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Degenerative scoliosis

Akira Matsumura, Takashi Namikawa, Minori Kato, Tomonori Ozaki, Yusuke Hori, Noriaki Hidaka, Hiroaki Nakamura
The purpose of this study was to assess the clinical results of posterior corrective surgery using a multilevel transforaminal lumbar interbody fusion (TLIF) with a rod rotation (RR) and to evaluate the segmental corrective effect of a TLIF using CT imaging. The medical records of 15 consecutive patients with degenerative lumbar kyphoscoliosis (DLKS) who had undergone posterior spinal corrective surgery using a multilevel TLIF with an RR technique and who had a minimum follow-up of 2 years were retrospectively reviewed...
October 7, 2016: Journal of Neurosurgery. Spine
Erlick A C Pereira, Mohammad Farwana, Khai S Lam
Spinal stenosis and low-grade spondylolisthesis produce symptoms of neural compression that can be treated with extreme lateral lumbar interbody fusion (XLIF) via indirect decompression. This study aimed to investigate whether the restoration of disc dimensions would relieve symptoms of radiculopathy, claudication and back pain. In this retrospective study, patients undergoing XLIF surgery for relief of radicular symptoms or degenerative disc disease were included. Radiologically proven changes were used to assess the modes of degeneration...
October 1, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Amandeep Bhalla, Andrew J Schoenfeld, Jaiben George, Michael Moghimi, Christopher M Bono
BACKGROUND: Context: Understanding the influence of preoperative diagnosis on outcomes for lumbar fusion surgery improves the quality of research and outcomes data, and helps guide treatment decisions. PURPOSE: We sought to perform a systematic review of the literature published between 2000 and 2014 regarding lumbar fusion outcomes for degenerative disorders. An assessment of the influence of subgroup diagnosis on outcomes, as well as the quality of this body of literature was performed...
September 29, 2016: Spine Journal: Official Journal of the North American Spine Society
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: J Spine Surg
Ralph J Mobbs, Kevin Phan, Greg Malham, Kevin Seex, Prashanth J Rao
Degenerative disc and facet joint disease of the lumbar spine is common in the ageing population, and is one of the most frequent causes of disability. Lumbar spondylosis may result in mechanical back pain, radicular and claudicant symptoms, reduced mobility and poor quality of life. Surgical interbody fusion of degenerative levels is an effective treatment option to stabilize the painful motion segment, and may provide indirect decompression of the neural elements, restore lordosis and correct deformity. The surgical options for interbody fusion of the lumbar spine include: posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), minimally invasive transforaminal lumbar interbody fusion (MI-TLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), lateral lumbar interbody fusion (LLIF) and anterior lumbar interbody fusion (ALIF)...
December 2015: J Spine Surg
Daniel J Blizzard, Michael A Gallizzi, Charles Sheets, Benjamin T Smith, Robert E Isaacs, Megan Eure, Christopher R Brown
BACKGROUND: Sagittal balance restoration has been shown to be an important determinant of outcomes in corrective surgery for degenerative scoliosis. Lateral interbody fusion (LIF) is a less-invasive technique which permits the placement of a high lordosis interbody cage without risks associated with traditional anterior or transforaminal interbody techniques. Studies have shown improvement in lumbar lordosis following LIF, but only one other study has assessed sagittal balance in this population...
2016: International Journal of Spine Surgery
Laura Allen
OBJECTIVES: To study the effects of massage on chronic low-back pain in a patient with four different diagnoses: osteoarthritis, scoliosis, spinal stenosis, and degenerative disc disease. The patient's goal was to cut down on the amount of pain medication he takes. METHODS: A 63-year-old man with chronic back pain received four massages across a twenty-day period. Progress was recorded using the Oswestry Low Back Pain Scale, as he self-reported on levels of pain and interference with his activities of daily living...
