The article explores the outcomes of surgical correction in patients with mild scoliosis and age-appropriate sagittal alignment. The study involved a retrospective review of a multicenter adult spinal deformity database, with inclusion criteria of patients aged 18 years or older who underwent surgery and had preoperative pelvic tilt, pelvic incidence-lumbar lordosis (PI-LL) mismatch, and C7 sagittal vertical axis within established age-adjusted thresholds. Health-related quality of life (HRQoL) scores were assessed, and radiographic data were compared between patients with mild scoliosis and those with larger curves. The results showed that patients with mild scoliosis experienced significantly improved HRQoL measures after 2 years, except for mental composite score and SRS activity and mental scores. However, the mild scoliosis group had a high complication rate, with 64.3% experiencing at least one complication and 28.6% experiencing a major complication. Overall, the findings suggest that surgical correction can benefit patients with mild scoliosis and age-appropriate sagittal alignment, despite the high complication rate
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine facility in London
Published article
CONCLUSION: Mild scoliosis patients with age-appropriate sagittal alignment benefit from surgical correction, decompression, and stabilization at 2 years postoperative despite having a high complication rate.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Neurospine. 2023 Sep;20(3):837-848. doi: 10.14245/ns.2346454.227. Epub 2023 Sep 30.ABSTRACTOBJECTIVE: The goal of this study was to determine if patients with mild scoliosis and age-appropriate sagittal alignment have favorable outcomes following surgical correction.METHODS: Retrospective review of a prospective, multicenter adult spinal deformity database. Inclusion criteria: operative patients age ≥18 years, and preoperative pelvic tilt, mismatch between,
Neurospine. 2023 Sep;20(3):837-848. doi: 10.14245/ns.2346454.227. Epub 2023 Sep 30.
ABSTRACT
OBJECTIVE: The goal of this study was to determine if patients with mild scoliosis and age-appropriate sagittal alignment have favorable outcomes following surgical correction.
METHODS: Retrospective review of a prospective, multicenter adult spinal deformity database. Inclusion criteria: operative patients age ≥18 years, and preoperative pelvic tilt, mismatch between pelvic incidence and lumbar lordosis (PI-LL), and C7 sagittal vertical axis all within established age-adjusted thresholds with minimum 2-year follow-up. Health-related quality of life (HRQoL) scores: Oswestry Disability Index (ODI), 36-item Short Form health survey (SF-36), Scoliosis Research Society-22R (SRS22R), back/leg pain Numerical Rating Scale and minimum clinically important difference (MCID)/substantial clinical benefit (SCB). Two-year and preoperative HRQoL radiographic data were compared. Patients with mild scoliosis (Mild Scoli, Max coronal Cobb 10°-30°) were compared to those with larger curves (Scoli).
RESULTS: One hundred fifty-one patients included from 667 operative patients (82.8% women; average age, 56.4 ± 16.2 years). Forty-two patients (27.8%) included in Mild Scoli group. Mild Scoli group had significantly worse baseline leg pain, ODI, and physical composite scores (p < 0.02). Mean 2-year maximum coronal Cobb angle was significantly improved compared to baseline (p < 0.001). All 2-year HRQoL measures were significantly improved compared to (p < 0.001) except mental composite score, SRS activity and SRS mental for the Mild Scoli group (p > 0.05). From the mild Scoli group, 36%-74% met either MCID or SCB for the HRQoL measures. Sixty-four point three percent had minimum 1 complication, 28.6% had a major complication, 35.7% had reoperation.
CONCLUSION: Mild scoliosis patients with age-appropriate sagittal alignment benefit from surgical correction, decompression, and stabilization at 2 years postoperative despite having a high complication rate.
PMID:37798979 | DOI:10.14245/ns.2346454.227
The London Spine Unit : innovative spine facility in London
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Outcomes of Surgical Treatment for Patients With Mild Scoliosis and Age-Appropriate Sagittal Alignment With Minimum 2-Year Follow-up
