Natural History of Spinopelvic Alignment Differs From Symptomatic Deformity of the Spine

Mendoza-Lattes, Sergio; Ries, Zachary; Gao, Yubo; Weinstein, Stuart L.

doi:10.1097/brs.0b013e3181d35ca9

Cited by 58 publications

(35 citation statements)

References 23 publications

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“…scoliotic peers. 12 Accordingly, the goal of scoliosis surgery is to correct both the characteristic coronal deformity as well as sagittal balance.…”

Section: Discussionmentioning

confidence: 99%

Sagittal Balance Correction in Lateral Interbody Fusion for Degenerative Scoliosis

et al. 2016

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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. The objective of this study is to evaluate the ability of LIF to restore sagittal balance in degenerative lumbar scoliosis.

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“…scoliotic peers. 12 Accordingly, the goal of scoliosis surgery is to correct both the characteristic coronal deformity as well as sagittal balance.…”

Section: Discussionmentioning

confidence: 99%

Sagittal Balance Correction in Lateral Interbody Fusion for Degenerative Scoliosis

et al. 2016

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“…Adult scoliotic patients were found to have lower average lumbar lordosis and grade of thoracic kyphosis than their normal counterparts [33]. A review of literature has revealed numerous relationships between pelvic and spinal variables [33,34].…”

Section: Spinopelvic Alignmentmentioning

confidence: 99%

“…Pelvic incidence (PI), lumbar lordosis (LL), thoracic kyphosis, sacral slope (SS) and pelvic tilt (PT) are the essential parameters require to measure the magnitude of deformity. [33,34]. Failure to restoration of sagittal balance can lead to poor surgical outcomes.…”

Section: Spinopelvic Alignmentmentioning

confidence: 99%

“…A review of literature has revealed numerous relationships between pelvic and spinal variables [33,34]. Pelvic incidence (PI), lumbar lordosis (LL), thoracic kyphosis, sacral slope (SS) and pelvic tilt (PT) are the essential parameters require to measure the magnitude of deformity.…”

Section: Spinopelvic Alignmentmentioning

confidence: 99%

“…CT scan is useful for bony abnormalities and spinal canal and pedicular dimensions especially before surgery [30,31]. MRI needs to be taken to envision any occurrence of canal stenosis, facet hypertrophy, pedicular abnormality, foraminal stenosis, and degenerative disc disease [32][33][34][35]. CT-myelography may be used in the setting of pacemakers and rotational deformities for better delineation of bony structures [32].…”

Section: Imagingmentioning

confidence: 99%

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Role of Minimally Invasive Spine Surgery in Adults with Degenerative Lumbar Scoliosis: A Narrative Review

Tannoury

Haddadi

Kempegowda

et al. 2017

IrJNS

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Background and Aim: Degenerative lumbar scoliosis is a spinal deformity resulting from advanced disc degeneration and facet arthropathy. Given the inconclusive available literature and lack of high-quality data supporting the role of minimally invasive surgical management of degenerative lumbar scoliosis, this review intends to highlight and compare the various viable minimally invasive surgical methods for adult degenerative deformity correction. Methods and Materials/Patients:Online databases search including Medline, PubMed and Ovid was preformed using the keywords: adult, degenerative, lumbar scoliosis, etiology, clinical issues, diagnostic imaging, spinopelvic alignment, non-operative and surgical treatment options, minimally invasive, interbody fusion, and percutaneous pedicle screw fixation. Eighty-three studies, published after 2000, on degenerative lumbar scoliosis epidemiology, classification and management were identified and reviewed.Results: Minimally invasive surgical techniques available for interbody fusion include posterior lumbar interbody fusion, transformational lumbar interbody fusion, oblique lumbar interbody fusion, anterior lumbar interbody fusion, and extreme lateral interbody fusion. Each surgical option warrants technical considerations, indication, complications awareness, and functional and radiological outcomes assessment. Sound patients' selection is key for improved outcomes, and therefore the following factors should be well examined prior to surgical intervention: the patient's medical condition and underlying morbidities, the extent of the involved disc spaces, imaging characteristics, and surgeon skills. Conclusion:The superiority of one surgical technique over the others, was not proven due to lack of strong and supportive data. However, a comprehensive review of indications, benefits, and disadvantages of the minimally invasive surgical procedures is presented. There is an interest in minimally invasive surgery of the spine owing to lower complication rates and morbidity, with limited soft tissue disturbance, decreased blood loss, improved cosmesis, shorter hospital stay, earlier return to work, and therefore decreased general health care costs.

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Surgical Alignment Goals for Adult Lumbar Scoliosis

Alijanipour

Bao

Schwab

2017

Adult Lumbar Scoliosis

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Natural History of Spinopelvic Alignment Differs From Symptomatic Deformity of the Spine

Cited by 58 publications

References 23 publications

Sagittal Balance Correction in Lateral Interbody Fusion for Degenerative Scoliosis

Sagittal Balance Correction in Lateral Interbody Fusion for Degenerative Scoliosis

Role of Minimally Invasive Spine Surgery in Adults with Degenerative Lumbar Scoliosis: A Narrative Review

Surgical Alignment Goals for Adult Lumbar Scoliosis

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