Die degenerative Lumbalskoliose – Lange Versorgung erforderlich

Zusammenfassung

Aufgrund der Alterung der Bevölkerung ist mit einer Zunahme von adulten Wirbelsäulendeformitäten zu rechnen. Deformitäten die mit einer koronaren oder sagittalen Imbalance assoziiert sind, beeinträchtigen die Lebensqualität in besonderem Maße. Häufig sind diese Deformitäten zusätzlich rigide und erfordern daher für eine operative Korrektur eine langstreckige Versorgung.

Abstract

Due to an aging society, an increase of adult spinal deformities is to be expected. Deformities associated with a coronary or sagittal imbalance particularly impair the patients' quality of life. Additionally, these deformities are usually rigid and therefore require a long spinal fusion for an adequate surgical correction.

Schlüsselwörter

adulte Wirbelsäulendeformität - degenerative Lumbalskoliose - Imbalance - Operation - Lebensqualität - lange Versorgung

Keywords

adult spinal deformity - degenerative lumbar scoliosis - imbalance - surgery - quality of life - long fusion

Publication History

Article published online:
04 March 2022

• Literatur

• 1 Schwab F, Dubey A, Gamez L. et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976) 2005; 30: 1082-1085 DOI: 10.1097/01.brs.0000160842.43482.cd. (PMID: 15864163)
• 2 Glassman SD, Berven S, Bridwell K. et al. Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine (Phila Pa 1976) 2005; 30: 682-688 DOI: 10.1097/01.brs.0000155425.04536.f7. (PMID: 15770185)
• 3 Zanirato A, Damilano M, Formica M. et al. Complications in adult spine deformity surgery: a systematic review of the recent literature with reporting of aggregated incidences. Eur Spine J 2018; 27: 2272-2284 DOI: 10.1007/s00586-018-5535-y. (PMID: 29497853)
• 4 Glassman SD, Bridwell K, Dimar JR. et al. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976) 2005; 30: 2024-2029 DOI: 10.1097/01.brs.0000179086.30449.96. (PMID: 16166889)
• 5 Faraj SSA, De Kleuver M, Vila-Casademunt A. et al. Sagittal radiographic parameters demonstrate weak correlations with pretreatment patient-reported health-related quality of life measures in symptomatic de novo degenerative lumbar scoliosis: A european multicenter analysis. J Neurosurg Spine 2018; 28: 573-580 DOI: 10.3171/2017.8.SPINE161266. (PMID: 29570046)
• 6 Obeid I, Boissière L, Yilgor C. et al. Global tilt: a single parameter incorporating spinal and pelvic sagittal parameters and least affected by patient positioning. Eur Spine J 2016; 25: 3644-3649 DOI: 10.1007/s00586-016-4649-3. (PMID: 27323962)
• 7 Yamato Y, Hasegawa T, Togawa D. et al. Rigorous Correction of Sagittal Vertical Axis Is Correlated With Better ODI Outcomes After Extensive Corrective Fusion in Elderly or Extremely Elderly Patients With Spinal Deformity. Spine Deform 2019; 7: 610-618 DOI: 10.1016/j.jspd.2018.11.001. (PMID: 31202379)
• 8 Passias PG, Pierce KE, Raman T. et al. Does Matching Roussouly Spinal Shape and Improvement in SRS-Schwab Modifier Contribute to Improved Patient-reported Outcomes?. Spine (Phila Pa 1976) 2021; 46: 1258-1263 DOI: 10.1097/brs.0000000000003999. (PMID: 34435989)
• 9 Rothenfluh DA, Mueller DA, Rothenfluh E. et al. Pelvic incidence-lumbar lordosis mismatch predisposes to adjacent segment disease after lumbar spinal fusion. Eur Spine J 2015; 24: 1251-1258 DOI: 10.1007/s00586-014-3454-0. (PMID: 25018033)
• 10 Kanter AS, Tempel ZJ, Ozpinar A. et al. A Review of Minimally Invasive Procedures for the Treatment of Adult Spinal Deformity. Spine (Phila Pa 1976) 2016; 41: s59-s65 DOI: 10.1097/BRS.0000000000001481. (PMID: 26839986)