Skip to main content

Abstract

Adult degenerative (de novo) scoliosis (ADS) typically presents in the sixth decade and can present a challenging surgical decision-making dilemma. Not only do surgical ADS patients have large deformities, they also have age-inherent spondylitic changes and medical comorbidities that can make treatment challenging. Categorization of radiographic findings along with clinical symptomatology, an algorithmic approach can aid in the surgical decision-making process and ultimately improve clinical outcomes of ADS patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pritchett JW, Bortel DT. Degenerative symptomatic lumbar scoliosis. Spine (Phila Pa 1976). 1993;18(6):700–3.

    Article  CAS  Google Scholar 

  2. Silva FE, Lenke LG. Adult degenerative scoliosis: evaluation and management. Neurosurg Focus. 2010;28(3):E1.

    Article  PubMed  Google Scholar 

  3. Benner B, Ehni G. Degenerative lumbar scoliosis. Spine (Phila Pa 1976). 1979;4(6):548–52.

    Article  CAS  Google Scholar 

  4. Herkowitz HN, Kurz LT. Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. J Bone Joint Surg Am. 1991;73(6):802–8.

    CAS  PubMed  Google Scholar 

  5. Grubb SA, Lipscomb HJ, Coonrad RW. Degenerative adult onset scoliosis. Spine (Phila Pa 1976). 1988;13(3):241–5.

    Article  CAS  Google Scholar 

  6. Kobayashi T, et al. A prospective study of de novo scoliosis in a community based cohort. Spine (Phila Pa 1976). 2006;31(2):178–82.

    Article  Google Scholar 

  7. Ploumis A, Transfledt EE, Denis F. Degenerative lumbar scoliosis associated with spinal stenosis. Spine J. 2007;7(4):428–36.

    Article  PubMed  Google Scholar 

  8. Schwab FJ, et al. Adult scoliosis: a quantitative radiographic and clinical analysis. Spine (Phila Pa 1976). 2002;27(4):387–92.

    Article  Google Scholar 

  9. Kostuik JP, Israel J, Hall JE. Scoliosis surgery in adults. Clin Orthop Relat Res. 1973;93:225–34.

    Article  PubMed  Google Scholar 

  10. Winter RB, Lonstein JE, Denis F. Pain patterns in adult scoliosis. Orthop Clin N Am. 1988;19(2):339–45.

    CAS  Google Scholar 

  11. Birknes JK, et al. Adult degenerative scoliosis: a review. Neurosurgery. 2008;63(3 Suppl):94–103.

    Article  PubMed  Google Scholar 

  12. Slover J, et al. The impact of comorbidities on the change in short-form 36 and oswestry scores following lumbar spine surgery. Spine (Phila Pa 1976). 2006;31(17):1974–80.

    Article  Google Scholar 

  13. Schoenfeld AJ, et al. Patient factors, comorbidities, and surgical characteristics that increase mortality and complication risk after spinal arthrodesis: a prognostic study based on 5,887 patients. Spine J. 2013;13(10):1171–9.

    Article  PubMed  Google Scholar 

  14. Daubs MD, et al. Decompression alone versus decompression with limited fusion for treatment of degenerative lumbar scoliosis in the elderly patient. Evid Based Spine Care J. 2012;3(4):27–32.

    PubMed Central  PubMed  Google Scholar 

  15. Bridwell KH, Lenke LG, Lewis SJ. Treatment of spinal stenosis and fixed sagittal imbalance. Clin Orthop Relat Res. 2001;384:35–44.

    Article  PubMed  Google Scholar 

  16. Chen F, Shen JX, Qiu GX. Features of pelvic parameters in adolescent idiopathic scoliosis and their relationships with spinal sagittal parameters. Zhonghua Yi Xue Za Zhi. 2013;93(7):487–90.

    PubMed  Google Scholar 

  17. Kostuik JP. Treatment of scoliosis in the adult thoracolumbar spine with special reference to fusion to the sacrum. Orthop Clin N Am. 1988;19(2):371–81.

    CAS  Google Scholar 

  18. Kuklo TR, et al. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine (Phila Pa 1976). 2001;26(18):1976–83.

    Article  CAS  Google Scholar 

  19. Perra JH. Techniques of instrumentation in long fusions to the sacrum. Orthop Clin N Am. 1994;25(2):287–99.

    CAS  Google Scholar 

  20. Shen FH, et al. Pelvic fixation for adult scoliosis. Eur Spine J. 2013;22 Suppl 2:S265–75.

    Article  PubMed  Google Scholar 

  21. O’Shaughnessy BA, et al. Does a long-fusion “T3-sacrum” portend a worse outcome than a short-fusion “T10-sacrum” in primary surgery for adult scoliosis? Spine (Phila Pa 1976). 2012;37(10):884–90.

    Article  Google Scholar 

  22. Bridwell KH. Normalization of the coronal and sagittal profile in idiopathic scoliosis: options of treatment. J Orthop Sci. 1998;3(2):125–34.

    Article  CAS  PubMed  Google Scholar 

  23. Bridwell KH. Selection of instrumentation and fusion levels for scoliosis: where to start and where to stop. Invited submission from the joint section meeting on disorders of the spine and peripheral nerves. J Neurosurg Spine. 2004;1(1):1–8.

    Article  PubMed  Google Scholar 

  24. Bradford DS, Tribus CB. Vertebral column resection for the treatment of rigid coronal decompensation. Spine (Phila Pa 1976). 1997;22(14):1590–9.

    Article  CAS  Google Scholar 

  25. Transfeldt EE, et al. Surgical outcomes of decompression, decompression with limited fusion, and decompression with full curve fusion for degenerative scoliosis with radiculopathy. Spine (Phila Pa 1976). 2010;35(20):1872–5.

    Article  Google Scholar 

  26. Liang CZ, et al. Surgery is an effective and reasonable treatment for degenerative scoliosis: a systematic review. J Int Med Res. 2012;40(2):399–405.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey L. Gum MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Gum, J.L., Buchowski, J.M. (2016). Degenerative Scoliosis: Surgical Treatment. In: Pinheiro-Franco, J., Vaccaro, A., Benzel, E., Mayer, H. (eds) Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47756-4_46

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-47756-4_46

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47755-7

  • Online ISBN: 978-3-662-47756-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics