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Current Reviews in Musculoskeletal Medicine

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01-12-2017 | Treatment of Lumbar Degenerative Pathology (HJ Kim and G Mundis, section editors)

Degenerative Scoliosis

Authors: Philip J. York, Han Jo Kim

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2017

Abstract

Purpose of Review

The purpose of this review is to provide an updated review of adult degenerative scoliosis (ADS). Epidemiology, classification, pathophysiology, and natural history are discussed along with a summary of commonly used outcome measures. Operative vs non-operative outcomes and new surgical techniques are discussed.

Recent Findings

The SRS-Schwab classification (2012) combines clinical and radiographic evaluation including overall global alignment. Current evidence regarding risk factors and efficacy of non-surgical modalities are discussed. Recent studies have reported surgical management to provide superior outcomes to non-operative modalities. New surgical techniques provide promising early data in regard to decreasing perioperative morbidity.

Summary

ADS is a potentially debilitating condition that occurs with asymmetric spinal degeneration. This can produce global sagittal malalignment and central and foraminal stenosis and can lead to significant impairment often necessitating surgery. The surgeon must be aware of the perioperative risks in this population and implement appropriate age-specific alignment goals to achieve the best outcome for patients.

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Title: Degenerative Scoliosis
Authors: Philip J. York
Han Jo Kim
Publication date: 01-12-2017
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 4/2017
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-017-9445-0

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Degenerative Scoliosis

Abstract

Purpose of Review

Recent Findings

Summary

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