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Journal articles on the topic 'Lumbar scoliosis'

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Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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1

Yuan, Wangshu, Jianxiong Shen, Lixia Chen, Hai Wang, Keyi Yu, Hui Cong, Jingya Zhou, and Youxi Lin. "Differences in Nonspecific Low Back Pain between Young Adult Females with and without Lumbar Scoliosis." Pain Research and Management 2019 (March 3, 2019): 1–5. http://dx.doi.org/10.1155/2019/9758273.

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Study design. Retrospective characterization of nonspecific low back pain (NSLBP) in young adult female patients with and without lumbar scoliosis. Background. There is no consensus as to whether NSLBP in scoliosis patients is related to scoliosis per se or is just a normal symptom that could happen in anyone. Objectives. The aim of this study was to compare the differences in NSLBP between young adult female patients with and without lumbar scoliosis and to provide a theoretical basis for differential treatment of NSLBP in patients with and without lumbar scoliosis. Methods. Ninety female young adults with NSLBP were divided into scoliosis and nonscoliosis groups. Characteristics of pain, lumbar mobility, muscle strength, Cobb angle, axial trunk rotation (ATR) angle, and surface electromyography (SEMG) signal were compared between the two groups. Results. The pain location in scoliotic patients was more concentrated on the left side of the lumbar spine (P≤0.001). The area affected by pain (P=0.028) and the numerical pain rating scale (NPRS) scores (P=0.014) of scoliotic patients were less than those of nonscoliotic patients. The difference between side-bending in scoliotic patients was greater than that in nonscoliotic patients (P=0.001). Scoliotic patients exhibited a significantly better ability for flexion (P=0.001) and extension (P=0.017) than nonscoliotic patients. The posterior muscles in scoliotic patients were stronger than those in nonscoliotic patients (P=0.014). The ratio of root-mean-square (RMS) on paraspinal muscles in scoliotic patients was greater than that in nonscoliotic patients (P≤0.001). Scoliotic patients exhibited greater relaxation time during the flexion-relaxation phenomenon (FRP) than nonscoliotic patients (P=0.024). Conclusions. The characteristics of NSLBP experienced by patients with lumbar scoliosis were distinct from those of NSLBP experienced by nonscoliotic patients. The treatment of NSLBP in scoliotic patients should be different from that in nonscoliotic patients.
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2

Zhang, Linjie, Qiaolin Zhang, Yan Zhang, Musinguzi Arthur, Ee-Chon Teo, István Bíró, and Yaodong Gu. "The Effect of Concave-Side Intertransverse Ligament Laxity on the Stress of AIS Lumbar Spine Based on Finite Element Method." Bioengineering 9, no. 12 (November 23, 2022): 724. http://dx.doi.org/10.3390/bioengineering9120724.

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(1) Background: Scoliosis has the mechanical characteristic of asymmetric stress distribution, which is one of the reasons for the aggravation of scoliosis. Bracing therapy is the best treatment for AIS, but it is difficult and costly to operate. Is it possible to reduce pressure in the concave side by relaxing the ITL in the concave side of scoliosis, so as to improve the abnormal stress distribution of scoliosis? In this paper, a finite element method was used to simulate the effect of the relaxation of concave-side ITL on the stress of a lumbar spine with scoliosis, which provides some guidance for the treatment of scoliosis. (2) Methods: Using CT images of a patient with scoliosis whose Cobb Angle was 43° and Lordosis Angle was 45, a scoliosis lumbar was established, and Young’s modulus of the ITL of the concave-side lumbar spine was reduced by 95% to simulate ligament relaxation. By comparing the stress condition of the model vertebral body with no ligament relaxation, the effect of concave-side ITL relaxation on the mechanical characteristics of scoliosis lumbar spine was explored. (3) Results: An effective and complete model of the lumbar spine was established. The concave ITL relaxed, which only had a great impact on the bending loads. After the ligament was relaxed, the stability of the spine was reduced. Stress concentration on the concave side of vertebrae and the IVD was aggravated. Under loads on the convex side, the maximum stress on the vertebral body and the IVD increased significantly, making lumbar vertebrae more vulnerable to injury. (4) Conclusions: Laxity of the ITL on the concave side of the AIS lumbar only affects the bending load. Laxity of the concave-side ligament will reduce the stability of the lumbar, aggravate the uneven stress distribution of scoliotic lumbar vertebrae, increase the risk of IVD injury, and be unfavorable for the scoliotic lumbar spine. Relaxation of the concave ITL alone is not an effective way to treat scoliosis.
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3

Yurisworo, Anggita Tri, Bagas Widhiarso, Andhi Prijosedjati, and Pamudji Utomo. "BESAR KURVA THORAKAL DAN LUMBAL MODIFIER SEBAGAI FAKTOR PREDIKSI TERHADAP KOREKSI SPONTAN KURVA LUMBAL PASKA OPERASI PADA ADOLESCENT IDIOPATHIC SCOLIOSIS LENKE I." Biomedika 11, no. 2 (September 16, 2019): 74–80. http://dx.doi.org/10.23917/biomedika.v11i2.7629.

