Adulte Lumbalskoliose – ändert sich die Therapie mit zunehmendem Alter?

Zusammenfassung

Patienten mit adulter lumbaler Skoliose werden meist in der 2. Lebenshälfte zunehmend therapiebedürftig. Neben konservativen und interventionellen Maßnahmen können mitunter sehr umfangreiche operative Therapien indiziert werden. Diese Arbeit befasst sich mit den Möglichkeiten, die Therapiestratifizierung auch altersabhängig zu betreiben. Hierzu werden 3 biologische Altersgruppen (jung, mittel, alt) definiert und in therapeutischer Hinsicht gegeneinander abgegrenzt.

Abstract

Patients with adult lumbar scoliosis have increasing therapy requirements in the second half of life. Beside conservative and interventional procedures extensive corrective surgery can be considered. This paper discusses the opportunity of age related stratification of therapy. For this reason, 3 biological age groups are defined (joung, middle aged, old). The influence of age on therapy decisions in these groups is discussed.

Schlüsselwörter

Adulte de novo Skoliose - OP Indikation - Altersabhängigkeit - Stratifizierung

Keywords

adult do novo scoliosis - indication for surgery - age dependancy - stratification

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