September 2016: International Journal of Therapeutic Massage & Bodywork
H Bao, P Yan, Y Qiu, Z Liu, F Zhu
AIMS: There is a paucity of information on the pre-operative coronal imbalance in patients with degenerative lumbar scoliosis (DLS) and its influence on surgical outcomes. PATIENTS AND METHODS: A total of 284 DLS patients were recruited into this study, among whom 69 patients were treated surgically and the remaining 215 patients conservatively Patients were classified based on the coronal balance distance (CBD): Type A, CBD < 3 cm; Type B, CBD > 3 cm and C7 Plumb Line (C7PL) shifted to the concave side of the curve; Type C, CBD > 3 cm and C7PL shifted to the convex side...
September 2016: Bone & Joint Journal
Peng Yan, Hongda Bao, Yong Qiu, Mike Bao, Jeffrey J Varghese, Xu Sun, Zhen Liu, Zezhang Zhu, Bangping Qian, Minghao Zheng, Feng Zhu
STUDY DESIGN: A retrospective study. OBJECTIVE: To investigate whether the mismatch between proximal junctional angle (PJA) and the proximal rod contouring contributed to the occurrence of post-operative PJK in degenerative scoliosis. SUMMARY OF BACKGROUND DATA: Proximal junctional kyphosis (PJK) is one of the complications in the treatment of degenerative scoliosis, the post-operative PI-LL mismatch and the increased rod stiffness are supposed to be the etiology of PJK...
August 24, 2016: Spine
J C Le Huec, A Cogniet, S Mazas, A Faundez
UNLABELLED: Degenerative de novo scoliosis is commonly present in older adult patients. The degenerative process including disc bulging, facet arthritis, and ligamentum flavum hypertrophy contributes to the appearance of symptoms of spinal stenosis. Idiopathic scoliosis has also degenerative changes that can lead to spinal stenosis. PURPOSE: The aetiology, prevalence, biomechanics, classification, symptomatology, and treatment of idiopathic and degenerative lumbar scoliosis in association with spinal stenosis are reviewed...
October 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Liang Wang, Bangke Zhang, Shuo Chen, Xuhua Lu, Zhi-Yong Li, Qunfeng Guo
No abstract text is available yet for this article.
August 10, 2016: World Neurosurgery
M Putzier, M Pumberger, H Halm, R K Zahn, J Franke
BACKGROUND: De-novo scoliosis is most commonly associated with chronic back pain and in 70 % of cases with neurological symptoms of the lower extremities. In recent literature, the occurrence and severity of segmental lateral listhesis has been discussed as being an important prognostic factor of sagittal and frontal deformity progression. In general, operative interventions in patients with de-novo scoliosis are associated with a high rate of complications. Therefore, conservative treatment modalities are recommended at early stages of the disease...
September 2016: Der Orthopäde
Hui Wang, Lei Ma, Dalong Yang, Tao Wang, Sidong Yang, Yanhong Wang, Qian Wang, Feng Zhang, Wenyuan Ding
The aim of this study was to identify the prevalence of proximal junctional kyphosis (PJK) in degenerative lumbar scoliosis (DLS) following long instrumented posterior spinal fusion, and to search for predictable risk factors for the progression of junctional kyphosis.In total 98 DLS patients with a minimum 2-year follow-up were reviewed prospectively. According to the occurrence of PJK at the last follow-up, patients were divided into 2 groups: PJK group and non-PJK group. To investigate risk values for the progression of PJK, 3 categorized factors were analyzed statistically: patient characteristics-preoperative data of age, sex, body mass index (BMI), bone mineral density (BMD) were investigated; surgical variables-the most proximal and distal levels of the instrumentation, the number of instrumented levels; pre- and postoperative radiographic parameters include the scoliotic angle, sagittal vertical axis, thoracic kyphosis, thoracolumbar junctional angle, lumbar lordosis, pelvic incidence, pelvic tilt, and sacral slope...
August 2016: Medicine (Baltimore)
Yongjung J Kim, Seung-Jae Hyun, Gene Cheh, Samuel K Cho, Seung-Chul Rhim
Adult spinal deformity (ASD) is one of the most challenging spinal disorders associated with broad range of clinical and radiological presentation. Correct selection of fusion levels in surgical planning for the management of adult spinal deformity is a complex task. Several classification systems and algorithms exist to assist surgeons in determining the appropriate levels to be instrumented. In this study, we describe our new simple decision making algorithm and selection of fusion level for ASD surgery in terms of adult idiopathic idiopathic scoliosis vs...