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Adolescent idiopathic scoliosis Lenke I dengan pola kurva mayor pada kurva thorakal (main thoracic), dengan kurva proximal thoracic dan thoracolumbar/lumbar sebagai kurva minor non struktural. Instrumentasi dan fusi hanya pada kurva thorakal dianjurkan. Pada literatur dijelaskan bahwa koreksi spontan kurva lumbal terjadi sebagai kompensasi untuk menyeimbangkan kurva thorakal setelah dilakukannya fusi thorakal selektif. Lumbal modifier dibagi menjadi 3 grup, pemilihan terapi operatif bergantung pada tipe lumbal modifier. Penelitian ini merupakan suatu analisis observational pada 35 pasien adolescent idiopathic scoliosis Lenke I paska operasi koreksi deformitas dan instrumentasi posterior. evaluasi menggunakan X ray sebelum dan setelah operasi untuk penentuan tipe lumbal modifier, besarnya koreksi kurva thorakal dan penilaian koreksi spontan kurva lumbal, kemudian dilakukan uji korelasi terhadap data yang didapat. Besarnya koreksi kurva thorakal terhadap koreksi spontan kurva lumbal paska operasi memiliki nilai signifikansi (Sig) = 0,000 < 0,05 dan besarnya koreksi kurva thorakal memiliki nilai koefisien regresi lebih besar bila dibandingkan dengan lumbal modifier terhadap koreksi spontan kurva lumbal paska operasi (variabel besar koreksi kurva thorakal (X1) = 0,764, Lumbal modifier (X2) = 0,092). Besarnya koreksi kurva thorakal berpengaruh signifikan terhadap koreksi spontan kurva lumbal paska operasi dan besarnya koreksi kurva thorakal yang paling dominan dalam mempengaruhi koreksi spontan kurva lumbal dibandingkan dengan lumbal modifier.Kata kunci : Adolescent idiopathic scoliosis, Lumbal modifier, kurva thorakal Adolescent idiopathic scoliosis Lenke I, main thoracic curve pattern has the major curve, with the proximal thoracic and thoracolumbar/lumbar being non structural minor curves. Thus, instrumentation and fusion of the main thoracic region alone is recommended. In the literature it is said that the lumbar curve spontaneously corrects to balance the thoracic curve after selective thoracic fusion. Most authors assumed a mechanism whereby improvement of the lumbar curve occurred through counterbalancing the surgical correction of the thoracic curve. The lumbar curve divided in three subgroups: lumbar modifier A, B and C. The selection of specific operative treatments depends on this modifier. This study was an observational analysis in 35 adolescent idiopathic scoliosis Lenke I patients after correction and posterior instrumentation surgery. Evaluation using X-rays before and after surgery to determine the type of lumbar modifier, the magnitude of the main thoracic curve and assessment of spontaneous lumbar curve correction, then correlation test obtained. The magnitude of main thoracic curve correction to the spontaneous lumbar curve correction has a significance value (Sig) = 0.000 < 0.05 and the magnitude of main thoracic curve correction has a greater regression coefficient than the lumbar modifier for spontaneous lumbar curve correction (large correction variable thoracic curve (X1) = 0.764, Lumbal modifier (X2) = 0.092). The magnitude of main thoracic curve correction has a significant effect on the spontaneous lumbar curve correction and the magnitude of main thoracic curve correction is most dominant factor to influence spontaneous lumbar curve correction compared to the lumbar modifier.Keywords: Adolescent idiopathic scoliosis, Lumbar modifier, main thoracic
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4

Wong, Arnold Y. L., Cliffton Chan, Claire Hiller, Patrick S. H. Yung, Kenney K. L. Lau, Dino Samartzis, and Brenton Surgenor. "Is Scoliosis Associated with Dance Injury in Young Recreational Dancers? A Large-Scale Cross-Sectional Epidemiological Study." Journal of Dance Medicine & Science 26, no. 1 (March 15, 2022): 41–49. http://dx.doi.org/10.12678/1089-313x.031522f.

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Some studies suggested that adolescent scoliotic dancers were more likely to sustain dance injuries than non-scoliotic dancers. This study aimed to investigate the association between scoliosis and dance injury among children and adolescent recreational dancers. Identical web-based and paper-based questionnaires were distributed to children and adolescent recreational dancers to collect demographic information, dance experiences, history and location of dance injuries, as well as the frequency of dance injury in the last 12 months. The prevalence rates of the top three dance injury sites (lower back, knee, and ankles) were estimated. Associations between the presence of scoliosis and various dance injuries in the last 12 months were evaluated by multivariate logistic regression. Data from 704 respondents (644 females, 13.3 ± 2.4 years) was analyzed. Ninety-one respondents (12.9%) reported scoliosis and 11 respondents (1.6%) were wearing scoliosis braces. The 12-month prevalence rates of lumbar, knee, and ankle injuries in scoliotic dancers (24.2%, 22.2%, and 28.5%, respectively) were significantly higher than those of non-scoliotic dancers (10.4%, 14.9%, and 14.8%, respectively). Scoliosis was an independent risk factor for lumbar spine injury (Odds ratio, OR = 2.7), knee injury (OR = 2.6), and multi-site dance-related injury (OR = 1.9). Given the observed strong associations between scoliosis and lumbar or knee dance injuries in the current study, future studies are warranted to investigate the underlying causes.
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5

de Reuver, Steven, Philip P. van der Linden, Moyo C. Kruyt, Tom P. C. Schlösser, and René M. Castelein. "The role of sagittal pelvic morphology in the development of adult degenerative scoliosis." European Spine Journal 30, no. 9 (July 22, 2021): 2467–72. http://dx.doi.org/10.1007/s00586-021-06924-y.

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Abstract Purpose Pelvic morphology dictates the alignment and biomechanics of the spine. Recent observations in different types of adolescent idiopathic scoliosis indicate that individual pelvic morphology is related to the spinal levels in which scoliosis develops: primary lumbar adolescent scoliosis is associated with a higher pelvic incidence (PI) than thoracic scoliosis and non-scoliotic controls. We hypothesize that adult degenerative scoliosis (ADS) of the lumbar spine follows the same mechanical principles and is associated with a high PI. Methods This study used an existing CT-scan database, 101 ADS patients were sex and age matched to 101 controls. The PI was measured by two observers with multi-planar reconstruction, perpendicular to the hip-axis according to a previously validated technique. Results The PI was 54.1° ± 10.8° in ADS patients and 47.7° ± 10.8° in non-scoliotic controls (p < 0.001). The median ADS curve apex was the disc L2-3 and median curve length was 4 vertebral levels. The mean supine Cobb angle was 21° ± 8° (ranged 10°–47°). There was no significant correlation between PI and the apex level (p = 0.883), the curve length (p = 0.418) or the Cobb angle (p = 0.518). Conclusions ADS normally develops de novo in the lumbar spine of patients with a higher PI than controls, similar to primary lumbar adolescent idiopathic scoliosis. This suggests a shared mechanical basis of both deformities. Pelvic morphology dictates spinal sagittal alignment, which determines the segments of the spine that are prone to develop scoliosis.
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6

Ozerdemoglu, Remzi Arif, Ufuk Aydinli, Cagatay Ozturk, Salim Ersozlu, and Rasim Serifoglu. "RADIOGRAPHIC ANALYSIS OF DE NOVO SCOLIOSIS." Hirurgiâ pozvonočnika, no. 3 (August 23, 2005): 039–44. http://dx.doi.org/10.14531/ss2005.3.39-44.

