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Degenerative scoliosis

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https://www.readbyqxmd.com/read/28902101/early-ambulation-decreases-length-of-hospital-stay-perioperative-complications-and-improves-functional-outcomes-in-elderly-patients-undergoing-surgery-for-correction-of-adult-degenerative-scoliosis
#1
Owoicho Adogwa, Aladine A Elsamadicy, Jared Fialkoff, Joseph Cheng, Isaac O Karikari, Carlos Bagley
STUDY DESIGN: Ambispective cohort review. OBJECTIVE: To examine the effects of early mobilization on patient outcomes, complications profile, and 30-day readmission rates. SUMMARY OF BACKGROUND DATA: Prolonged immobilization after surgery can result in functional decline and an increased risk of hospital-associated complications. METHODS: We conducted an ambispective study of 125 elderly patients (>65 years) undergoing elective spinal surgery for correction of adult degenerative scoliosis...
September 15, 2017: Spine
https://www.readbyqxmd.com/read/28894678/radiographic-risk-factors-of-reoperation-following-minimally-invasive-decompression-for-lumbar-canal-stenosis-associated-with-degenerative-scoliosis-and-spondylolisthesis
#2
Minori Kato, Takashi Namikawa, Akira Matsumura, Sadahiko Konishi, Hiroaki Nakamura
STUDY DESIGN: Prospective cohort study. OBJECTIVE: Microsurgical bilateral decompression via a unilateral approach (MBDU), a minimally invasive surgical (MIS) decompression method, has been performed for numerous degenerative lumbar diseases, including degenerative lumbar scoliosis (DLS) or degenerative spondylolisthesis (DS), at our institution. In this study, we evaluated the appropriateness of MBDU for DLS or DS patients. METHODS: A total of 207 patients treated by MBDU were included (88 women and 119 men; mean age, 70 [40-86] years)...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28874975/radiologic-and-clinical-courses-of-degenerative-lumbar-scoliosis-10%C3%A2-25%C3%A2-after-a-short-segment-fusion
#3
Kyu Yeol Lee, Min-Woo Kim, Chul Soon Im, Young Hoon Jung
STUDY DESIGN: Retrospective study. PURPOSE: We report the surgical outcomes of small degenerative lumbar scoliosis (DLS) patients treated by a short-segment fusion and followed for a minimum of 5 years. OVERVIEW OF LITERATURE: Several surgical options are available for the treatment of DLS, such as decompression only, decompression plus a short-segment fusion, or decompression with a long segment fusion. Few studies have evaluated the results of a short-segment fusion in patients with DLS over time...
August 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28866740/factor-analysis-of-the-srs-22-outcome-assessment-instrument-in-patients-with-adult-spinal-deformity
#4
A F Mannion, A Elfering, J Bago, F Pellise, A Vila-Casademunt, S Richner-Wunderlin, M Domingo-Sàbat, I Obeid, E Acaroglu, A Alanay, F S Pérez-Grueso, C R Baldus, L Y Carreon, K H Bridwell, S D Glassman, F Kleinstück
PURPOSE: Designed for patients with adolescent idiopathic scoliosis, the SRS-22 is now widely used as an outcome instrument in patients with adult spinal deformity (ASD). No studies have confirmed the four-factor structure (pain, function, self-image, mental health) of the SRS-22 in ASD and under different contexts. Factorial invariance of an instrument over time and in different languages is essential to allow for precise interpretations of treatment success and comparisons across studies...
September 2, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28826716/relationship-between-koenig-depression-scale-and-post-operative-outcomes-ambulation-and-perception-of-pain-in-elderly-patients-%C3%A2-65-years-undergoing-elective-spinal-surgery-for-adult-scoliosis
#5
Aladine A Elsamadicy, Owoicho Adogwa, Amanda R Sergesketter, Collin Black, Aaron Tarnasky, Michael O Ongele, Victoria D Vuong, Syed Khalid, Joseph Cheng, Carlos A Bagley, Isaac O Karikari
BACKGROUND: The aim of this study was to assess whether the Koenig Depression Scale (KDS) can identify depressed elderly patients undergoing elective spine surgery for deformity at-risk for inferior postoperative outcomes, including complication rates, ambulation ability, and patient reported outcomes. METHODS: The medical records of 92 elderly patients (≥65-years) undergoing a planned elective spinal surgery for correction of adult degenerative scoliosis were reviewed for this study...
