Die degenerative adulte lumbale de novo Skoliose – Evidenz

Zusammenfassung

Die adulte lumbale degenerative lumbale Skoliose bietet sehr oft eine heterogene strukturelle Befundlage. Foraminale und zentrale Stenosen sowie lokale oder globale Instabilitäten begründen oft massive Beschwerden. Darüber hinaus ist die sagittale und frontale Deformität für Symptome ausschlaggebend. Das selektive oder „kurzstreckige“ Vorgehen erfordert die eindeutige Eingrenzung der strukturellen, Schmerzen auslösenden Ursache sowie die Berücksichtigung der Regeln der Deformitätenkorrektur. Werden die Prinzipien angewandt, ergibt sich die Möglichkeit zum selektiven Vorgehen. Der Artikel fasst die Evidenzlage zusammen.

Abstract

Adult lumbar degenerative scoliosis very often presents with heterogenous structural findings. Foraminal and central stenoses as well as local or global instabilities often give rise to massive complaints. In addition, sagittal and frontal deformity is crucial for symptoms. The selective or “short” surgical approach requires the clear identification of the structural cause triggering pain as well as consideration of the rules of deformity correction. If all principles are applied correctly, the option of a selective surgery arises. This article summarizes the evidence.

Schlüsselwörter

Degenerative adulte Skoliose - Selektive Chirurgie - Korrekturregeln

Keywords

Degenerative adult scoliosis - Selective Surgery - Rules for correction

Publication History

Article published online:
04 March 2022

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