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Objectives. To analyze the degenerative process in the lumbar spine in patients with and without scoliosis, in order to determine potential risk factors, which may be related to the development of de novo scoliosis. Material and Methods. In 121 adults (≥50 years), analyzed radiological parameters included: listhesis, wedging, and height of each lumbar vertebra, wedging and height of each disc, length of vertebral spurs, lumbar lordosis, lumbosacral, lumbo (L5) horizontal and sacro-horizontal angles, pelvic tilt on A-P X-ray, depth of L5 from the intercrest line, also – if present – pattern of curve, and level prsenting with the most obvious degenerative changes (MODC). Uni- and multi-variate statistical tests were used for analysis. Results. Degenerative changes were most obvious in the middle lumbar region. MODC at the L2 vertebra/L2–L3 disc and L4 vertebra/L4–L5 disc levels were more frequent in cases with scoliosis (p = 0.013; p = 0.022, respectively). Upon multivariate analysis the presence of scoliosis was closely related to the presence of lateral listhesis of L3, wedging of L3–L4disc, or pelvic tilt (p = 0.000; p = 0.000; p = 0.001, respectively). Cases with MODC at the L3–L4 disc level, or a more cranial apex of curve had a higher degree of scoliosis (p = 0.009; p = 0.017, respectively). Whereas, MODC at the L5–S1 level coexist with a low degree or no scoliosis (p = 0.009). Degenerative changes in the middle lumbar region, and pathologic conditions in the hip or lower extremities resulting in pelvic tilt, are frequent findings in cases with de novo scoliosis. Likewise, asymmetric degenerative changes at the L3–L4 disc level, and a more cranial apex of curve, were associated with an increased scoliotic curve. However, degenerative changes at the L5 vertebra/L5–S1 disc level carries lower risk in producing scoliosis. Conclusion. Degenerative changes in the lumbar spine are more intensive in its upper and middle parts, particularly at the level of L3 vertebral body and L3–L4 disc.
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7

Gaehle, Kay E., Shirley Moore, Jana Weindel, Laura A. Steiner, and Lawrence G. Lenke. "Adult Lumbar Scoliosis." AORN Journal 54, no. 3 (September 1991): 546–60. http://dx.doi.org/10.1016/s0001-2092(07)66776-3.

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8

Oskouian, Rod J., and Christopher I. Shaffrey. "Degenerative Lumbar Scoliosis." Neurosurgery Clinics of North America 17, no. 3 (July 2006): 299–315. http://dx.doi.org/10.1016/j.nec.2006.05.002.

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9

Ploumis, Avraam, Ensor E. Transfeldt, Thomas J. Gilbert, Amir A. Mehbod, Daryll C. Dykes, and Joseph E. Perra. "Degenerative Lumbar Scoliosis." Spine 31, no. 20 (September 2006): 2353–58. http://dx.doi.org/10.1097/01.brs.0000240206.00747.cb.

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10

Wilczynski, Jacek, Natalia Habik, Katarzyna Bieniek, Sylwia Janecka, Przemyslaw Karolak, and Igor Wilczynski. "Canonical Correlations Between Body Posture Variables and Postural Stability in Children with Scoliosis and Scoliotic Posture." Modern Applied Science 12, no. 6 (May 21, 2018): 58. http://dx.doi.org/10.5539/mas.v12n6p58.

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Background: The aim of the study was to analyse the correlation between body posture variables and postural stability in children with scoliosis and scoliotic posture.Methods: Spinal examination photogrammetry used the photometric Moiré method. Based on the angle size of the of spinal curvature, scoliotic posture was determined: 1-9°, and scoliosis: ≥10°. Postural reactions were tested using the Tecnobody ST 310 Plus Stability System platform. Children attended therapy at the Inter-school Centre of Corrective and Compensatory Gymnastics in Starachowice The study was conducted in June 2011. There were 21 children with scoliotic posture (7%) and 7 with scoliosis (25%). Results: In the canonical analysis of body posture variables, the highest share comprised of: trunk inclination angle, alpha angle, chest kyphosis angle, length of lumbar lordosis, length of lumbar lordosis/total spine length, shoulder asymmetry – right higher, shoulder asymmetry – left higher, absolute of pelvis tilt angle, coefficient of shoulder asymmetry relative to C7, primary curvature angle, length of secondary curvature/total spine length, depth of secondary curvature/total spine length. Significance: High values of canonical correlation coefficients, despite lack of significance, indicate the possibility of strong a correlation between body postural variables and postural stability that can be demonstrated with a greater sample size.
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11

Wong, Eugene, Farhaan Altaf, Lawrence J. Oh, and Randolph J. Gray. "Adult Degenerative Lumbar Scoliosis." Orthopedics 40, no. 6 (June 9, 2017): e930-e939. http://dx.doi.org/10.3928/01477447-20170606-02.

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12

Pritchett, James W., and David T. Bortel. "Degenerative Symptomatic Lumbar Scoliosis." Spine 18, no. 6 (May 1993): 700–703. http://dx.doi.org/10.1097/00007632-199305000-00004.

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13

Korovessis, Panagiotis, Grigoris Piperos, Pangiotis Sidiropoulos, and Anastassios Dimas. "Adult Idiopathic Lumbar Scoliosis." Spine 19, no. 17 (September 1994): 1926–32. http://dx.doi.org/10.1097/00007632-199409000-00012.

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14

Kolesov, S. V., V. S. Pereverzev, and D. V. Khaspekov. "Anterior dynamic scoliosis correction in a patient with congenital left-sided false diaphragmatic Bohdalek hernia: one-stage surgical solution." Hirurgiâ pozvonočnika (Spine Surgery) 18, no. 2 (June 8, 2021): 20–25. http://dx.doi.org/10.14531/ss2021.2.20-25.

