖，骨质疏松，吸烟和患者年龄。此外，对包括在脊柱侧弯研究协会的Schwab分类等可用分类中的因素进行了审查，并将结果制成表格。这篇综述强调了神经系统症状，脊椎狭窄，骨质疏松，肥胖，年龄和吸烟的重要性，这些显着影响了ASD的管理。随着越来越多的被ASD诊断和治疗的患者，越来越需要将这些患者全面分类为临床放射学亚组。

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