Alignment considerations in degenerative spinal conditions: A narrative review

Q3 Medicine North American Spine Society Journal Pub Date : 2024-10-01 DOI:10.1016/j.xnsj.2024.100562

Vincent Challier , Joseph E. Nassar , Jean-Etienne Castelain , Matthieu Campana , Clément Jacquemin , Soufiane Ghailane

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Abstract

Background

With an aging population, degenerative spinal diseases are contributing significantly to the healthcare's burden. Spinal alignment in the context of adult spinal deformities has become an important domain of research.

Methods

We conducted a narrative review of the latest considerations in spinal alignment within the context of degenerative spinal conditions, discussed current strategies for morphological assessment and finally identified potential areas for future research.

Results

This review reported that degenerative spinal conditions lead to a complex disruption of spinal alignment. It also highlighted the importance of spino-pelvic alignment with specific attention to compensatory mechanisms that occur in response to spinal deformities. Emerging technologies including Artificial Intelligence and epigenetics are showing promises in terms of patient care.

Conclusions

Understanding spinal alignment in degenerative conditions underscores the importance of dynamic and individualized assessments. Future research should integrate emerging technologies along with traditional clinical practices in order to optimize patient outcomes and minimize complications for patients suffering from degenerative spinal diseases.

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脊柱退行性病变的对齐考虑因素：叙述性综述

背景随着人口老龄化的加剧，脊柱退行性疾病正在极大地加重医疗负担。方法我们对脊柱退行性病变背景下脊柱排列的最新考虑进行了叙述性综述，讨论了当前的形态学评估策略，最后确定了未来研究的潜在领域。综述还强调了脊柱骨盆对齐的重要性，并特别关注了脊柱畸形的代偿机制。包括人工智能和表观遗传学在内的新兴技术在患者护理方面大有可为。未来的研究应将新兴技术与传统临床实践相结合，以优化脊柱退行性疾病患者的治疗效果，最大限度地减少并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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