Adult degenerative scoliosis: evaluation and management

被引：280

作者：

Silva, Fernando E. ^{[1
]}

Lenke, Lawrence G. ^{[2
]}

机构：

[1] N Texas Neurol & Spine Ctr, Ft Worth, TX USA

[2] Washington Univ, Sch Med, St Louis, MO USA

来源：

NEUROSURGICAL FOCUS | 2010年 / 28卷 / 03期

关键词：

degenerative scoliosis; decompression; fusion; VERTEBRAL COLUMN RESECTION; SURGICAL-TREATMENT; LUMBAR SCOLIOSIS; SPINAL DEFORMITY;

D O I：

10.3171/2010.1.FOCUS09271

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Degenerative scoliosis is a prevalent issue among the aging population. Controversy remains over the role of surgical intervention in patients with this disease. The authors discuss a suitable approach to help guide surgical treatment, including decompression, instrumented posterior spinal fusion, anterior spinal fusion, and osteotomy. These treatment options are based on clinical analysis, radiographic analysis of the mechanical stability of the deformity, given pain generators, and necessary sagittal balance. The high potential complication rates appear to be outweighed by the eventual successful clinical outcomes in patients suitable for operative intervention. This approach has had favorable outcomes and could help resolve the controversy. (DOI: 10.3171/2010.1.FOCUS09271)

引用

页码：1 / 10

页数：10

共 32 条

[1] Functional outcome and radiographic correction after spinal osteotomy [J].