Impact of Obesity on Complications and Surgical Outcomes of Adult Degenerative Scoliosis with Long- Segment Spinal Fusion

2022 ◽  
Author(s):  
Truong Van Tri ◽  
Sunna Tarek ◽  
Al-Shakfa Fidaa ◽  
MC Graw Maude ◽  
Boubez Ghassan ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Surgical Outcomes ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis

Adult degenerative scoliosis: evaluation and management

2010 ◽  
Vol 28 (3) ◽  
pp. E1 ◽  
Author(s):  
Fernando E. Silva ◽  
Lawrence G. Lenke
Keyword(s):  
Spinal Fusion ◽  
Mechanical Stability ◽  
Treatment Options ◽  
Posterior Spinal Fusion ◽  
Clinical Analysis ◽  
Complication Rates ◽  
Degenerative Scoliosis ◽  
Anterior Spinal Fusion ◽  
Adult Degenerative Scoliosis

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.

Adult Degenerative Scoliosis Surgical Outcomes: A Systematic Review and Meta-analysis

2013 ◽  
Vol 1 (4) ◽  
pp. 248-258 ◽  
Author(s):  
Charles G.T. Ledonio ◽  
David W. Polly ◽  
Charles H. Crawford ◽  
Sue Duval ◽  
Justin S. Smith ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Outcomes ◽  
Meta Analysis ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis

scholarly journals Second sacral sacralalar‐iliac (S2AI) screw placement in adult degenerative scoliosis (ADS) patients: an imaging study

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bing Wu ◽  
Kai Song ◽  
Junyao Cheng ◽  
Pengfei Chi ◽  
Zhaohan Wang ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Imaging Study ◽  
Outer Diameter ◽  
Degenerative Scoliosis ◽  
Female Patients ◽  
Lateral Angle ◽  
Adult Degenerative Scoliosis ◽  
Imaging Characteristics ◽  
Starting Point ◽  
Trajectory Length

Abstract Background The imaging characteristics of sacral sacralalar-iliac (S2AI) screw trajectory in adult degenerative scoliosis (ADS) patients will be determined. Methods S2AI screw trajectories were mapped on three-dimensional computed tomography (3DCT) reconstructions of 40 ADS patients. The starting point, placement plane, screw template, and a circle centered at the lowest point of the ilium inner cortex were set on these images. A tangent line from the starting point to the outer diameter of the circle was selected as the axis of the screw trajectory. The related parameters in different populations were analyzed and compared. Results The trajectory length of S2AI screws in ADS patients was 12.00 ± 0.99 cm, the lateral angle was 41.24 ± 3.92°, the caudal angle was 27.73 ± 6.45°, the distance from the axis of the screw trajectory to the iliosciatic notch was 1.05 ± 0.81 cm, the distance from the axis of the screw trajectory to the upper edge of the acetabulum was 1.85 ± 0.33 cm, and the iliac width was 2.12 ± 1.65 cm. Compared with females, the lateral angle of male ADS patients was decreased, but the trajectory length was increased (P < 0.05). Compared to patients without ADS in previous studies, the lateral angle of male patients was larger, the lateral angle of female patients was increased, and the caudal angle was decreased (P < 0.05). Conclusions There is an ideal trajectory of S2AI screws in ADS patients. A different direction should be noticed in the placement of S2AI screws, especially in female patients.

scholarly journals Outcomes of Short Fusion versus Long Fusion for Adult Degenerative Scoliosis: A Systematic Review and Meta-analysis

2017 ◽  
Vol 9 (4) ◽  
pp. 342-349 ◽  
Author(s):  
Kevin Phan ◽  
Joshua Xu ◽  
Monish M Maharaj ◽  
Julian Li ◽  
Jun S Kim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis

Robotic Sacroiliac Fixation Technique for Triangular Titanium Implant in Adult Degenerative Scoliosis Surgery: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Connor Berlin ◽  
Parantap Patel ◽  
Isador Lieberman ◽  
Mark Shaffrey ◽  
Avery Buchholz
Keyword(s):  
Back Pain ◽  
Sacroiliac Joint ◽  
Titanium Implants ◽  
Leg Pain ◽  
Definitive Treatment ◽  
Scoliosis Surgery ◽  
Corrective Surgery ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis ◽  
K Wires

