Surgical treatment of degenerative scoliosis

Czech version

Authors: J. Mišovič ¹; D. Žingor ¹; J. Šrámek ²
Authors‘ workplace: Neurochirurgická klinika FNsP Nové, Zámky, Slovensko ¹; Klinika ProSpine, Bogen, Německo ²
Published in: Cesk Slov Neurol N 2020; 83/116(5): 508-513
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2020508

Overview

Demographic aging of population leads also to an increase in prevalence of degenerative disc disease, which can lead to formation of degenerative scoliosis, mainly in the lumbar region. This can be a source of progressive back pain, radicular pain and claudication symptoms with decreased mobility. This condition is often resistant to conservative treatment and becomes an issue of reevaluation of surgical treatment. Surgical armamentarium includes isolated decompression, decompression with short fusion, and decompression with long fusion and correction of deformity. Any impact on this complicated pathology is associated with high risk of perioperative complications, thus the risks and benefits of surgery should be carefully discussed preoperatively.

Keywords:

degenerative scoliosis – surgical treatment – deformity – short fusion – long fusion

Sources

1. Robin GC, Span Y, Steinberg R et al. Scoliosis in the elderly: a follow-up study. Spine 1982; 7 (4): 355–359. doi: 10.1097/00007632-198207000-00005.

2. Aebi M. The adult scoliosis. Eur Spine J 2005; 14 (10): 925–948. doi: 10.1007/s00586-005-1053-9.

3. Pritchett JW, Bortel DT. Degenerative symptomatic lumbar scoliosis. Spine 1993; 18 (6): 700–703. doi: 10.1097/00007632-199305000-00004.

4. Benner B, Ehni G. Degenerative lumbar scoliosis. Spine 1979; 4 (6): 548–552.

5. Biot B, Pendrix D. Frequence de la scoliose lombaire an l’age adult. Ann Med Phys 1982; 25: 251–254.

6. Francis RS. Scoliosis screening of 3,000 college-aged women. The Utah Study–Phase 2. Phys Ther 1988; 68 (10): 1513–1516.

7. Grevitt M, Khazim R, Webb J et al. The short form 36-health survey questionnaire in spine surgery. J Bone Joint Surg Br 1997; 79: 485–492.

8. Schwab F, Dubey A, Gamez L et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 2005; 30 (9): 1082–1085. doi: 10.1097/01.brs.0000160842.43482.cd.

9. McCarthy I, Hostin R, O’Brien M et al. Health economic analysis of adult deformity surgery. Neurosurg Clin N Am 2013; 24 (2): 293–304. doi: 10.1016/j.nec.2012.12.005.

10. Adogwa O, Sure DR, LaBagnara M et al. Minimally invasive spine surgery and sagittal correction. Neurosurgery 2016; 63 (Suppl 1): 31–36.

11. Schwab FJ, Blondel B, Bess S et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine 2013; 38 (13): 803–812. doi: 10.1097/BRS.0b013e318292b7b9.

12. Blondel B, Schwab F, Ungar B et al. Impact of magnitude and percentage of global sagittal plane correction on health-related quality of life at 2-years follow-up. Neurosurgery 2012; 71: 341–348.

13. Kyu JC, Young TK, Sang HS et al. Surgical treatment of adult degenerative scioliosis. Asian Spine J 2014; 8 (3): 371–381. doi: 10.4184/asj.2014.8.3.371.

14. Voháňka S, Mičánková, Adamová B. Lumbální spinální stenóza a neurogenní klaudikace. Cesk Slov Neurol N 2009; 72/105 (5): 405–417.

15. Kirkaldy-Willis WH, Wedge JH, Yong-Hing K et al. Pathology and pathogenesis of lumbar spondylosis and stenosis. Spine 1978; 3 (4): 319–328. doi: 10.1097/00007632-197812000-00004.

16. Graham RB, Sugrue PA, Koski TR. Adult degenerative scioliosis. Clin Spine Surg 2016; 29 (3): 95–107. doi: 10.1097/BSD.0000000000000367.

17. Weinstein SL, Dolan LA, Cheng JC et al. Adolescent idiopathic scoliosis. Lancet 2008; 371: 1527–1537.

18. Šrámek J, Bertagnoli R. Léčba foraminálního výhřezu medziobratlové ploténky u istmické spondylolistézy technikou TLIF. Cesk Slov Neurol N 2015; 78/111 (4): 468–473.

