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"Adult degenerative scoliosis"

Kevin Phan, Ya Ruth Huo, Jarred A Hogan, Joshua Xu, Alexander Dunn, Samuel K Cho, Ralph J Mobbs, Patrick McKenna, Trichy Rajagopal, Farhaan Altaf
BACKGROUND: Minimally invasive approaches for the treatment of adult degenerative scoliosis have been increasingly implemented. However, little data exists regarding the safety and complication profiles of minimally invasive lumbar interbody fusion (LIF) for adult degenerative scoliosis. This study aimed to greater understand different minimally invasive surgical approaches for adult degenerative scoliosis with respect to clinical outcomes, changes in radiographic measurements, and complication profiles via meta-analytical techniques...
June 2016: Journal of Spine Surgery (Hong Kong)
Ammar H Hawasli, Jodie Chang, Chester K Yarbrough, Karen Steger-May, Lawrence G Lenke, Ian G Dorward
BACKGROUND CONTEXT: Spine surgeons must correlate clinical presentation with radiographic findings in a patient-tailored approach. Despite the prevalence of adult degenerative scoliosis (ADS), there are few radiographic markers to predict the presence of radiculopathy. Emerging data suggest that spondylolisthesis, obliquity, foraminal stenosis, and curve concavity may be associated with radiculopathy in ADS. PURPOSE: The purpose of this study was to determine if radicular pain in ADS is associated with reduced interpedicular heights (IPHs) as measured on routine radiographs...
September 2016: Spine Journal: Official Journal of the North American Spine Society
Guodong Wang, Xingang Cui, Zhensong Jiang, Tao Li, Xiaoyang Liu, Jianmin Sun
Adult degenerative scoliosis associated with lumbar stenosis has become a common issue in the elderly population. But its surgical management is on debating. The main issue condenses on the management priority of scoliosis or stenosis. This study is to investigate surgical management strategy and outcome of adult degenerative scoliosis associated with lumbar stenosis. Between January 2003 and December 2010, 108 patients were admitted to the authors' institution for adult degenerative scoliosis associated with lumbar stenosis...
April 2016: Medicine (Baltimore)
Randall B Graham, Patrick A Sugrue, Tyler R Koski
The treatment of adult degenerative scoliosis begins in the outpatient setting when evaluating a patient both radiographically. Assessing the flexibility of the deformity is essential in determining what techniques will be required to achieve the goals of correction. Ultimately the surgeon's comfort and experience and the patient's medical risk stratification determine the strategy needed to address either a focal pathology or ultimate deformity correction.
April 2016: Clinical Spine Surgery
Changwei Yang, Yanming Li, Yunfei Zhao, Xiaodong Zhu, Ming Li, Gabriel Liu
It is necessary to assess coronal Cobb angle in the diagnosis and treatment of patients with adult degenerative scoliosis (ADS). But as most ADS patients are elderly patients who are difficult or unable to stand upright without assistance, it is difficult to obtain standing posteroanterior X-ray radiographs. Whether it is possible to use Cobb angle obtained on a supine posteroanterior X-ray radiograph to predict Cobb angle in a standing position remains unanswered.To study the correlation between X-ray plain radiographic parameters obtained from the supine position and those obtained from the standing position in ADS patients...
February 2016: Medicine (Baltimore)
Nam Lee, Seong Yi, Dong Ah Shin, Keung Nyun Kim, Do Heum Yoon, Yoon Ha
OBJECTIVE: The progression of scoliosis after fusion surgery is a poor prognostic factor of long-term outcomes in patients with degenerative lumbar stenosis (DLS). In this study we aimed to investigate changes in coronal alignment and identify risk factors related to progression of scoliosis after fusion. METHODS: There were 540 patients with symptomatic DLS treated by short-segment lumbar fusion surgery. Among them, 50 patients had coronal Cobb angles >10° at the final follow-up...
May 2016: World Neurosurgery
Y L Lo, A Teo, Y E Tan, S Fook-Chong, C M Guo, W M Yue, J Chen, S B Tan, H W M Lee, Y F Dan
OBJECTIVE: In adolescent idiopathic scoliosis (AIS), we explore the role of lateralized motor and somatosensory abnormalities as a possible etiological factor. METHODS: Intraoperative transcranial electrical stimulation was performed in 15 AIS and 14 adult degenerative scoliosis (ADS) patients. Inter-side motor output balance (MOB) by comparing the ratios of right to left motor evoked potentials (MEP) amplitudes, and inter-side motor output excitability (MOE) computed with MEP amplitude, was determined separately for both patients groups...
