Abstract: Degenerative scoliosis, a prevalent spinal disorder among the elderly, presents scoliosis resulting from spinal degeneration and associated nerve compression symptoms, which influences the quality of life of patients. The therapeutic approaches are mainly categorized into conservative treatment and surgical treatment. Conservative treatment encompasses drug therapy, orthotic therapy, and physical therapy, and etc., which is appropriate for patients with mild symptoms, aiming to alleviate pain, reduce inflammation, and enhance function. Surgical treatment is applicable to patients with ineffective conservative treatment or severe symptoms. Common surgical methods include simple decompression surgery, spinal fusion and internal fixation surgery, and minimally invasive surgery. With the advancement of technology, minimally invasive surgery has gradually emerged as the mainstream due to its advantages of minor trauma and rapid recovery. Future research should be concentrated on optimizing treatment plans, reducing complications, exploring novel minimally invasive technologies, and personalized treatment to enhance the therapeutic effect and the quality of life of patients.

Key words: degenerative scoliosis, conservative treatment, surgical treatment

摘要： 退变性脊柱侧凸是中老年人群中常见的脊柱疾病,表现为脊柱退行性变引起的侧弯及相关神经压迫症状,显著影响患者的生活质量。治疗方法主要分为保守治疗和手术治疗：保守治疗包括药物治疗、支具治疗及物理治疗等,适用于症状轻微的患者,旨在缓解疼痛、减轻炎症和改善功能;手术治疗适用于保守治疗无效或症状严重的患者,常见手术方式包括单纯减压手术、脊柱融合内固定术、微创手术。随着技术的发展,微创手术因具有创伤小、恢复快的优势而逐渐成为主流。未来的研究应关注优化治疗方案、减少并发症、探索新型微创技术以及个性化治疗,以提高患者的治疗效果和生活质量。

关键词: 退变性脊柱侧凸, 保守治疗, 手术治疗