一个永远理解你的朋友 "长相、学历、工作没有一项突出， 腰先突出了。" 文 ｜ 王子伊 来源｜ Vista看天下（ID：vistaweek） 封面来源 ｜ unsplash 17岁的人，70岁的腰。 上高中的晓岑总觉得腰不对劲。最开始只是疼，偶尔伴随着左下肢的疼痛发麻。她以为是学习久累出来的，用止痛药和膏药顶着。 可疼痛没停下。左下肢越来越麻，连夜里翻身都成了问题。为了能睡个好觉，她不得不加大止痛药的剂量。 以下文章来源于Vista看天下 ，作者王子伊 Vista看天下 . 实在撑不下去的她，和父母去了医院。磁共振提示，她L5/S1巨大椎间盘突出，需手术治疗。 "长相、学历、工作没有一项突出，腰先突出了。" 对很多人来说，这并非段子，而是他们正在过的日子。 10月初，浙江大学医学院附属邵逸夫医院的骨科手术室里，一台脊柱手术正在进行。患者是一名14岁的男孩。 他身高一米八，体重一百八十斤。过去半年，因为腿痛、屁股痛，他没法上学，连出门走一百步无比困难。父母带他辗转多家医院，各种保守治疗试了个 遍，却没有任何起色。 负责这台手术的是骨科副主任医师徐文斌。 行医13年，他明显感到一个趋势，走进诊室的患者越来越年轻， ...

10月16日是第17个"世界脊柱日"，为回应公众对脊柱健康的关注，推动健康办公场景建设，由黑白调主办、人民健康支持的"黑白调人体工学椅首创AI 智能追腰技术发布会暨《职场久坐健康白皮书》项目启动仪式"在北京举行。 "当前，久坐办公、低头看屏等习惯已成为影响大众脊柱健康的'隐形杀手'，且脊柱健康问题正呈现年轻化趋势，亟待普及脊柱健康知识、推广科学管 理方式和研发适配的健康产品。"中国健康管理协会健康科普专业委员会秘书长郭弘葳说，期待社会各界助推健康科普工作的常态化、专业化发展，并助力 脊柱健康科普为公众所知、所学、所用。也期待在人工智能浪潮下，AI技术能凭借其科技力量进一步守护每一位久坐者的健康，为更多人提供舒适、健康 的生活方式。 "久坐不仅可能让脊柱生理曲度发生改变，引发脊柱周围肌肉劳损、萎缩，还会增大椎间盘压力，甚至导致椎间盘退变、突出。"首都医科大学宣武医院 骨科主任鲁世保提醒，"'久坐党'可根据自身情况，选择高度适中、有良好腰部支撑的座椅。除选择符合人体工学的座椅外，还应每隔30至60分钟起身运 动，每周进行150分钟及以上的中等强度有氧运动，坐姿、站姿、睡姿也要尽量保持正确。" 中国标准化研究院生物 ...

Core Viewpoint - The article discusses the correct sitting posture and debunks the myth that sitting with legs crossed is the healthiest position, emphasizing that maintaining the spine's alignment with the vertical plane is more crucial for spinal health [2][5]. Summary by Sections Correct Sitting Posture - The key to correct sitting posture is to keep the spine vertical relative to the horizontal plane, rather than focusing on whether the legs are crossed [5][11]. - A study involving 544 Greek physical therapists found that 97.5% preferred postures that align with the natural curves of the spine, particularly posture 2, which maintains a slight lumbar curve and aligns the pelvis, head, and shoulders [5]. Steps to Achieve Healthy Sitting Posture 1. **Find the Sit Bones**: Identify the sit bones to ensure even weight distribution while sitting [5]. 2. **Position of Hip and Knee Joints**: Maintain a 90-degree angle at the knees and hips, with feet flat on the ground [5]. 3. **Maintain Spinal Curvature**: Keep the natural curves of the spine by adjusting the upper body and screen position to avoid poor postures [6]. 4. **Alignment Check**: Ensure the head, shoulders, and hips are aligned vertically to alleviate tension in the shoulders and back [9]. Common Poor Sitting Postures - **Crossing Legs**: This can lead to pelvic tilt and uneven pressure on the lumbar spine, potentially causing spinal curvature issues and circulatory problems [11]. - **Hanging Waist**: This posture increases the load on the lumbar region and can lead to muscle strain and disc issues [12]. - **Leaning Forward**: This position can cause muscle tension and pain in the lower back due to prolonged contraction [13]. - **Reclining (Ge You Style)**: This comfortable position can lead to spinal imbalance and increase the risk of cervical and lumbar issues [14]. - **Overly Puffing Chest**: Excessive chest puffing can reduce the natural spinal curvature, leading to discomfort [15]. General Advice - Regardless of sitting posture, prolonged sitting is detrimental; it is recommended to stand and move for 5-10 minutes after every hour of sitting [17].