December 15, 2015: Journal of the Neurological Sciences
Tobias A Mattei
No abstract text is available yet for this article.
December 2015: World Neurosurgery
Charles-Henri Flouzat-Lachaniette, Louis Ratte, Alexandre Poignard, Jean-Charles Auregan, Steffen Queinnec, Philippe Hernigou, Jérôme Allain
OBJECT: Frequent complications of posterolateral instrumented fusion have been reported after treatment of degenerative scoliosis in elderly patients. Considering that in some cases, most of the symptomatology of adult degenerative scoliosis (ADS) is a consequence of the segmental instability at the dislocated level, the use of minimally invasive anterior lumbar interbody fusion (ALIF) to manage symptoms can be advocated to reduce surgical morbidity. The purpose of this study was to evaluate the midterm outcomes of 1- or 2-level minimally invasive ALIFs in ADS patients with 1- or 2-level dislocations...
December 2015: Journal of Neurosurgery. Spine
Omar M Uddin, Raqeeb Haque, Patrick A Sugrue, Yousef M Ahmed, Tarek Y El Ahmadieh, Joel M Press, Tyler Koski, Richard G Fessler
OBJECT: Back pain is an increasing concern for the aging population. This study aims to evaluate if minimally invasive surgery presents cost-minimization benefits compared with open surgery in treating adult degenerative scoliosis. METHODS: Seventy-one patients with adult degenerative scoliosis received 2-stage, multilevel surgical correction through either a minimally invasive spine surgery (MIS) approach with posterior instrumentation (n = 38) or an open midline (Open) approach (n = 33)...
December 2015: Journal of Neurosurgery. Spine
Burak Ayça, Taşkın Rakıcı, Yunus Atıcı, Murat Avsar, Yasin Yuksel, Fatih Akın, Ertugrul Okuyan, M Hakan Dinckal
OBJECTIVE: In this study, we aimed to investigate the relationship between adult degenerative scoliosis (ADS) and the aortic plaques and diameters. METHOD: We included 219 patients with ADS and 100 control patients without ADS. Diameters of ascending, arch, descending and abdominal aorta and number, localization and types of the aortic plaques, and the Cobb angles of all patients were measured from computed tomography (CT) images. We divided the patients with ADS into three groups according to the Cobb angle, and divided them into four groups according to level of spine deformity...
June 2016: Vascular
Changwei Yang, Mingyuan Yang, Yuanyuan Chen, Xianzhao Wei, Haijian Ni, Ziqiang Chen, Jingfeng Li, Yushu Bai, Xiaodong Zhu, Ming Li
A retrospective study. To summarize and describe the radiographic parameters of adult degenerative scoliosis (ADS) and explore the radiological parameters which are significantly different in sagittal balanced and imbalanced ADS patients. ADS is the most common type of adult spinal deformity. However, no comprehensive description of radiographic parameters in ADS patients has been made, and few studies have been performed to explore which radiological parameters are significantly different between sagittal balanced and imbalanced ADS patients...
July 2015: Medicine (Baltimore)
Lee Sandquist, Daniel Carr, Doris Tong, Roger Gonda, Teck M Soo
BACKGROUND: The authors sought to demonstrate the safety and effectiveness of the multilevel stabilization screw (MLSS) technique in decreasing the incidence of proximal junctional failure in long segmental instrumented fusions for adult degenerative scoliosis. METHODS: Institutional review board approval was obtained and all patients with adult spinal deformity who underwent the MLSS technique were analyzed. A neuro-radiologist and spine-focused neurosurgeon not involved with the surgical treatment performed radiographic analysis...