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A clinical case of treatment of lumbar scoliotic deformity combined with false congenital diaphragmatic hernia in a 17-year-old patient is presented. Stage surgical solution to the problem was achieved using dynamic scoliosis correction system installed through the anterior approach.
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15

Wilczynski, Jacek, Katarzyna Bieniek, Natalia Habik, Sylwia Janecka, and Przemyslaw Karolak. "Canonical Correlations between Body Postural Variables in the Sagittal Plane and Scoliotic Variables in School-Children." Modern Applied Science 12, no. 2 (January 30, 2018): 109. http://dx.doi.org/10.5539/mas.v12n2p109.

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The aim of the study was analysis of the canonical correlations between body posture variables in the sagittal plane and scoliotic variables among school-children. The study included 28 girls aged 7-18. The Moiré photogrammetric method was used in the research. On the basis of the value of spine curvature angle, scoliotic posture: 1-9°; and scoliosis: ≥10° were distinguished. There were 21 (75%) with scoliotic posture and 7 (25%) with scoliosis. In the canonical correlation regarding body posture variables in the sagittal plane, the largest shares concerned: trunk inclination angle (0.035), alpha angle (0.072), angle of chest kyphosis (0.383), length of lumbar lordosis-(-0.301), actual angle of lumbar lordosis/total spine length (-1.067). In the canonical correlation regarding scoliotic variables, the largest shares were related to: shoulder asymmetry – right higher (-0.577), shoulder blade asymmetry – left higher (0.202), absolute pelvis tilt angle (-0.811), coefficient of shoulder asymmetry relative to C7 (0.324), depth of primary curvature/total spine length (0.420), primary curvature angle (0.032), length of secondary curvature/total spine length (-0.003). The high value of the canonical correlation coefficient despite lack of significance (R=0.72963; p=0.40075) indicates the possibility of the occurrence of a strong correlation of both sets of variables that can be demonstrated with a larger sample size. In the selection of scoliosis treatment method, the size of the postural variables in the sagittal plane should be taken into account, and each patient’s case should be individually considered.
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Begum, Shamim MF, Nasreen Sultana, Zeenat Jabin, Rahima Parveen, Azmal Kabir Sarker, and Layla Saroware Banu. "Discordance between Spinal and Hip Bone Mineral Density Values in Patients with Lumbar Scoliosis – Experience of a Single Institute." Bangladesh Journal of Nuclear Medicine 18, no. 2 (January 10, 2018): 121–24. http://dx.doi.org/10.3329/bjnm.v18i2.35218.

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Osteoporosis and scoliosis are encountered concurrently. Scoliosis predisposes to osteoporosis but degenerative scoliosis could falsely elevate lumbar bone mineral density measurement leading to discordance. This study was conducted to determine the prevalence of discordance between lumbar spines and hip bone mineral density in patients with lumbar scoliosis and to evaluate the risk factors of discordance. The prevalence of osteoporosis and discordance was determined as major and minor discordance. Old age, age at menopause, sex and BMI were considered as possible risk factors for discordance and were used in multivariate logistic regression analysis. Discordance between lumbar spines and hip was found in 55 (78.6 %) patients and among them major and minor discordance of T-scores were seen in 18 (25.7%) and 37 (52.9%) respectively. Concordance of T scores was seen in 15 (21.4%). In multivariate logistic regression analysis female sex, age older than 60 years and BMI less than 30 kg/m2 was identified as risk factors for T-score discordance.In lumbar scoliosis the overestimation of lumbar spine may lead to diagnostic dilemma, whereas hip DEXA appears to be more reliable in these cases. In such cases it is in the jurisdiction of the physician to look for possible underlying causes of discordance of T score.Bangladesh J. Nuclear Med. 18(2): 121-124, July 2015
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17

Vetrile, S. T., A. A. Kuleshov, V. V. Shvets, Marchel Stepanovich Vetrile, S. T. Vetrile, A. A. Kuleshov, V. V. Shvets, and M. S. Vetrile. "Peculiarities of Course and Surgical Treatment for Dysplastic Lumbar and Thoracolumbar Scoliosis in Children and Adults." N.N. Priorov Journal of Traumatology and Orthopedics 18, no. 2 (June 15, 2011): 71–80. http://dx.doi.org/10.17816/vto201118271-80.

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Analysis of CITO outpatient department archives has shown that practically from 20 to 30% of patients with spine pathology are suffering from scoliosis. The most common types are lumbar and thoracolumbar scoliosis. Progression of lumbar scoliosis goes on after growth completion and is accompanied by formation of pronounced degenerative changes in the spine. Clinically the course of the disease is aggravated by marked persistent pain syndrome. Results of surgical treatment performed at CITO spine pathology department with application of ventral and dorsal instrumentation have been analyzed for 118 patients with lumbar and thoracolumbar scoliosis. Eighty of those patients were operated on in childhood and juvenile age, 38 patients at the age of 25 - 70 years. Use of ventral instrumentation enabled to achieve high degree of lumbar and thoracolumbar scoliosis correction - up to 72% of initial deformity, average derotation made up 12.9° or 44.3% of initial rotation. Use of dorsal instrumentation is also effective for surgical treatment of lumbar and thoracolumbar scoliosis (66.8% of lateral curvature). Screw fixation ensures higher degree of the lateral curvature (68.2%) and sagittal profile as well as rotation component (33.1% of initial value). Presence of focal neurologic symptomatology is the indication to decompressive operations followed by instrumental fixation and posterior fusion. Defor-mity correction is performed only within the limits of deformity mobility
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18

Azham, Syahirah Zeti, Nur Firzanie Kamaruddin, Ezreen Elia Izzaty Afindi, Lyanna Annura Sallehudin, Mohd Nizam Haron, Khairul Nizam Rozali, and Sabrilhakim Sidek. "Outcome of Chiropractic Therapy in Idiopathic Scoliosis – A Preliminary Study." Journal of Clinical and Health Sciences 2, no. 2 (December 31, 2017): 26. http://dx.doi.org/10.24191/jchs.v2i2.5883.

