Do benefits overcome the risks related to surgery for adult scoliosis? A detailed analysis of a consecutive case series
The surgical approach to adult spine deformities is complex and presents a high incidence of complications.
We report here a prospective consecutive case series analysis of 20 patients submitted to posterior correction and instrumented fusion for adult degenerative scoliosis. Clinical outcomes were assessed by self-reported measures. Pre-operative and post-operative complications were analysed during a mean 30-month follow-up period.
Eleven patients (55 %) presented pre-operative or post-operative complications. Fifteen different complications occurred, six in the early pre-operative period and nine during follow-up period: ten of these complications occurred in patients who underwent a previous surgery for spine disease.
The clinical improvement at the final follow-up resulted as statistically significant only for the group of patients exposed to posterior fusion without interbody fusion. The observations reported here have to be considered for a shared decision-making in the management of adult scoliosis.
KeywordsAdult degenerative scoliosis Posterior instrumented arthrodesis Posterior lumbar interbody fusion (PLIF) Transforaminal lumbar interbody fusion (TLIF) Pre-operative and post-operative complications
The authors would like to thank Dr. Cristiana Griffoni for her helpful contribution in manuscript editing and Carlo Piovani for his helpful collaboration in patients’ images storage and editing.
Conflict of interest
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