August 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28816827/the-relationship-between-fear-avoidance-and-objective-biomechanical-measures-of-function-in-patients-with-adult-degenerative-scoliosis
#6
Ram Haddas, Isador H Lieberman, Andrew Block
STUDY DESIGN: A prospective cohort study. OBJECTIVE: The current study utilized quantitative gait analysis to examine the relationship of fear-avoidance beliefs to gait patterns in patients with adult degenerative scoliosis (ADS). SUMMARY OF BACKGROUND DATA: Among patients with chronic spine pain, fear-avoidance beliefs are predictive of behavioral deficiencies, poor work and surgery outcomes. The impact of such beliefs on patients with major spinal deformity has yet to be investigated...
August 14, 2017: Spine
https://www.readbyqxmd.com/read/28799527/recent-advances-in-technique-and-clinical-outcomes-of-minimally-invasive-spine-surgery-in-adult-scoliosis
#7
REVIEW
Gang Liu, Sen Liu, Yu-Zhi Zuo, Qi-Yi Li, Zhi-Hong Wu, Nan Wu, Ke-Yi Yu, Gui-Xing Qiu
OBJECTIVE: Conventional open spinal surgery of adult scoliosis can be performed from anterior, posterior, or combined approach. Minimally invasive spine surgery (MISS) was developed for the purpose of reducing the undesirable effects and complications. This review aimed to make a brief summary of recent studies of the approach and clinical outcomes of MISS in adult scoliosis. DATA SOURCES: We conducted a systematic search from PubMed, Medline, EMBASE, and other literature databases to collect reports of surgical methods and clinical outcomes of MISS in treatment of adult scoliosis...
August 9, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28796046/effect-of-patient-position-on-the-lordosis-and-scoliosis-of-patients-with-degenerative-lumbar-scoliosis
#8
Han Fei, Wei-Shi Li, Zhuo-Ran Sun, Shuai Jiang, Zhong-Qiang Chen
This study aimed to analyze the effect of patient positions on the lordosis and scoliosis of patients with degenerative lumbar scoliosis (DLS).Seventy-seven patients with DLS were retrospectively analyzed. We measured lordosis and Cobb's angle on preoperative upright x-rays and magnetic resonance imagings in supine position. The lordosis and scoliosis of surgical segments in intraoperative prone position were measured on intraoperative radiographs of 20 patients to compare with that in standing position. Paired t tests were performed to investigate the parameters of the sample...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28780620/outcome-of-surgery-for-degenerative-lumbar-scoliosis-an-observational-study-using-the-swedish-spine-register
#9
Tian Cheng, Paul Gerdhem
PURPOSE: The outcome of surgery for degenerative lumbar scoliosis was studied in the Swedish Spine register. METHODS: 209 patients (mean age 66 years) were identified; 45 had undergone decompression and/or fusion of one segment (minor group) and 164 had undergone fusion of two or more segments, with or without decompression (major group). RESULTS: VAS back pain, VAS leg pain, ODI and EQ-5D index improved after surgery in both groups (p < 0...
August 5, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28767623/spinopelvic-changes-based-on-the-simplified-srs-schwab-adult-spinal-deformity-classification-relationships-with-disability-and-health-related-quality-of-life-in-adult-patients-with-prolonged-degenerative-spinal-disorders
#10
Kati Kyrölä, Jussi Repo, Jukka-Pekka Mecklin, Jari Ylinen, Hannu Kautiainen, Arja Häkkinen
STUDY DESIGN: Cross-sectional, observational study. OBJECTIVE: To study the occurrence of sagittal malalignment, the adaptability of a simplified sagittal modifiers grading of the Scoliosis Research Society (SRS)-Schwab adult spinal deformity classification (ASD), and the deformity-specific SRS questionnaire version 30 (SRS-30) in an unselected adult cohort with symptomatic degenerative spinal disorders. SUMMARY OF BACKGROUND DATA: The sagittal modifiers of the SRS-Schwab ASD classification correlate with health-related quality of life (HRQoL) measures in patients with ASD...