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Introduction: The purpose of this study is to retrospectively report the results of scoliosis patients who underwent chiropractic therapy and to evaluate their outcome by looking at the potential to alter the natural progression of scoliosis after therapy. Methods: Retrospective data collection was conducted at a private chiropractic centre in Kuala Lumpur. The data was collected from patients between the ages of 16 to 19 years old. A total of eight patients with 14 scoliotic curvatures (six thoracic, six lumbar and two thoracolumbar), who met the inclusion criteria, were selected as subjects for this study. All subjects received the same chiropractic therapy program. The outcome of the therapy was assessed by measuring the Cobb’s angle on the erect spine as captured on an x-ray. The Cobb’s angle was measured at the first presentation (to establish a baseline) after 6 and 24 months of therapy. Results: The mean baseline Cobb’s angle for thoracic, lumbar and thoracolumbar scoliosis were 30.7o ± 19.4o , 31.7o ± 12.3o and 25.0o ± 18.4o respectively. After 24 months of chiropractic therapy, there was no discernible effect on the magnitude of the Cobb’s angles on the subjects overall. Conclusion: Our study showed no significant reduction in spine curvature in patients with scoliosis using chiropractic therapy after 24 months.
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19

Toyota, Kouichiro, Toshihiko Taguchi, Yutaka Ito, Hiroshi Onaka, Shinya Kawai, Yasunori Fuchigami, and Hirotsugu Oda. "Enlargement of Lumbar Vertebral Canal for Lumber Degenerative Scoliosis." Orthopedics & Traumatology 50, no. 4 (2001): 1181–83. http://dx.doi.org/10.5035/nishiseisai.50.1181.

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20

Anwar, Z., E. Zan, S. K. Gujar, D. M. Sciubba, L. H. Riley, Z. L. Gokaslan, and D. M. Yousem. "Adult Lumbar Scoliosis: Underreported on Lumbar MR Scans." American Journal of Neuroradiology 31, no. 5 (January 6, 2010): 832–37. http://dx.doi.org/10.3174/ajnr.a1962.

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21

Seo, Jun-Yeong, Kee-Yong Ha, Tae-Hyok Hwang, Ki-Won Kim, and Young-Hoon Kim. "Risk of progression of degenerative lumbar scoliosis." Journal of Neurosurgery: Spine 15, no. 5 (November 2011): 558–66. http://dx.doi.org/10.3171/2011.6.spine10929.

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Object In this paper the authors' goal was to determine the factors associated with the progression of degenerative lumbar scoliosis (DLS). Methods Twenty-seven patients (3 men and 24 women; mean age 64.9 years) with more than 10° of lumbar scoliosis at baseline were monitored for a mean period of 10 years. The radiological evaluation included measurement of the scoliosis angle using the Cobb method, the direction of the scoliosis, the relationship between the intercrest line and the L-5 vertebra, lateral listhesis, segmental angle, distance from the center of the sacral line to the apical vertebra, degenerative listhesis anteriorly or posteriorly or both, and lordosis angle. In addition, the lateral osteophyte difference, disc index, and severity of osteoporosis were measured. The pain and disability outcomes were assessed using the visual analog scale and the Oswestry Disability Index (ODI) relative to severity of the angle of scoliosis. Results The mean initial and final scoliosis angles were 14° ± 5.4° and 25° ± 8.5°, respectively. The initial disc index at the L-3 vertebra (Spearman ρ = 0.7, p < 0.001), the sum of the segmental wedging angles above and below the L-3 vertebra (ρ = 0.6, p < 0.001), and the initial disc index at the apical vertebra (ρ = 0.6, p < 0.001) were correlated with the last follow-up angle of the scoliosis. By contrast, there was no statistically significant correlation between the initial segmental angles at L2–3 and L3–4 and the final follow-up scoliosis angle (ρ = 0.2, p = 0.67; and ρ = 0.1, p = 0.22; respectively). When the authors separated the patients into 3 groups according to the sum of the segmental angles above and below L-3 (< 5°, 5° to 10°, and > 10°), they found that 3 (42.9%) of 7, 8 (66.7%) of 12, and 6 (75.0%) of 8 patients in the 3 groups showed increases of greater than 10° in scoliosis angle. The mean distance from the center of the sacral line to the apical vertebra was 36.0 ± 9.7 mm, and the distance correlated with the measurement of the last follow-up angle of the scoliosis (ρ = 0.6, p < 0.001). The mean angle of the scoliosis was significantly greater when the intercrest line passed through the L-5 or L4–5 disc space than when the line passed through the L-4 vertebral body (31.4° ± 7.9° vs 21.8° ± 6.7°, p = 0.01). The ODI correlated with the measurement of the angle of the scoliosis (ρ = 0.6, p < 0.001). Age, sex, osteoporosis, the direction of the scoliosis, listhesis of coronal and sagittal planes, the lateral osteophyte difference, and the vertebral body index did not correlate with curve progression. Conclusions The findings of this study demonstrated that the progression of DLS was affected by the relationship between the intercrest line and the L-5 vertebra. When L-5 was deep seated, progression of DLS was found. Asymmetrical change in the disc space above and below the L-3 or apical vertebra may also be an important predictor of curve progression.
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Chen, Peggy Guey-Chi, Michael D. Daubs, Sigurd Berven, Laura B. Raaen, Ashaunta T. Anderson, Steven M. Asch, and Teryl K. Nuckols. "Surgery for Degenerative Lumbar Scoliosis." SPINE 41, no. 10 (May 2016): 910–18. http://dx.doi.org/10.1097/brs.0000000000001392.

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Urrutia, Julio, Claudio Diaz-Ledezma, Julio Espinosa, and Sigurd H. Berven. "Lumbar Scoliosis in Postmenopausal Women." Spine 36, no. 9 (April 2011): 737–40. http://dx.doi.org/10.1097/brs.0b013e3181db7456.

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Jimbo, Shizuo, Tetsuya Kobayashi, Kiyoshi Aono, Yuji Atsuta, and Takeo Matsuno. "Epidemiology of Degenerative Lumbar Scoliosis." Spine 37, no. 20 (September 2012): 1763–70. http://dx.doi.org/10.1097/brs.0b013e3182575eaa.

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Makino, Takahiro, Takashi Kaito, Hiroyasu Fujiwara, and Kazuo Yonenobu. "Lumbar Scoliosis in Rheumatoid Arthritis." Spine 38, no. 6 (March 2013): E339—E343. http://dx.doi.org/10.1097/brs.0b013e3182843397.

