ADULT DEGENERATIVE SCOLIOSIS

Author:

Birknes John K.1,Harrop James S.1,White Andrew P.2,Albert Todd J.2,Shaffrey Christopher I.3

Affiliation:

1. Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

2. Department of Orthopedic Surgery, Thomas Jefferson University Hospital, The Rothman Institute, Philadelphia, Pennsylvania

3. Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia

Abstract

ABSTRACTOBJECTIVETo review and define principles and features of treatment for adult degenerative scoliosis, the most common cause of adult spinal deformities.STUDY DESIGNWe conducted a comprehensive review of the literature and our clinical experience.METHODSA systematic review of Medline was conducted, including journal articles published in March 2007 and before. We searched for articles related to adult spinal deformities (scoliosis) and treatments.CONCLUSIONDegenerative scoliosis is a complex disorder. The primary surgical aims are to decompress the neural elements, normalize both sagittal balance and coronal and rotational deformity, fixate to the sacrum/ilium when appropriate, and optimize conditions for osteogenesis and fusion.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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4. Deformity prevention and correction: complex clinical strategies;Benzel,2001

5. Neuromuscular scoliosis: Causes of deformity and principles for evaluation and management;Berven;Semin Neurol,2002

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