Adult Degenerative Lumbar Scoliosis

Abstract

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. [Orthopedics. 2017; 40(6):e930-e939.].

Assessment of the association between paraspinal muscle degeneration and quality of life in patients with degenerative lumbar scoliosis

“…The increase in the CSA on the convex side may be the result of balance compensation, which eventually achieves the effect of increasing tensile traction and preventing the spine from leaning further to the concave side (4). The characteristics of fat distribution in the bilateral paraspinal muscles also support this explanation, as muscular atrophy is closely associated with increased fat infiltration (38). Therefore, biomechanical changes may lead to asymmetric changes in the PVMs, which is consistent with earlier research on scoliosis (25).…”

Effect of stabilization exercise on back pain, disability and quality of life in adults with scoliosis: a systematic review

“…back pain is the main driving symptom that leads patients to seek medical consultation in as. 6 because of the high risk of complications associated with surgery and population aging, non-operative interventions are more utilized in treating adults with scoliosis. 5,9 only 1 study 9 was ultimately included in this review documenting the effect of a form of stabilization exercises on the outcomes of interest in as.…”

“…participants had to be diagnosed with as, have a cobb angle of 10° or more, and be 18 years of age or more. because the majority of the studies do not provide details of de novo/degenerative scoliosis (occurs through degenerative change without preexisting spinal deformity) 6 or idiopathic scoliosis (a continuation of adolescent idiopathic scoliosis) 15 presentation, both types of scoliosis were included. in addition, we only included studies with participants that did not have exercise treatment in the three years before the study and that examined the effect of the stabilization exercise therapy meeting the definition of core exercises presented in the introduction.…”

“…16 symptom and occurs in approximately 90% of patients with as. 6 low back pain is prominent in patients with as, resulting from muscle fatigue and muscle spasm over the convexity of the curvature. 8 therapeutic options to manage as are either operative or non-operative.…”

“…3,4 patients with as present with various symptoms, including pain, curve progression, symptomatic radiculopathy, or cosmetic deformity affecting the quality of life and physical function. [5][6][7] however, pain is the most common was carried out from inception to March 9, 2017 in each database. the search strategy was developed using the picos framework by the authors, who are expert clinicians and researchers in the field of scoliosis.…”