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Pneumaticos, Spiros G., and Stephen I. Esses. "Scoliosis associated with lumbar spondylolisthesis." Spine Journal 3, no. 4 (July 2003): 321–24. http://dx.doi.org/10.1016/s1529-9430(03)00026-3.

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SEITSALO, SEPPO, KALEVI ÖSTERMAN, and MIKKO POUSSA. "Scoliosis Associated with Lumbar Spondylolisthesis." Spine 13, no. 8 (August 1988): 899–904. http://dx.doi.org/10.1097/00007632-198808000-00005.

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Fishman, Loren M. "Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis Patients—Some Concerns About a Randomized Controlled Trial." Global Advances in Health and Medicine 10 (January 2021): 216495612110193. http://dx.doi.org/10.1177/21649561211019372.

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In their recent article, Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis Patients, Sarkisova, et. al. found no beneficial effect using the simple poses that Drs. Groessl, Sherman and I found successful in reversing adolescent idiopathic scoliosis (AIS) and degenerative scoliosis (DS). Although they tried to follow our protocol exactly, they did not. They did not distinguish thoracic from lumbar or thoracolumbar from complex (both thoracic and lumbar) curves, affecting the randomization. See Figure 2 in their study. The side plank is only intended to reverse lumbar and thoracolumbar curves, and actually exaggerates thoracic curves, and the thoracic component of complex curves. The vicissitudes of randomization placed 25 lumbar and thoracolumbar curves in the control and non-compliant groups, but no lumbar and only one thoracolumbar in the intervention group that did the side plank. This trial did not prove that the side plank does not reduce lumbar curves: none were tested.
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Di Silvestre, Mario, Francesco Lolli, Tiziana Greggi, Francesco Vommaro, and Andrea Baioni. "Adult's Degenerative Scoliosis: Midterm Results of Dynamic Stabilization without Fusion in Elderly Patients—Is It Effective?" Advances in Orthopedics 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/365059.

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Study Design. A retrospective study.Purpose. Posterolateral fusion with pedicle screw instrumentation used for degenerative lumbar scoliosis can lead to several complications. In elderly patients without sagittal imbalance, dynamic stabilization could represent an option to avoid these adverse events.Methods. 57 patients treated by dynamic stabilization without fusion were included. All patients had degenerative lumbarde novoscoliosis (average Cobb angle 17.2°), without sagittal imbalance, associated in 52 cases (91%) with vertebral canal stenosis and in 24 (42%) with degenerative spondylolisthesis. Nineteen patients (33%) had previously undergone lumbar spinal surgery.Results. At an average followup of 77 months, clinical results improved with statistical significance. Scoliosis Cobb angle was 17.2° (range, 12° to 38°) before surgery and 11.3° (range, 4° to 26°) at last follow-up. In the patients with associated spondylolisthesis, anterior vertebral translation was 19.5% (range, 12% to 27%) before surgery, 16.7% (range, 0% to 25%) after surgery, and 17.5% (range, 0% to 27%) at followup. Complications incidence was low (14%), and few patients required revision surgery (4%).Conclusions. In elderly patients with mild degenerative lumbar scoliosis without sagittal imbalance, pedicle screw-based dynamic stabilization is an effective option, with low complications incidence, granting curve stabilization during time and satisfying clinical results.
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Heary, Robert F., and Reza J. Karimi. "Correction of lumbar coronal plane deformity using unilateral cage placement." Neurosurgical Focus 28, no. 3 (March 2010): E10. http://dx.doi.org/10.3171/2009.12.focus09281.

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The authors describe a surgical technique for the correction of symptomatic degenerative lumbar scoliosis. Using a single, unilateral, interbody cage placed on the concave side of the coronal deformity, combined with a dorsal decompression and instrumented posterolateral fusion, this technique has resulted in excellent curve correction, fusion results, and clinical outcomes in a series of 4 patients. Each of these patients presented with intractable, axial low-back pain and symptomatic unilateral nerve root compression on the concave side of a lumbar scoliotic deformity. The management is described in detail.
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Cațan, Liliana, Simona Cerbu, Elena Amaricai, Oana Suciu, Delia Ioana Horhat, Călin Marius Popoiu, Ovidiu Adam, and Eugen Boia. "Assessment of Static Plantar Pressure, Stabilometry, Vitamin D and Bone Mineral Density in Female Adolescents with Moderate Idiopathic Scoliosis." International Journal of Environmental Research and Public Health 17, no. 6 (March 24, 2020): 2167. http://dx.doi.org/10.3390/ijerph17062167.

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(1) Background: Adolescent idiopathic scoliosis (AIS) can be associated with vitamin D deficiency and osteopenia. Plantar pressure and stabilometry offer important information about posture. The objectives of our study were to compare static plantar pressure and stabilometric parameters, serum 25-OH-vitamin D3 and calcium levels, and bone mineral densitometry expressed as z-score in patients with moderate AIS and healthy subjects. (2) Methods: 32 female adolescents (idiopathic S shaped moderate scoliosis, main lumbar curve) and 32 gender and age-matched controls performed: static plantar pressure, stabilometry, serum 25-OH-vitamin D3 and calcium levels, and dual X-ray absorptiometry scans of the spine. (3) Results: In scoliosis patients, significant differences were recorded between right and left foot for total foot, first and fifth metatarsal, and heel loadings. Stabilometry showed a poorer postural control when compared to healthy subjects (p < 0.001). Patients had significantly lower vitamin D, calcium levels, and z-scores. Lumbar Cobb angle was significantly correlated with the z-score (r = −0.39, p = 0.02), with right foot fifth metatarsal load (r = −0.35, p = 0.04), center of pressure CoPx (r = −0.42, p = 0.01), CoP displacement (r = 0.35, p = 0.04) and 90% confidence ellipse area (r = −0.38, p = 0.03). (4) Conclusions: In our study including female adolescents with idiopathic S shaped moderate scoliosis, plantar pressure and stabilometric parameters were influenced by the main scoliotic curve.
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PINTO, EDUARDO MOREIRA, JORGE ALVES, ARTUR TEIXEIRA, and ANTÓNIO MIRANDA. "SAGITTAL BALANCE IN ADOLESCENT IDIOPATHIC SCOLIOSIS." Coluna/Columna 18, no. 3 (September 2019): 182–86. http://dx.doi.org/10.1590/s1808-185120191803191004.

