Postoperative Recovery Outcomes in Adult Scoliosis: A Prospective Multicenter Database With 5-Year Follow-Up

Weber, Michael H.; Mathew, John; Takemoto, Steven K.; Na, Lumine H.; Berven, Sigurd

doi:10.1016/j.jspd.2014.01.001

Cited by 10 publications

(14 citation statements)

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“…У взрослых пациентов с дегенеративным поясничным сколиозом боли, как правило, обусловлены деформациями позвоночного столба и многоуровневым стенозом позвоночного канала [10,14,20]. Симптомы, свя- Единого мнения о способах и схемах лечения данной патологии не существует.…”

Section: Discussionunclassified

“…Однако нет сомнений в необходимости оперативного лечения дегенеративных деформаций позвоночника, в особенности в поясничном отделе. Есть много хирургических вариантов, начиная от простой декомпрессии в зоне стеноза и заканчивая многоуровневыми фиксациями с коррекцией сагиттального и фронтального профилей [5,6,20,21]. Postacchini et al [22] предположили, что у пациентов с нейрогенной хромотой практически нет болей в спине и деформация не ригидная, что дало им основание предлагать в данных случаях только декомпрессивные вмешательства.…”

Section: Discussionunclassified

“…Полученные результаты не противоречат данным авторов, подчеркивающих необходимость фиксировать патологически измененные сегменты с коррекцией деформации [6,20,22,24]. Прогрессирование дегенеративных изменений с течением времени у пациентов после локальной декомпрессии приведет к необходимости транспедикулярной фиксации в качестве первого этапа, главным образом у пациентов с тяжелой соматической сопутствующей патологией.…”

Section: Discussionunclassified

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Local foraminotomy for decompression as a factor of the spinal motion segment instability development in elderly patients with degenerative scoliosis

et al. 2019

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Section: Discussionunclassified

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Local foraminotomy for decompression as a factor of the spinal motion segment instability development in elderly patients with degenerative scoliosis

et al. 2019

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“…Данные по летальным исходам содержатся только в одной публикации [15] и составляют 19 случаев на 4 555 операций. Многие авторы изучали удовлетворенность больных результатами лечения [5,7,9,10,14,21] и пришли к выводу, что, несмотря на значительное количество осложнений и повторных вмешательств, качество жизни пациентов существенно улучшается.…”

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Surgical Correction of Adult Idiopathic Scoliosis in Patients of Young and Middle Age

et al. 2018

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Objective.To evaluate the results of surgical correction of idiopathic scoliosis in patients aged 18-50 years, in terms of different age groups.Material and Methods.A total of 393 patients (348 women, 45 men) with idiopathic scoliosis were operated on during 1996-2015. In all cases, posterior correction of the deformity was performed using segmental third-generation instrumentation. The primary curve and structural countercurve were included in the fusion area. Hook fixation was performed in 298 cases, and hybrid (hooks and pedicle screws) in 95. The period of postoperative follow-up was 4.4 years on average. Analysis of immediate and long-term results was performed using X-ray and computer optical topography in three age groups (age at the time of surgery): 18 to 24 years (274 patients), 25 to 34 years (95 patients), 35 years and older (24 patients).Results.No statistically significant differences between age groups were revealed, both in initial parameters (magnitude of the primary curve, countercurve, and the apical vertebra rotation) and in surgical results (magnitude of correction, loss of correction and mobility). When interviewing patients with the SRS-24 questionnaire, the best results were obtained in the group of age 18-24, worse in the group of age 25-34, and even worse in the group of age over 35. Computer topography also revealed the absence of statistically significant difference between age groups.Conclusion.Surgical treatment of adult idiopathic scoliosis provides quite satisfactory results, especially in terms of improving the quality of life, that do not have significant differences when comparing three age groups within the age range exceeding 30 years.

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“…4,9 Where old age is combined with severe somatic pathology, the extensiveness of surgical intervention should still preserve opportunities for self-reliance and social activity. 5,6,8,10,11 Though understanding of treatment volume is quite clearly defined in general terms, this not the case for elderly patients. [5][6][7]12 It is clear from the current literature that further research is needed on the subject of treating elderly patients with deformities, spinal stenosis, and segment instability.…”

Section: Años Los Criterios Para La Inclusión Fueron Enfermedades Y mentioning

confidence: 99%

Comparison of Surgical Interventions for Degenerative Deformities and Instability of the Spine Among Elderly Patients

et al. 2018

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Objective: To evaluate the surgical results among elderly patients with degenerative deformities and instability of the spine. Methods: A retrospective study of 437 patients (337 women, 100 men) with a mean age 60. The mean follow-up time was five years. The inclusion criteria were diseases and complications following spinal trauma associated with deformities, degenerative processes, acute pain syndrome, and spinal stenosis with neurological deficit. Four study groups (A, B, C and D) were created and defined by type of surgical intervention. Group A patients (the reference group) - decompression of neural structures on both sides without fixation. Group B - decompression and transpedicular fixation performed without correction of the deformity. Group C - patients operated up to the lower-thoracic region with transpedicular screws, correction of the deformity and decompression of spinal stenosis. Group D - transpedicular fixation up to higher-thoracic region; correction of the deformity and decompression of neurological structures. The mean follow-up time was five years. Results: Group D patients achieved the best outcome. The results observed were good in 57.2% of cases (60 patients); satisfactory in 40% of cases (42 patients); and unsatisfactory in 2.8% of cases (three patients). The worst findings were observed in Group A: satisfactory in 13.4% of cases (15 patients); and, unsatisfactory in 86.6% of cases (97 patients). No good results were observed in this group. Conclusion: The results suggest that performing full deformity correction with transpedicular fixation up to the higher-thoracic region gives the best outcomes for elderly patients, and helps to prevent long-term complications. Evidence level III; Retrospective Comparative Study.

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Postoperative Recovery Outcomes in Adult Scoliosis: A Prospective Multicenter Database With 5-Year Follow-Up

Abstract: Surgical treatment has the potential to significantly improve the quality of life of patients with adult scoliosis. An understanding of the timing of improvement after surgery will improve both the counseling of surgical candidates and patient care pathways.

Cited by 10 publications

References 20 publications

Local foraminotomy for decompression as a factor of the spinal motion segment instability development in elderly patients with degenerative scoliosis

Local foraminotomy for decompression as a factor of the spinal motion segment instability development in elderly patients with degenerative scoliosis

Surgical Correction of Adult Idiopathic Scoliosis in Patients of Young and Middle Age

Comparison of Surgical Interventions for Degenerative Deformities and Instability of the Spine Among Elderly Patients

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