臨床整形外科55巻3号

2020年03月発行

特集 頚椎を含めたグローバルアライメント

—頚椎を含めたグローバルアライメント—成人脊柱変形患者における脊椎アライメント評価

著者： 八木満¹ 中村雅也¹ 松本守雄¹ 渡辺航太¹

所属機関： ¹慶應義塾大学医学部整形外科

ページ範囲：P.253 - P.257

　脊柱変形に対する治療を行ううえで，頚椎を含めた全脊椎アライメントの持つ臨床的意義や代償機構を熟知し，正確に評価することは極めて重要である．近年の画像検査の進歩により，脊椎外科医は患者固有の全脊椎アライメントや，アライメント不良に対する下肢などでの代償メカニズムに関して，よりよい評価を行うことが可能である．高齢者に対する変形矯正手術では脊椎矢状面アライメントは増悪しており，過矯正はインプラント関連の合併症リスクを増大させるため，手術に際しては患者の年齢を十分に考慮することが重要である．

参考文献

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