WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

SURGICAL STRATEGY FOR ADULT DEGENERATIVE SCOLIOSIS: EVALUATION, MANAGEMENT AND RESULTS

Monia Martiniani*, Leonard Meco, Roberto Procaccini, Stefano Cecconi Nicola Giampaolini, Marco Cianforlini, Aldo Verdenelli, Nicola Specchia

ABSTRACT

Study design: In Adult Degenerative scoliosis (“de novo”) controversy remains over the indications of surgical intervention, overall about the choice between local treatment of the cause of pain (segmental decompression) or the structural treatment of the cause of the deformity (correction of sagittal or coronal unbalance). Objective: We conducted a comprehensive review of the literature and our clinical experience to define reliable choises of more appropriate treatment and decide when to address the stenosis alone and when to include the deformity. Methods: A prospective analysis of a series of 66 patients with degenerative scoliosis of the lumbar spine and surgical treated. Results: In the results was not observed a statistically significant correlation between the amount of the scoliotic curve correction and the outcome clinical improvement, while a significant correlation between the sagittal balance correction and the clinical result. Conclusions: Restoring lumbar lordosis and sagittal balance take precedence over scoliosis correction.

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