August 1, 2017: Spine
https://www.readbyqxmd.com/read/28756380/a-case-of-deep-infection-after-instrumentation-in-dorsal-spinal-surgery-the-management-with-antibiotics-and-negative-wound-pressure-without-removal-of-fixation
#11
Mauro Dobran, Fabrizio Mancini, Davide Nasi, Massimo Scerrati
Until today the role of spinal instrumentation in the presence of a wound infection has been widely discussed and recently many authors leave the hardware in place with appropriate antibiotic therapy. This is a case of a 65-year-old woman suffering from degenerative scoliosis and osteoporotic multiple vertebral collapses treated with posterior dorsolumbar stabilisation with screws and rods. Four months later, skin necrosis and infection appeared in the cranial wound with exposure of the rods. A surgical procedure of debridement of the infected tissue and package with a myocutaneous trapezius muscle flap was performed...
July 28, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28658041/utility-of-intraoperative-monitoring-in-the-resection-of-spinal-cord-tumors-an-analysis-by-tumor-location-and-anatomical-region
#12
Nikita Lakomkin, Akshitkumar M Mistry, Scott L Zuckerman, Travis Ladner, Parth Kothari, Nathan John Lee, Blaine Stannard, Raul A Vasquez, Joseph S Cheng
STUDY DESIGN: Retrospective review of institutional data OBJECTIVE.: The aim of this study was to assess the utility of somatosensory-evoked potentials (SSEP) and transcranial electric motor-evoked potentials (MEP) in the resection of spine tumors and evaluate the ability of both single and multi-modal monitoring to predict post-operative neurological deficits. SUMMARY OF BACKGROUND DATA: While the utility of intraoperative monitoring (IOM) is well established in scoliosis and degenerative surgery, studies in spine tumor patients have been limited...
June 27, 2017: Spine
https://www.readbyqxmd.com/read/28658036/short-limited-fusion-versus-long-fusion-with-deformity-correction-for-spinal-stenosis-with-balanced-de-novo-degenerative-lumbar-scoliosis-a-meta-analysis-of-direct-comparative-studies
#13
Chang-Hyun Lee, Chun Kee Chung, Moon Jun Sohn, Chi Heon Kim
STUDY DESIGN: A systematic review and meta-analysis. OBJECTIVE: To identify advantages and disadvantages of long versus short fusion for patients with SBSS, and to determine whether short fusions and long fusions have different curve progression after surgeries and differences in operative characteristics. SUMMARY OF BACKGROUND DATA: Patients with Spinal stenosis with Balanced de novo degenerative lumbar Scoliosis without substantial Sagittal imbalance (SBSS) usually undergo short limited fusion or long fusion with curve correction...
June 27, 2017: Spine
https://www.readbyqxmd.com/read/28645673/supra-acetabular-line-is-better-than-supra-iliac-line-for-coronal-balance-referencing-a-study-of-perioperative-whole-spine-x-rays-in-degenerative-lumbar-scoliosis-and-ankylosing-spondylitis-patients
#14
Hwee Weng Dennis Hey, Cheung-Kue Kim, Won-Gyu Lee, Hyung-Suk Juh, Ki-Tack Kim
BACKGROUND CONTEXT: The aim of spinal deformity correction is to restore the spine's functional alignment by balancing it in both the sagittal and coronal planes. Regardless of posture, the ideal coronal profile is straight, and therefore readily assessable. PURPOSE: This study compares two radiological methods to determine which better predicts postoperative standing coronal balance. STUDY DESIGN/SETTING: We conducted a single-centre, radiographic comparative study between 2011 and 2015...
June 20, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28631190/pedicle-screw-insertion-accuracy-in-terms-of-breach-and-reposition-using-a-new-intraoperative-cone-beam-computed-tomography-imaging-technique-and-evaluation-of-the-factors-associated-with-these-parameters-of-accuracy-a-series-of-695-screws
#15
Virginie Cordemans, Ludovic Kaminski, Xavier Banse, Bernard G Francq, Christine Detrembleur, Olivier Cartiaux
PURPOSE: The goals of this study were to assess the accuracy of pedicle screw insertion using an intraoperative cone beam computed tomography (CBCT) system, and to analyze the factors potentially influencing this accuracy. METHODS: Six hundred and ninety-five pedicle screws were inserted in 118 patients between October 2013 and March 2016. Screw insertion was performed using 2D-fluoroscopy or CBCT-based navigation. Accuracy was assessed in terms of breach and reposition...
