成人退变性脊柱侧凸(Adult Degenerative Scoliosis, ADS)分型及治疗原则,Definition,冠状面Cobb 角大于10的侧凸畸形 既往没有脊柱侧凸病史 骨骼成熟后伴随椎间盘及关节突关节退变性改变,Natural History,4550岁,平均年龄70.5岁 Cobb 角在10、1020、20的发生率分别是64%、44%、24% 男女比例大致为11 每年进展平均16(平均3) 腰背痛、椎管狭窄症状,Neurosurg Focus 28 (3):E1, 2010,Classification,Aebi classification Scoliosis Research Society classification Schwab classification SRS-Schwab classification,Aebi classification,De novo scoliosis,Eur Spine J, 2005, 14:925-948.,Secondary changes in degenerative scoliosis: facet join