SURGICAL STRATEGY FOR ADULT DEGENERATIVE SCOLIOSIS: EVALUATION, MANAGEMENT AND RESULTS
Journal Title: World Journal of Advance Healthcare Research - Year 2018, Vol 2, Issue 3
Abstract
Study design: In Adult Degenerative scoliosis (“de novo”) controversy remains over the indications of surgical intervention, overall about the choice between local treatment of the cause of pain (segmental decompression) or the structural treatment of the cause of the deformity (correction of sagittal or coronal unbalance). Objective: We conducted a comprehensive review of the literature and our clinical experience to define reliable choises of more appropriate treatment and decide when to address the stenosis alone and when to include the deformity. Methods: A prospective analysis of a series of 66 patients with degenerative scoliosis of the lumbar spine and surgical treated. Results: In the results was not observed a statistically significant correlation between the amount of the scoliotic curve correction and the outcome clinical improvement, while a significant correlation between the sagittal balance correction and the clinical result. Conclusions: Restoring lumbar lordosis and sagittal balance take precedence over scoliosis correction.
Authors and Affiliations
Monia Martiniani
Keywords
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