More adults are suffering from adult idiopathic scoliosis and seeking treatment for their spinal deformities. Adult idiopathic scoliosis can lead to painful spinal osteoarthritis, progressive deformity, spinal stenosis with radiculopathy, muscle fatigue from coronal and sagittal plane imbalance, and psychological effects with a visible deformity. Primary treatment of such conditions is conservative; however, some patients are resistant to conservative treatment or are not candidates for it, and they require surgery. Back pain is likely the most common indication for surgical treatment of scoliosis in adult patients. Pedicle screws offer 3-column purchase and a longer arm compared with hook placement on the lamina. This study is a retrospective analysis of a consecutive series of patients with adult idiopathic scoliosis who were treated with pedicle screw placement. Significant back pain relief and satisfaction can be achieved and maintained over the long term. Restoration of coronal and sagittal balance, or improvement thereof, was achieved in all patients with balance problems. This study clarified several important characteristics of adult scoliosis, and we believe that useful conclusions can be drawn regarding its surgical indications and strategies: (1) pedicle screw construct can gain effective results for treatment of adult idiopathic scoliosis due to its perceived superior power of correction; (2) younger patients present for surgery for different reasons than older patients (progressive deformity or pain); and (3) pain improvement is a more reliable outcome in older patients than younger patients, although younger patients rarely have severe pain symptoms
Keywords : Adult,analysis,Arm,Back,Back Pain,Bone Screws,China,diagnostic imaging,Female,Humans,instrumentation,Longitudinal Studies,Male,methods,Middle Aged,Orthopedics,Osteoarthritis,Pain,Patients,Radiculopathy,Radiography,Scoliosis,Spinal Fusion,Spinal Stenosis,surgery,Treatment Outcome,Universities,Young Adult,, Treatment,Adult,Idiopathic,Scoliosis, cervical trigger points
Date of Publication : 2011 Mar 11
Authors : Li M;Shen Y;Gao ZL;Fang XT;Xie Y;Wang CF;Zhao YC;Zhu XD;
Organisation : Department of Orthopedics, Changhai Hospital, Second Military Medical University, Shanghai, China
Journal of Publication : Orthopedics
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21410122
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
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