臨床整形外科54巻3号

2019年03月発行

誌上シンポジウム サルコペニアと整形外科

サルコペニア：脊柱変形の病態と外科治療

著者： 渡辺慶¹ 北村拓也² 長谷川和宏³ 遠藤直人¹

所属機関： ¹新潟大学医歯学総合病院整形外科 ²新潟リハビリテーション大学理学療法学専攻 ³新潟脊椎外科センター

ページ範囲：P.271 - P.278

　サルコペニアは中年期以降に下肢の抗重力筋力の低下に始まり，その後，体幹筋力の低下を来し，特に40歳代以降の女性で問題となる．腰椎前弯減少が主因となる成人期の脊柱変形では多裂筋や大腰筋など体幹の深層筋力低下が原因となり，これらの機能保持が重要となる．体幹筋機能不全を有する脊柱変形に対する矯正手術においては，重心線の偏位を正常化させる矯正固定が，運動機能改善のために重要となる．しかし，体幹筋をはじめとした全身の骨格筋力は術後成績にも影響するため，これらの術前評価，周術期の適切な介入が重要となる．

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