Adult degenerative scoliosis: evaluation and management
Top Cited Papers
- 1 March 2010
- journal article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Neurosurgical Focus
- Vol. 28 (3), E1
- https://doi.org/10.3171/2010.1.focus09271
Abstract
Degenerative scoliosis is a prevalent issue among the aging population. Controversy remains over the role of surgical intervention in patients with this disease. The authors discuss a suitable approach to help guide surgical treatment, including decompression, instrumented posterior spinal fusion, anterior spinal fusion, and osteotomy. These treatment options are based on clinical analysis, radiographic analysis of the mechanical stability of the deformity, given pain generators, and necessary sagittal balance. The high potential complication rates appear to be outweighed by the eventual successful clinical outcomes in patients suitable for operative intervention. This approach has had favorable outcomes and could help resolve the controversy.Keywords
This publication has 25 references indexed in Scilit:
- Posterior Vertebral Column Resection for Severe Pediatric DeformitySpine, 2009
- A Systematic Literature Review of Nonsurgical Treatment in Adult ScoliosisSpine, 2007
- Mathematical Calculation of Pedicle Subtraction Osteotomy Size to Allow Precision Correction of Fixed Sagittal DeformitySpine, 2006
- Medical Complications of Surgical Treatment of Adult Spinal Deformity and How to Avoid ThemSpine, 2006
- Adult ScoliosisSpine, 2002
- Major Intraoperative Neurologic Deficits in Pediatric and Adult Spinal Deformity PatientsSpine, 1998
- Health Outcome Assessment Before and After Adult Deformity SurgerySpine, 1995
- Adult Idiopathic Lumbar ScoliosisSpine, 1994
- Degenerative Adult Onset ScoliosisSpine, 1988
- Degenerative Lumbar ScoliosisSpine, 1979