19. Adamová B, Mechl M, Andrašinová T et al. Radiologické hodnocení lumbální spinální stenózy a jeho klinická korelace. Cesk Slov Neurol N 2015; 78/111 (2): 139–147. doi: 10.14735/amcsnn2015139.

20. Ali RM, Boachie-Adjei O, Rawlins B. Functional and radiographic outcomes after surgery for adult scoliosis using third-generation instrumentation techniques. Spine 2003; 28 (11): 1163–1169. doi: 10.1097/01.BRS.0000067267.04011.91.

21. Grubb SA, Lipscomb HJ. Diagnostic findings in painful adult scoliosis. Spine 1992; 17 (5): 518–527. doi: 10.1097/00007632-199205000-00009.

22. Van Goethem J, Van Campehout A, Van den Hauwe et al. Scioliosis. Neuroimaging Clin N Am 2007; 17 (1): 105–115. doi: 10.1016/j.nic.2006.12.001.

23. Kim W, Porrino JA, Hood KA et al. Clinical evaluation, imaging and management od adolescent idiopathic and adult degenerative scoliosis. Curr Probl Diagn Radiol 2018; 48 (4): 402–414. doi: 10.1067/j.cpradiol.2018.08.006.

24. Jada A, Mackel CE, Hwang SW et al. Evaluation and management of adolescent idiopathic scoliosis: a review. Neurosurg Focus 2017; 43 (4): E2. doi: 10.3171/2017.7.FOCUS17297.

25. Malfair D, Flemming AK, Dvorak MF et al. Radiographic evaluation of scoliosis: review. Am J Roentgenol 2010; 194 (Suppl 3): S8–S22. doi: 10.2214/AJR.07.7145.

26. Kuru T, Yeldan I, Dereli EE et al. The efficacy of three--dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clin Rehabil 2016; 30 (2): 181–190. doi: 10.1177/0269215515575745.

27. van Dam BE. Nonoperative treatment of adult scoliosis. Orthop Clin North Am 1988; 19 (2): 347–351.

28. Albert TJ, Purtill J, Mesa J et al. Study design: health outcome assessment before and after adult deformity surgery. A prospective study discussion. Spine 1995; 20 (18): 2002–2004. doi: 10.1097/00007632-199509150-00009.

29. Silva FE, Lenke LG. Adult degenerative scioliosis: evaluation and management, Neurosurg Focus 2010; 28 (3): E1. doi: 10.3171/2010.1.FOCUS09271.

30. Cho KJ, Kim YT, Shon S et al. Surgical treatment of adult degeneative scoliosis. Asian Spine J 2014; 8 (3): 371. doi: 10.4184/asj.2014.8.3.371.

31. Cho KJ, Suk SI, Park SR et al. Short fusion versus long fusion for degenerative lumbar scoliosis. Eur Spine J 2008; 17 (5): 650–656. doi: 10.1007/s00586-008-0615-z.

32. Gupta MC. Degenerative scoliosis. Options for surgical management. Orthop Clin North Am 2003; 34 (2): 269–279. doi: 10.1016/s0030-5898 (03) 00029-4.

33. York PJ, Kim HJ. Degenerative scoliosis. Curr Rev Musculoskelet Med 2017; 10 (4): 547–558. doi: 10.1007/s12178-017-9445-0.

34. Bradford DS, Tay BK, Hu SS. Adult scoliosis: surgical indications, operative management, complications, and outcomes. Spine 1999; 24 (24): 2617–2629. doi: 10.1097/00007632-199912150-00009.

35. Snopko P, Kolarovszki B, Opšenák R et al. Skoré pooperačné komplikácie po plánovaných operáciách degenerovanej driekovej chrbtice u starších pacientov. Cesk Slov Neurol N 2018; 81/114 (4): 450–456. doi: 10.14735/amcsnn2018450.

36. Rinella A, Bridwell K, Kim Y et al. Late complications of adult idiopathic scoliosis primary fusions to L4 and above: the effect of age and distal fusion level. Spine 2004; 29 (3): 318–325. doi: 10.1097/01.brs.0000111838.98892.01.