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ABSTRACT Objective The objective of this study is to achieve a better understanding of the parameters that influence sagittal balance in a population with adolescent idiopathic scoliosis (AIS). Methods A retrospective study of 80 patients with adolescent idiopathic scoliosis (AIS) was conducted. The parameters evaluated were: age, sex, pelvic incidence (PI), sacral slop (SS), pelvic tilt (PT), sagittal balance (SB), coronal balance (CB), lumbar lordosis (LL), thoracic kyphosis (TK) divided into upper (between T1 and T5) and lower (between T5 and T12), cervical spine alignment (CSA), and Cobb’s coronal angle (CCA) of primary scoliotic curvature. Results Regarding the sagittal balance, this study demonstrated a significant statistical positive correlation with cervical shape (p<0.01) and upper thoracic kyphosis (from T1 to T5) (p<0.05), but not with the other variables. LL had a strong influence on lower thoracic curvature (from T5 to T12) and was strongly influenced by the PI and SS. Conclusions Sagittal balance is a parameter that is influenced by multiple factors. In fact, it is closely related to cervical shape and the upper thoracic curvature (from T1 to T5), which in turn, is closely linked to the severity of the scoliotic kyphosis. The Cobb angle of the lower thoracic spine (from T5 to T12) is more closely correlated with the angle of lumbar lordosis than with the upper thoracic kyphosis (from T1 to T5). Level of evidence IV; Case Series.
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Schmid, Annina B., Linda Dyer, Thomas Böni, Ulrike Held, and Florian Brunner. "Paraspinal Muscle Activity During Symmetrical and Asymmetrical Weight Training in Idiopathic Scoliosis." Journal of Sport Rehabilitation 19, no. 3 (August 2010): 315–27. http://dx.doi.org/10.1123/jsr.19.3.315.

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Context:Various studies report decreased muscle activation in the concavity of the curve in patients with scoliosis. Such decreased muscle-performance capacity could lead to sustained postural deficits.Objective:To investigate whether specific asymmetrical sports therapy exercises rather than symmetrical back strengthening can increase EMG amplitudes of paraspinal muscles in the concavity of the curve.Design:Cross-sectional.Setting:Laboratory.Participants:16 patients with idiopathic scoliosis.Interventions:Patients performed 4 back-strengthening exercises (front press, lat pull-down, roman chair, bent-over barbell row) during 1 test session. Each exercise was performed in a symmetrical and asymmetrical variant and repeated 3 times.Main Outcome Measure:EMG amplitudes of the paraspinal muscles were recorded in the thoracic and lumbar apexes of the scoliotic curve during each exercise. Ratios of convex- to concave-side EMG activity were calculated.Results:Statistical analysis revealed that the asymmetrical variants of front press at the lumbar level (P = .002) and roman chair and bent-over barbell row at the thoracic level (P < .0001, .001 respectively) were superior in increasing EMG amplitudes in the concavity of the scoliotic curve.Conclusions:Specific asymmetrical exercises increase EMG amplitudes of paraspinal muscles in the concavity. If confirmed in longitudinal studies measuring improvements of postural deficits, these exercises may advance care of patients with scoliosis.
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de Reuver, Steven, Jelle F. Homans, Tom P. C. Schlösser, Michiel L. Houben, Vincent F. X. Deeney, Terrence B. Crowley, Ralf Stücker, et al. "22q11.2 Deletion Syndrome as a Human Model for Idiopathic Scoliosis." Journal of Clinical Medicine 10, no. 21 (October 20, 2021): 4823. http://dx.doi.org/10.3390/jcm10214823.

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To better understand the etiology of idiopathic scoliosis, prospective research into the pre-scoliotic state is required, but this research is practically impossible to carry out in the general population. The use of ‘models’, such as idiopathic-like scoliosis established in genetically modified animals, may elucidate certain elements, but their translatability to the human situation is questionable. The 22q11.2 deletion syndrome (22q11.2DS), with a 20-fold increased risk of developing scoliosis, may be a valuable and more relevant alternative and serve as a human ‘model’ for idiopathic scoliosis. This multicenter study investigates the morphology, dynamic behavior, and presence of intraspinal anomalies in patients with 22q11.2DS and scoliosis compared to idiopathic scoliosis. Scoliosis patients with 22q11.2DS and spinal radiography (n = 185) or MRI (n = 38) were included (mean age 11.6 ± 4.2; median Cobb angle 16°) and compared to idiopathic scoliosis patients from recent literature. Radiographic analysis revealed that 98.4% of 22q11.2DS patients with scoliosis had a curve morphology following predefined criteria for idiopathic curves: eight or fewer vertebrae, an S-shape and no inclusion of the lowest lumbar vertebrae. Furthermore, curve progression was present in 54.2%, with a mean progression rate of 2.5°/year, similar to reports on idiopathic scoliosis with 49% and 2.2–9.6°/year. The prevalence of intraspinal anomalies on MRI was 10.5% in 22q11.2DS, which is also comparable to 11.4% reported for idiopathic scoliosis. This indicates that 22q11.2DS may be a good model for prospective studies to better understand the etiology of idiopathic scoliosis.
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Li, Simon SW, and Daniel HK Chow. "Effects of asymmetric loading on lateral spinal curvature in young adults with scoliosis: A preliminary study." Prosthetics and Orthotics International 42, no. 5 (February 26, 2018): 554–62. http://dx.doi.org/10.1177/0309364618757784.