2015: Surgical Neurology International
Justin K Scheer, Ryan Khanna, Alejandro J Lopez, Richard G Fessler, Tyler R Koski, Zachary A Smith, Nader S Dahdaleh
We retrospectively reviewed patient charts to compare the approach-related (convex versus concave) neurological complications and magnitude of correction in patients undergoing lateral lumbar interbody fusion (LLIF). It is yet to be quantitatively determined if correction of adult degenerative scoliosis from either side of the curve apex using a LLIF results in a reduction in complications and/or improved corrective ability. The inclusion criteria for this study were patients who underwent a LLIF for adult degenerative thoracolumbar scoliosis and had the LLIF prior to any other supplemental procedures...
October 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Themistocles Protopsaltis, Ashish Patel, Andrew Yoo, Baron Lonner, John A Bendo
BACKGROUND: For the Adult Degenerative Scoliosis (ADS) patient with radiculopathy, there is no clear data in the literature to guide the spine surgeon's decision making in choosing between limited decompression alone, short segment fusion, or longer arthrodesis of the deformity. This study investigates the differences in operative planning, for patients with ADS and radiculopathy, between two groups of spine surgeons based on fellowship experience and practice composition. METHODS: Six Degenerative Spine surgeons (Group 1) and 6 Spinal Deformity surgeons (Group 2) were shown 7 cases of patients with ADS and radiculopathy...
2015: International Journal of Spine Surgery
Arvind von Keudell, Marjan Alimi, Harry Gebhard, Roger Härtl
We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that was successfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declined open surgery and instrumentation due to her advanced age concerns about potential side effects.
April 2015: Archives of Bone and Joint Surgery
Louis Boissière, Jean Bernard, Jean-Marc Vital, Vincent Pointillart, Rémi Mariey, Olivier Gille, Ibrahim Obeid
PURPOSE: Cervical spine alignment interests appeared recently and relationships between the pelvis and the cervical spine have been reported but remain unclear. In this study, postoperative changes for cranial, cervical, lumbar and sagittal balance parameters have been measured in adult scoliosis surgery without major sagittal malalignment to appreciate the adaptation of the cervical spine. METHODS: Twenty-nine consecutive patients with a surgical adult degenerative scoliosis treated with a T8-T11 to iliac fusion without PSO or multiple Ponte's osteotomies had preoperative and postoperative full spine EOS radiographies to measure spino-pelvic parameters...
July 2015: European Spine Journal
Amir Ahmadian, Konrad Bach, Bryan Bolinger, Gregory M Malham, David O Okonkwo, Adam S Kanter, Juan S Uribe
Stand-alone minimally invasive lateral transpsoas interbody fusion (MIS-LIF), without posterior instrumentation, is feasible because the technique does not necessitate the disruption of the stabilizing elements. The objectives of this study are to evaluate the efficacy and clinical outcomes of patients who underwent stand-alone lateral interbody fusion. A multicenter chart review was conducted to identify patients who underwent stand-alone MIS-LIF between 2008 and 2012. Patients were classified by spinal pathology (degenerative disc disease [DDD], spondylolisthesis [SL] and adult degenerative scoliosis [ADS])...
April 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Giuseppe Costanzo, Carmine Zoccali, Philip Maykowski, Christina M Walter, Jesse Skoch, Ali A Baaj
PURPOSE: The recent proliferation of minimally invasive lateral lumbar interbody fusion (LLIF) techniques has drawn attention to potential for these techniques to control or correct sagittal misalignment in adult spinal deformity. We systemically reviewed published studies related to LLIF use in adult spinal deformity treatment with emphasis on radiographic assessment of sagittal balance. METHODS: A literature review was conducted to examine studies focusing on sagittal balance restoration in adult degenerative scoliosis with the LLIF approach...
October 2014: European Spine Journal
Raqeeb M Haque, Omar M Uddin, Yousef Ahmed, Tarek Y El Ahmadieh, Sohaib Z Hashmi, Amir Shah, Richard G Fessler
OF BACKGROUND DATA: Traditional open surgical techniques for correction of adult degenerative scoliosis (ADS) are often associated with increased blood loss, postoperative pain, and complications. Minimally invasive (MIS) techniques have been utilized to address these issues; however, concerns regarding improving certain alignment parameters have been raised. OBJECTIVE: A new "push-through" technique for MIS correction of ADS has been developed wherein a rod is bent before its placement into the screw heads and then contoured further to yield improved correction of radiographic parameters...
October 2016: Clinical Spine Surgery
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