Abstract Corrective surgery remains a definitive treatment for adult spinal deformity, improving pain and disability. With these cases, instrumentation to the pelvis with iliac fixation is recommended. Whether iliac or S2-Alar-Iliac (S2AI) trajectories are used, sacroiliac joint pain and long-term sacroilitis can be common after long-fusion constructs.1-3 Sacroiliac fusion with triangular titanium implants during fusion can reduce back pain associated with sacroiliac joint degeneration,3 provides reduction in sacroiliac joint motion and stress when added to S2AI screws, and potentially enhances mechanical stability of fusion constructs.4 Here, we present a technique for placing triangular titanium sacroiliac implants (iFuse BedrockTM; SI-BONE Inc, Santa Clara, California) alongside S2AI screws using a robotic platform (Mazor X; Medtronic Sofamor Danek, Medtronic Inc, Dublin, Ireland). Navigated robotics allows reduction in human error with implant placement, and potentially decreased operative time/fluoroscopy.5-7 Key surgical steps include placement of K wires for S2AI and bilateral SI-implants, tapping, replacing SI-implant K wires with guide pins, placing S2AI screws, and finally placing the SI-implant. Final placement is verified with intraoperative fluoroscopy. The patient described is a 61-yr-old woman with worsening adult degenerative scoliosis, lower back pain, left leg radicular pain, and mild right leg pain who failed conservative treatment. Examination revealed diminished strength in both legs. Imaging was significant for moderate sigmoid scoliosis, discogenic disease, and osteoarthritis at all levels. She consented to undergo corrective surgery. Postoperatively, the patient experienced resolution of her leg weakness and pain. Imaging demonstrated appropriate positioning of hardware. Prospective studies on the efficacy of the SI-implant are underway.

Adult Degenerative Scoliosis

2013 ◽  
pp. 247-258
Author(s):  
Joshua Ellwitz ◽  
Munish Gupta
Keyword(s):  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis

scholarly journals Therapeutic Strategy of Percutaneous Transforaminal Endoscopic Decompression for Stenosis Associated With Adult Degenerative Scoliosis

2020 ◽  
pp. 219256822095903
Author(s):  
Lin-Yu Jin ◽  
Kun Wang ◽  
Zhen-Dong Lv ◽  
Xin-Jin Su ◽  
Hai-Ying Liu ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Cobb Angle ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Lumbar Stenosis ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis ◽  
Lateral Subluxation ◽  
The Mean ◽  
Transforaminal Endoscopic Surgery

Study Design: A retrospective study. Objective: To investigate the effects of percutaneous transforaminal endoscopic decompression (PTED) for lumbar stenosis associated with adult degenerative scoliosis and to analyze the correlation between preoperative radiological parameters and postoperative surgical outcomes. Methods: Two years of retrospective data was collected from 46 patients with lumbar stenosis associated with adult degenerative scoliosis who underwent PTED. The visual analog scale (VAS), Oswestry Disability Index, and modified MacNab criteria were used to evaluate the clinical outcomes. Multiple linear regression analysis was used to analyze the correlation between radiological parameters and surgical outcomes. Results: The mean age of the 33 female and 13 male patients was 73.5 ± 8.1 years. The mean follow-up was 27.6 ± 3.5 months (range from 24 to 36). The average coronal Cobb angle was 24.5 ± 8.2°. There were better outcomes of the VAS for leg pain and Oswestry Disability Index after surgery. Based on the MacNab criteria, excellent or good outcomes were noted in 84.78% of patients. Multiple linear regression analysis showed that Cobb angle and lateral olisthy may be the predictors for low back pain. Conclusion: Transforaminal endoscopic surgery may be an effective and safe method for geriatric patients with lumbar stenosis associated with degenerative scoliosis. The predictive factors of clinical outcomes were severe Cobb angle and high degree lateral subluxation. Transforaminal endoscopic surgery may not be recommended for patients with Cobb angle larger than 30° combined with lateral subluxation.

Sign in / Sign up

Export Citation Format

Share Document