Adult degenerative scoliosis – A literature review

Publication date: June 2020Source: Interdisciplinary Neurosurgery, Volume 20Author(s): Adrian Kelly, Aftab Younus, Patrick LekgwaraAbstractAdult scoliosis is an umbrella term referring to all forms of scoliosis occurring in skeletally mature individuals, irrespective of whether the deformity began before or after skeletal maturity. Adult degenerative scoliosis is a specific type of adult scoliosis that refers to a structural curve that develops after skeletal maturity in a previously normal spine. The pathogenesis of adult degenerative scoliosis has at its foundation the same starting point of degenerative spine disease namely age related desiccation of the intervertebral disc. The crucial pathophysiological concept to appreciate in adult degenerative scoliosis is the asymmetry of disc and facet joint degeneration which leads to progressive coronal imbalance on axial loading. Further abnormalities in the pathophysiology of adult degenerative scoliosis include hypertrophy of the ligamentum flavum, laxity of the interspinous ligament and eventual spinal instability. The clinical course of patients with adult degenerative scoliosis is usually a progressively increasing deformity with worsening axial backache over many years. Superimposed leg pain and eventually gradual leg weakness occurs in the advanced stages of the disease. Conservative measures commonly employed by primary care physicians include out-patient medication, lumbo-sacral and thoraco-lumbo-sacral braces, and physi...
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research

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ConclusionInter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable.
Source: Chiropractic and Manual Therapies - Category: Complementary Medicine Source Type: research
Authors: Guzman JZ, Larson AN, Sanders JO, Newton PO, Berven S, Mundis G, Dimar JR, Albert TJ, Sethi RK, Shah SA Abstract The evaluation and management of spinal disorders is complex and constantly evolving. Back pain and spinal deformity are substantial contributors to hospital and outpatient physician visits even for young patients. With new insights into the etiology, clinical presentation, and evaluation, children can be more accurately diagnosed and treated. Patients with adolescent idiopathic scoliosis may undergo selective fusion to preserve motion segments, and in some cases, vertebral body tethering or oth...
Source: Instructional Course Lectures - Category: Orthopaedics Tags: Instr Course Lect Source Type: research
Conclusions: Eighty percent of patients with AIS who underwent PSF felt that the time of discharge was appropriate with an enhanced discharge pathway. There was no correlation between patient satisfaction and length of stay. Level of Evidence: Level II.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Scoliosis Source Type: research
Conclusions: The TSK-AA demonstrated good psychometric properties in patients undergoing scoliosis surgery, which provides empirical evidence for pediatrics. Its validation in distinct populations and settings is recommended prior to its use. PMID: 32028813 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Occup Ther Pediatr Source Type: research
Rationale: Facioscapulohumeral muscular dystrophy (FSHD) is the third most common muscular dystrophy, which is associated with facial, shoulder girdle, and paraspinal muscle atrophy. Most of the patients develop hypokyphosis and hyperlordosis in the course of the disease, to preserve standing posture. Corrective fusion is contraindicated in these patients as the surgery results with loss of compensatory hyperlordosis and leads to loss of trunk balance while standing. Although spinal fusion in neuromuscular scoliosis is a known treatment option, there are no studies in the literature on the spinal fusion of this specific ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
AbstractPurposeTo explore the correlations between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion.MethodsWe retrospectively identified adult scoliosis patients who underwent long-segment spinal fusions between December 2009 and August 2015. The patients were divided into a pain group (PG) and a control group (CG) based on whether hip pain was reported at the end of follow-up. There were 34 cases in the PG and 42 in the CG. The visual analogue scale was employed to assess the postoperative hip pain in PG patients. Two sets of parameters were recorded: one ...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Abstract OBJECTIVE: The Scoliosis Research Society-22r questionnaire (SRS-22r) has been shown to be reliable, valid, and responsive to change in patients with adult spinal deformity (ASD) undergoing surgery. The minimal clinically important difference (MCID) is the smallest difference in a health-related quality of life score that is considered to be worthwhile or clinically important to the individual. The authors hypothesized that the proportion of patients with ASD achieving an MCID in the SRS-22r score would be different between two culturally different cohorts. The purpose of this study was to compare the pro...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Conclusions: Moderate evidence suggests that spinal fusion improves quality of life for adolescents with idiopathic scoliosis in medium and long-term follow-up. Our results may help inform patient expectations regarding surgery. OCEMB Level of Evidence: Level I—systematic review and meta-analysis of prospective studies.
Source: Journal of Spinal Disorders and Techniques - Category: Surgery Tags: Systematic Review Source Type: research
Conclusions: Outcomes for corrective surgery for ASD were inferior in geriatric patients compared with middle-aged patients, in whom the extent of spinal deformity and the operation type were adjusted similarly. Special attention is needed when considering surgical treatment for geriatric ASD patients.
Source: Journal of Spinal Disorders and Techniques - Category: Surgery Tags: Primary Research Source Type: research
Conditions:   Adolescent Idiopathic Scoliosis;   Cerebral Palsy Interventions:   Behavioral: Pain assessment for verbal patients;   Behavioral: Pain assessment for non-verbal patients Sponsor:   Catherine Ferland Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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