July 2016: Journal of Korean Neurosurgical Society
Yang Soo Park, Kuen Tak Suh, Jong Ki Shin, Jung Sub Lee
OBJECTIVE: To examine the association between development of degenerative lumbar scoliosis (DLS) and sex hormones. METHODS: We investigated the association between DLS and estrogen receptor alpha (ERα) gene polymorphisms in 184 patients with a diagnosis of DLS, by determining the presences of the Pvu II and Xba I polymorphisms, measuring bone mineral densities at the lumbar spine (LSBMD) and femoral neck (FNBMD), and by investigating biochemical markers of bone turnover and comparing these results with those of 220 healthy normal controls...
July 11, 2016: British Journal of Neurosurgery
Go Yoshida, Louis Boissiere, Daniel Larrieu, Anouar Bourghli, Jean Marc Vital, Olivier Gille, Vincent Pointillart, Vincent Challier, Remi Mariey, Ferran Pellisé, Alba Vila-Casademunt, Francisco Javier Perez-Grueso, Ahmet Alanay, Emre Acaroglu, Frank Kleinstück, Ibrahim Obeid
STUDY DESIGN: Prospective multicenter study of adult spinal deformity (ASD) surgery. OBJECTIVE: To clarify the impact of ASD surgery on each health-related quality of life (HRQOL) subclass/domain. SUMMARY OF BACKGROUND DATA: For ASD patients, surgery offers superior radiological and HRQOL outcomes compared to non-operative care. However, HRQOL may be affected by surgical advantages related to corrective effects, yielding adequate spinopelvic alignment and stability or disadvantages because of long segment fusion...
July 7, 2016: Spine
Martin H Pham, Andre M Jakoi, Patrick C Hsieh
Lumbar interbody fusion is an important technique for the treatment of degenerative disc disease and degenerative scoliosis. The oblique lumbar interbody fusion (OLIF) establishes a minimally invasive retroperitoneal exposure anterior to the psoas and lumbar plexus. In this video case presentation, the authors demonstrate the techniques of the OLIF at L5-S1 performed on a 69-year-old female with degenerative scoliosis as one component of an overall strategy for her deformity correction. The video can be found here: https://youtu...
July 2016: Neurosurgical Focus
C Palazzo, J P Montigny, F Barbot, B Bussel, I Vaugier, D Fort, I Courtois, C Marty-Poumarat
OBJECTIVE: To assess the effectiveness of bracing in adult with scoliosis. DESIGN: Retrospective cohort study SETTING: Outpatients followed in 2 French tertiary care hospitals PARTICIPANTS: 38 adults with non-operated progressive idiopathic or degenerative scoliosis treated by custom-molded lumbar-sacral orthosis (LSO), with a minimum follow-up time of 10 years before bracing and 5 years after bracing. Progression was defined as a variation in Cobb angle ≥ 10° between the first and the last radiograph before bracing...
June 22, 2016: Archives of Physical Medicine and Rehabilitation
Eric Klineberg, Munish Gupta, Ian McCarthy, Richard Hostin
STUDY DESIGN: Single-center, retrospective study of consecutive surgeries. OBJECTIVE: Evaluate the reliability of previously published anterior fusion grading systems and assess the ability of health-related quality-of-life (HRQOL) outcomes to predict pseudarthrosis (PSAR). SUMMARY OF BACKGROUND DATA: Despite existing radiographic indicators, PSAR may still go unidentified on biplanar radiographs, and little data is available on the reliability of such grading systems in adult spinal deformity patients...
June 3, 2016: Clinical Spine Surgery
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 where a rod is bent prior to its placement into the screw heads and then contoured further to yield improved correction of radiographic parameters...
June 3, 2016: Clinical Spine Surgery
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