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Adult degenerative lumbar scoliosis

Degenerative scoliosis of the lumbar spine affects a significant number of adults. Although the etiology of this condition is not clear, the most commonly implicated causes include osteoporosis and degenerative disc disease. Clinically, patients with this condition most commonly complain of axial low back pain, but they may also present with radicular complaints. This pain may be generated directly by the facet joints or may be due to nerve root impingement or traction. Imaging of this spinal deformity should include both plain radiographs and computed tomographic myelography. Nonoperative therapy is ideal, but surgery is indicated for severe radicular symptoms refractory to conservative management or for progression of the curve. Ideally, surgical treatment should consist of decompression and fusion with segmental instrumentation

Keywords : Adult,Affect,Back,Back Pain,complications,Decompression,Decompression,Surgical,diagnosis,diagnostic imaging,etiology,Humans,instrumentation,Intervertebral Disc,Joints,Low Back Pain,Lumbar Vertebrae,Myelography,Osteoporosis,Pain,Patients,Philadelphia,physiopathology,Scoliosis,Spinal Diseases,Spinal Fusion,Spine,surgery,therapy,Traction,Universities,, Degenerative,Lumbar,Scoliosis, specialist info medico legal

Date of Publication : 2003 Feb

Authors : Daffner SD;Vaccaro AR;

Organisation : Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA , USA

Journal of Publication : Am J Orthop (Belle Mead NJ)

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/12602636

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
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