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Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis: a study of long-term clinical radiographic outcomes

STUDY DESIGN: A case series of adults with surgical treatment for adult idiopathic thoracolumbar and/or lumbar scoliosis, low back pain, and spinal stenosis was studied. OBJECTIVE: To assess pain relief, curve correction, and complications after combined procedures consisting of decompression, spine fusion, and stabilization. SUMMARY OF BACKGROUND DATA: Only one publication has focused specifically at this group, and this was before the advent of modern segmental instrumentation. This is the first report of long-term follow-up evaluation in such a patient population. METHODS: This study included 16 patients who underwent elective anterior and posterior surgical reconstruction for adult idiopathic thoracolumbar and/or lumbar scoliosis, spinal stenosis, and low back pain with a minimum follow-up period of 2 years. Radiographic findings, clinical results, and long-term outcome data were obtained using the Modified Scoliosis Research Society outcome instrument and the Oswestry Disability Back Pain Questionnaire. RESULTS: Restoration of coronal and sagittal balance, or improvement thereof, was achieved in all the patients with balance problems. There was significant improvement in all outcome domains. Overall, 94% of the patients were satisfied with the surgery. Ten major complications occurred in 10 patients, 8 of whom required additional surgery. There were two minor complications. CONCLUSIONS: Combined symptoms of back pain and spinal stenosis require complex reconstructive surgery in adults with idiopathic thoracolumbar and/or lumbar scoliosis. Significant pain relief, functional restoration, and satisfaction can be achieved and maintained over the long term in the properly selected patient

Keywords : Adult,Aged,Aged,80 and over,Back,Back Pain,complications,Decompression,diagnostic imaging,Female,Humans,instrumentation,Low Back Pain,Lumbar Vertebrae,Male,methods,Middle Aged,Pain,Patient Satisfaction,Patients,Population,Radiography,Scoliosis,Spinal Stenosis,Spine,surgery,Surveys and Questionnaires,Thoracic Vertebrae,Treatment Outcome,, Surgical,Treatment,Adult, pulsed radiofrequency denervation

Date of Publication : 2003 Feb 15

Authors : Shapiro GS;Taira G;Boachie-Adjei O;

Organisation : Hospital for Special Surgery, New York, New York 10021, USA. garyshap@aol.com

Journal of Publication : Spine (Phila Pa 1976 )

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/12590210

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Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis a study of long-term clinical radiographic outcomes | Poor posture lower back pain

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