Surgical treatment of adult degenerative scoliosis

[摘要] IntroductionThe surgical treatment of adult scoliosis still presents many points of discussion. Decision-making on the type of treatment is mandatory to evaluate all the possible alternatives to surgery.Materials and methodsFrom January 2000 to December 2008, 49 cases of adult degenerative scoliosis and kyphoscoliosis were surgically treated. Thirty-six patients were monitored for a mean of 8 years (5–10). There were 10 males and 26 females, with a mean age of 66 years (55–80). Arthrodesis was carried out using pedicle screws at all levels extending to the sacrum in 30 cases and to the ileum in 4. Laminectomy was performed in 20 cases, radicular liberation in 15, PLIF in 10.ResultsAfter an average term of 8 years (5–10) we record 8 (23 %) excellent cases, 10 (29 %) good, 12 (34 %) satisfactory, 5 (14 %) bad. The VAS in the pre-operative period had a value of 7 (5–9) passed in the post-operative period of 3 (0–6). 13 reoperations were performed (36 %)...

[学科分类] 骨科学

[关键词] Adult scoliosis ;Degenerative scoliosis ;Surgical treatment ;Spine surgery