退行性脊柱侧凸椎旁肌退变的研究进展

[Abstract]Degenerative scoliosis （DS） is a common spinal deformity inadults，paravertebral muscle degeneration plays a key role in the occurrence and progression the disease.In terms research methods， a multimodal comprehensive system including imaging，electrophysiological and histological evaluation has been formed.The pathological features paravertebral muscles in DS patientsare characterized by changes in morphology （muscleatrophy，fatinfiltration，left-rightasymmetry）and biomechanical properties （abnormal contraction，imbalance），andaresignificantlycorelatedwithcoronal parameters （Cobbngle）andsagittal parameters [pelvic incidence-lumbar lordosis （PI-LL），sagital vertical axis （SVA），pelvic tilt （PT）]. Clinical treatment strategies include conservative and surgical treatment. Conservative treatment emphasizes rehabilitation training， individualized principles and prognosis evaluation.Surgical treatment focuses on mode selection and prevention proximal junction failure.This review provides anew theoretical basis and practical direction forthe prevention and treatment DS，which is greatvalueforin-depthunderstanding thediseasemechanismandoptimizingclinical decision-making.

[Keywords] Degenerative scoliosisParavertebral muscle degenerationEvaluation method Pathological characteristicsTreatment strategy

First-author'saddress：Rehabilitation Center，theFirst Teaching Hospital Tianjin University TraditionalChineseMedicine，Tianjin30o381，China doi：10.3969/j.issn.1674-4985.2025.32.040

退行性脊柱侧凸（degenerative scoliosis，DS）是一种常见的成年期脊柱畸形，主要发生在40岁以上人群中。（剩余11937字）