Do benefits overcome the risks related to surgery for adult scoliosis? A detailed analysis of a consecutive case series

[摘要] PurposeThe surgical approach to adult spine deformities is complex and presents a high incidence of complications.MethodsWe report here a prospective consecutive case series analysis of 20 patients submitted to posterior correction and instrumented fusion for adult degenerative scoliosis. Clinical outcomes were assessed by self-reported measures. Pre-operative and post-operative complications were analysed during a mean 30-month follow-up period.ResultsEleven patients (55 %) presented pre-operative or post-operative complications. Fifteen different complications occurred, six in the early pre-operative period and nine during follow-up period: ten of these complications occurred in patients who underwent a previous surgery for spine disease.ConclusionsThe clinical improvement at the final follow-up resulted as statistically significant only for the group of patients exposed to posterior fusion without interbody fusion. The observations reported here have to be considered for a shared decision-making in the management of adult scoliosis...

[学科分类] 骨科学

[关键词] Adult degenerative scoliosis ;Posterior instrumented arthrodesis ;Posterior lumbar interbody fusion (PLIF) ;Transforaminal lumbar interbody fusion (TLIF) ;Pre-operative and post-operative complications