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European Spine Journal

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Open Access 01-03-2018 | Original Article

Outcome of surgery for degenerative lumbar scoliosis: an observational study using the Swedish Spine register

Authors: Tian Cheng, Paul Gerdhem

Published in: European Spine Journal | Issue 3/2018

Abstract

Purpose

The outcome of surgery for degenerative lumbar scoliosis was studied in the Swedish Spine register.

Methods

209 patients (mean age 66 years) were identified; 45 had undergone decompression and/or fusion of one segment (minor group) and 164 had undergone fusion of two or more segments, with or without decompression (major group).

Results

VAS back pain, VAS leg pain, ODI and EQ-5D index improved after surgery in both groups (p < 0.05), with medium to large effect sizes of surgery. Global assessment for back pain and satisfaction was significantly better in the major group than in the minor group (p < 0.05) at the 2-year follow-up. Additional spine surgery was observed in 57 out of the 209 patients during a mean period of 5.4 years.

Conclusion

Surgery for degenerative lumbar scoliosis improves quality of life with medium to large effect sizes, but carries a high risk of additional surgery.

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Title: Outcome of surgery for degenerative lumbar scoliosis: an observational study using the Swedish Spine register
Authors: Tian Cheng
Paul Gerdhem
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 3/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5248-7

At a glance: The STEP trials

Springer Medicine

Outcome of surgery for degenerative lumbar scoliosis: an observational study using the Swedish Spine register

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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