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인제대학교 상계백병원

Asian Spine J., 2020;14(6):886-897 | https://doi.org/10.31616/asj.2020.0568 Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management

Hong Jin Kim ^1,†, Jae Hyuk Yang ^2,†, Dong-Gune Chang ^1,*, Se-Il Suk ¹, Seung Woo Suh ², Kwang-Sup Song ³, Jong-Beom Park ⁴, Woojin Cho ⁵

¹Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
²Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
³Department of Orthopaedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
⁴Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁵Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

^†These authors equally contributed to this study as the co-first author
^*Corresponding author: correspondence to Dong-Gune Chang

Abstract

Adult spinal deformity (ASD) is characterized by three-dimensional abnormalities of the thoracic or thoracolumbar spine that exerts significant impacts on the health-related quality of life (HRQoL). With the important effects that deformity of the sagittal plane exerts on the HRQoL, there have been paradigm shifts in ASD evaluation and management. Loss of lumbar lordosis is recognized as a key driver of ASD followed by reducing kyphosis, pelvic retroversion, and knee flexion. The Scoliosis Research Society (SRS)– Schwab classification reflects the sagittal spinopelvic parameters that correlate pain and disability in ASD patients. Although the SRS–Schwab classification provides a realignment target framework for surgeons, a structured patient-specific systemic approach is crucial for the process of decision-making. ASD management should be focused on restoring age-specific harmonious alignment and should consider the comorbidities and risk factors of each patient to prevent catastrophic complications and enhance the HRQoL.

논문정보

형식Review Paper
게재일2020년 12월 (BRIC 등록일 2023-08-14)
연구진국내(교신)+국외 연구진
분야 의약학 > 응용의학
피인용횟수60회 이상 인용된 논문

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