June 19, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28627954/reliability-analysis-of-cobb-measurement-in-degenerative-lumbar-scoliosis-using-endplate-versus-pedicle-as-bony-landmarks
#16
COMPARATIVE STUDY
Jing Guo, Xian-Chao Deng, Qin-Jie Ling, Zhi-Xun Yin, Er-Xing He
OBJECTIVES: Degenerative changes of endplates in older patients and tilting of vertebral body in lumbosacral lordosis could make an accurate identification of endplates for the Cobb measurement difficult. Pedicles have been proposed as alternative landmarks because they are usually better visualized, and offer similar clinical validity to the endplates. The objective of this study was to investigate the reliability of the pedicle method of Cobb measurement in degenerative lumbar scoliosis and compare it with the traditional endplate method...
September 2017: Postgraduate Medicine
https://www.readbyqxmd.com/read/28622901/tridimensional-analysis-of-rotatory-subluxation-and-sagittal-spinopelvic-alignment-in-the-setting-of-adult-spinal-deformity
#17
Emmanuelle Ferrero, Renaud Lafage, Bassel G Diebo, Vincent Challier, Brice Illharreborde, Frank Schwab, Wafa Skalli, Pierre Guigui, Virginie Lafage
STUDY DESIGN: Retrospective single-center. OBJECTIVE: To investigate rotatory subluxation (RS) in adult spinal deformity (ASD) with three-dimensional (3D) stereoradiographic images and analyze relationships between RS, transverse plane parameters, spinopelvic parameters, and clinical outcomes. BACKGROUND: Recent research has demonstrated that sagittal plane malalignment and listhesis correlate with ASD patient-reported outcomes. However, there is still a lack of knowledge regarding the clinical impact of 3D evaluation and rotatory subluxation...
July 2017: Spine Deformity
https://www.readbyqxmd.com/read/28604486/indication-variability-in-degenerative-lumbar-spine-surgery-a-4-nation-survey
#18
Bertrand Debono, Guillaume Lonjon, Luis Alvarez Galovich, Sébastien Kerever, Ben Guiot, Sven-Oliver Eicker, Olivier Hamel, Florian Ringel
STUDY DESIGN: Electronic survey OBJECTIVE.: To identify the international nuances in surgical treatment patterns for severals lumbar degenerative conditions. Specifically, identify 1) Differences in responses in each country group; 2) Identify different treatment trends across countries SUMMARY OF BACKGROUND DATA.: Significant variations in treatment of lumbar degenerative conditions exist among spine surgeons, related to the lack of established consensus in the literature. METHODS: An online survey with preformulated answers was submitted to 52 orthopaedic surgeons, 50 neurosurgeons neurosurgeons from 4 different countries (USA, France, Spain and Germany) regarding 5 vignette-cases...
June 9, 2017: Spine
https://www.readbyqxmd.com/read/28600008/lumbar-radiculopathy-in-the-setting-of-degenerative-scoliosis-mis-decompression-and-limited-correction-are-better-options
#19
REVIEW
Ricardo B Fontes, Richard G Fessler
Surgery for adult spinal deformity (ASD) has emerged as an efficient treatment alternative, but it is fraught with potential perioperative morbidity, incompletely mitigated by emerging minimally invasive surgical techniques. In mild-to-moderate ASD balanced in the sagittal plane, there are situations in which the counterintuitive simple decompression through a foraminotomy or laminectomy, or even a short-segment fusion may be an attractive treatment. This article presents a case example and the authors' treatment rationale and reviews the limited available literature supporting it...
July 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/28598493/adult-degenerative-lumbar-scoliosis
#20
Eugene Wong, Farhaan Altaf, Lawrence J Oh, Randolph J Gray
Adult degenerative lumbar scoliosis is a 3-dimensional deformity defined as a coronal deviation of greater than 10°. It causes significant pain and disability in the elderly. With the aging of the population, the incidence of adult degenerative lumbar scoliosis will continue to increase. During the past decade, advancements in surgical techniques and instrumentation have changed the management of adult spinal deformity and led to improved long-term outcomes. In this article, the authors provide a comprehensive review of the pathophysiology, diagnosis, and management of adult degenerative lumbar scoliosis...
June 9, 2017: Orthopedics
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