Group 1 - The article emphasizes the importance of spinal health, highlighting that the spine is a crucial part of the human body, often referred to as the "second lifeline" [1] - It discusses the increasing prevalence of cervical spondylosis and lumbar disc herniation due to modern lifestyle factors such as prolonged sitting and poor posture [1][7] - The article notes that cervical spondylosis is primarily a degenerative disease affecting middle-aged and elderly populations, but younger individuals are increasingly at risk due to habits like excessive smartphone use [7][9] Group 2 - The structure of the spine is detailed, including its various sections: cervical, thoracic, lumbar, sacral, and coccygeal, with specific numbers of vertebrae in each section [3] - Symptoms of cervical spondylosis include neck pain, stiffness, dizziness, and weakness, which can severely impact daily activities [5][9] - High-risk groups for developing cervical spondylosis include those in information technology, drivers, and individuals who frequently work at desks [9]

Core Insights - The article highlights the increasing prevalence of spinal issues among various demographics, including office workers and manual laborers, emphasizing the need for awareness and preventive measures for spinal health [1] Common Spinal Diseases - Common spinal diseases primarily affect the cervical and lumbar regions, with cervical spondylosis being a significant concern. Types include cervical spondylosis, nerve root type, spinal cord type, sympathetic type, and vertebral artery type [2] - Cervical spondylosis symptoms include neck stiffness, pain, and swelling, often caused by improper sleeping positions, prolonged phone use, and incorrect work postures. Young individuals are particularly affected [2] - Lumbar disc herniation is the most common lumbar-related disease, where the intervertebral disc can bulge and compress nerves, leading to severe pain and potential loss of bowel or bladder control [3] Preventive Measures - To prevent cervical and lumbar diseases, it is advised to maintain a proper distance between the chin and chest while using phones or computers, and to take breaks every hour during prolonged sitting [4] - There is a misconception that high-impact exercises like running or jumping are beneficial for spinal health. Instead, stability-focused exercises such as swimming and hip bridges are recommended to strengthen the muscles supporting the spine [5] - The article emphasizes that preventing spinal diseases requires lifelong commitment to healthy habits and proper exercise techniques [5]

Core Viewpoint - The importance of spinal health is emphasized, with common misconceptions and preventive measures discussed in light of World Spine Day on May 21 [1] Misconceptions and Preventive Measures - Misconception 1: The sound of cracking when turning the neck indicates cervical spondylosis. Occasional cracking without pain or other symptoms does not necessarily indicate a problem [2][3] - Preventive measures for cervical spondylosis include exercises to strengthen neck and shoulder muscles, such as standing or sitting upright and resisting against the hands placed on the back of the head [3][4] - Misconception 2: Sleeping on a hard bed is better for lumbar health. A medium-firm mattress that conforms to the natural curvature of the spine is recommended instead of excessively hard surfaces [4][5] - It is advised to avoid prolonged sitting on overly soft furniture, which can lead to poor spinal alignment and increased pressure on intervertebral discs [4][5] - Misconception 3: Simply getting a massage or chiropractic adjustment is sufficient for treating cervical or lumbar issues. Treatment should be tailored to the specific type of condition, and professional guidance is essential [5][6] - Misconception 4: Hanging from a bar can correct scoliosis. While it may provide some temporary relief, it is not a definitive treatment for spinal curvature [7][8] - For scoliosis, monitoring the curvature angle is crucial, with specific recommendations based on the degree of curvature and its impact on daily life [9]