The adult scoliosis
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Citations
Reply to: Clinical Evaluation of the Ability of a Proprietary Scoliosis Traction Chair to De-Rotate the Spine: 6-Month Results of Cobb Angle and Rotational Measurements.
Prospective investigation of Oswestry Disability Index and short form 36 subscale scores related to sagittal and coronal parameters in patients with degenerative lumbar scoliosis.
The Case for Deformity Correction in the Management of Radiculopathy with Concurrent Spinal Deformity
The preoperative predictors for subsequent degeneration in L5-S1 disc after long fusion arthrodesis terminating at L5 in patients with adult scoliosis: focus on spinopelvic parameters.
References
The Impact of Positive Sagittal Balance in Adult Spinal Deformity
Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure.
Adult scoliosis: surgical indications, operative management, complications, and outcomes.
Morbidity and Mortality in Association with Operations on the Lumbar Spine: The Influence of Age, Diagnosis, and Procedure
Natural history of untreated idiopathic scoliosis after skeletal maturity.
Related Papers (5)
Frequently Asked Questions (12)
Q2. What are the non-surgical treatment options for scoliosis?
The non-surgical treatment options [9, 20, 34, 46, 67] consist basically of non-steroid anti-inflammatory medication, muscle relaxants, pain medication, muscle exercises, swimming and occasionally gentle traction, while avoiding manipulations and physical activation that may increase the pain.
Q3. What is the common cause of a lumbosacral junction de?
depending on the cause of the curve, the lumbosacral junction usually is degenerated: disc space narrowing, facet joint arthritis, vertebral obliquity and possibly rotational deformity and sometimes even spontaneous fusion of L5 to S1 might be a consequence of a lumbosacral transitional anomaly or a progressed degeneration.
Q4. What causes asymmetric degeneration of the disc and/or facet joints?
The asymmetric degeneration of the disc and/or the facet joints leads to an asymmetric loading of the spinal segment and consequently of a whole spinal area.
Q5. What is the second important symptom of degenerative scoliosis?
The second important symptom of adult degenerative scoliosis is radicular pain and claudication symptoms when standing or walking [57, 73].
Q6. What is the important part of a scoliosis procedure?
As patients, who present themselves with significant clinical problems in the context of adult scoliosis, get older, minimal invasive procedures to address exactly the most relevant clinical problem may become more and more important, basically ignoring the overall deformity and degeneration of the spine.
Q7. What is the important consideration in the case of a posterior release?
The posterior pedicular systems nowadays allow a powerful manipulation, correction, and stabilization of the lumbar spine, as long as a proper posterior release precedes the corrective and stabilization procedure.
Q8. What is the way to treat adult degenerated scoliosis?
Whether the emerging dynamic fixation devices or even disc arthroplasty will be an option in the surgical treatment of adult degenerated scoliosis remains to be considered as more experience is acquired with that kind of implant.
Q9. What is the common type of deformity in the sagittal spine?
The sagittal deformity is almost always exclusively a flat back syndrome or a loss of physiological lordosis and in extreme situations a real kyphosis.
Q10. What is the common time for degenerative scoliosis?
This is the time when degenerative scoliosis may become increasingly symptomatic because the curve may progress due to the asymptomatic load on weakened vertebrae, which get more wedged and deformed.
Q11. How many patients have improved their quality of life?
When analyzed, regarding their overall daily activity by different questionnaires [50], most of these patients irrespective of age have improved in almost all categories of quality of life, and the use of regular pain medication is reduced substantially in more than 70% of these patients.
Q12. What is the main bulk of adult scoliosis?
Keywords Adult scoliosis Æ Degenerative scoliosis Æ Spinal stenosis Æ Adult deformity Æ Secondary scoliosistherefore the main bulk of adult scoliosis.