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Background: Usual guidelines recommend symmetric load carriage over asymmetric load carriage. Whether this recommendation is valid for subjects with asymmetric body alignment, such as those with scoliosis, remains unclear. Scoliosis is both a subject-dependent and time-variant condition. Interventions are generally employed to prevent the abnormal spinal curvature from progressing. Objectives: To investigate the effects of an asymmetric load carriage on lateral spinal deformity in participant with scoliosis. Study design: Repeated measure and single-case experimental designs Methods: Photogrammetry was employed to measure the scoliotic curvature changes in thoracic and lumbar regions without a load (0%) and with a single-strap cross-chest bag loaded at 2.5%, 5%, 7.5%, 10% and 12.5% of body weight. Statistical tests and programming models were adopted to determine the loading conditions (placement and weight of the bag) with optimal and minimal corrections of the affected and unaffected scoliotic spinal regions, respectively. Results: Significant short-term postural correction of scoliosis was achieved through applying an asymmetric load on the ipsilateral shoulder relative to the apex location of the major scoliotic curve. Conclusion: A subject-specific optimal loading configuration was determined using a programming model. The results suggest that the application of a properly controlled asymmetric load carriage might be possible for reducing scoliotic spinal curvature. Further study of the long-term effects of subject-specific optimal asymmetric load carriage on scoliotic spinal curvatures is warranted. Clinical relevance Short-term reduction of scoliotic spinal curvatures under asymmetric load carriage was demonstrated. Thoracic curvatures could be reduced when asymmetric loading was applied on the ipsilateral shoulder relative to the scoliotic apex. Multiobjective programming was applied to determine the optimal weight of asymmetric load for participant with scoliosis.
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Park, Jaeyong, and Wi-Young So. "The Effect of the Schroth Rehabilitation Exercise Program on Spinal and Feet Alignment in Adolescent Patients with Idiopathic Scoliosis: A Pilot Study." Healthcare 10, no. 2 (February 20, 2022): 398. http://dx.doi.org/10.3390/healthcare10020398.

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Background: This study investigated the therapeutic effects of 12-week Schroth rehabilitation exercises (SRE) in improving Cobb’s angle, scoliometer readings, lumbar lordosis, and the calcaneal valgus angle of patients with idiopathic scoliosis. Methods: This pilot study included 60 adolescent patients diagnosed with idiopathic scoliosis by a rehabilitation physician based on a Cobb’s angle of ≥10° using total anteroposterior plain radiography. Patients were classified into groups with a Cobb’s angle of 10–19° (G1), 20–29° (G2), and ≥30° (G3). Cobb’s angle, scoliometer readings, lumbar lordosis, and calcaneal valgus angles were analyzed before and after the 12-week SRE. Results: SRE improved Cobb’s angle (−6.85), scoliometer readings (−2.80), lumbar lordosis (4.23), and calcaneal valgus angles (left, −3.76; right, −2.83) regardless of the initial scoliosis angle, and within-group changes were significant (p < 0.001). In this study, participants in all three groups had undergone SRE, regardless of initial scoliosis severity, and the findings were significant. Conclusion: SRE can be used for patients with idiopathic scoliosis to improve asymmetric musculoskeletal morphology and the patient’s quality of life.
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Asad, Sheikh, Arjun Dubey, Arvind Dubey, and Chester Sutterlin. "Clinical Outcomes after Minimally Invasive Trans-Psoas Lateral Lumbar Interbody Fusion for the Treatment of Adult Degenerative Scoliosis: Four Years’ Multicenter Study." Indian Journal of Neurosurgery 9, no. 03 (September 21, 2020): 225–29. http://dx.doi.org/10.1055/s-0040-1710105.

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AbstractThe use of minimally invasive transpsoas lateral lumbar interbody fusion (LLIF) surgery for treatment of adult degenerative scoliosis is rapidly increasing in popularity. However, limited data is available regarding its use in adult degenerative lumbar scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis who were treated with minimally invasive LLIF. Thirty-two consecutive patients with adult degenerative scoliosis treated by a single surgeon at two spine centers were followed up for an average of 13.2 months. Interbody fusion was completed using the minimally invasive LLIF technique with supplemental 360 degrees’ posterior instrumentation. Oswestry disability index (ODI) scores were obtained preoperatively and at most recent follow-up. Complications were recorded. The study group demonstrated improvement in clinical outcome scores. ODI scores improved from 36.8 to 23.4 (p < 0.00001). A total of four complications (12%) were recorded, and two patients (6%) required additional surgery. Based on the significant improvement in validated clinical outcome scores, minimally invasive LLIF can be considered an effective procedure in the treatment of adult degenerative scoliosis.
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Ali, Amar, Xenofon Baraliakos, Bilal Kanawati, Redouane Boudelal, Wolfram Teske, Juergen Kraemer, and Theodoros Theodoridis. "Microsurgical nerve root decompression in scoliotic lumbar spines—the relationship between important anatomical structures in correlation to imaging and implications for daily practice: anatomic cadaveric study." Journal of Neurosurgery: Spine 13, no. 1 (July 2010): 123–32. http://dx.doi.org/10.3171/2010.3.spine09127.

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Object In a retrospective study in cadavers, the authors investigated the anatomical parameters between the convex and concave side in lumbar scoliosis for microsurgical discectomy and the decompression of spinal stenosis. Microsurgical intervention is the gold standard for lumbar herniotomy or the decompression of the spinal stenosis. However, the risk for complications during these procedures is higher due to the anatomical variations caused by the scoliosis. Methods In 4 adult cadaveric scoliotic lumbar spines, the authors studied the anatomical relationship between important structures for performance of microsurgical discectomy or decompression, such as the dural sac, spinal nerve roots, and adjacent anatomical structures. They measured the following distances and compared these findings with those acquired using conventional radiographs in daily practice: nerve root outlet–ganglion center, nerve shoulder–superior disc, nerve shoulder–pedicle, nerve axilla–pedicle, nerve axilla–lower pedicle, ganglion center–pedicle, ganglion center–lower pedicle, and nerve root angle. Results The mean distance of nerve root outlet–ganglion center, nerve shoulder–superior disc, nerve shoulder–pedicle, nerve axilla–pedicle, and ganglion center–pedicle was significantly different between the convex and concave side (all p < 0.05), in contrast to the results of nerve axilla–lower pedicle and ganglion center–lower pedicle, which both related to the pedicle of the lower segment (difference not significant). Conclusions For the first time, information on the anatomical variations between convex and concave sides in scoliotic lumbar spines is described, supported by comparisons with radiographic examinations. These results confirm a topographic anatomical discrepancy. This knowledge can be used in daily perioperative practice for patients undergoing microsurgical decompression.
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Pham, Martin H., Andre M. Jakoi, and Patrick C. Hsieh. "Minimally invasive L5–S1 oblique lumbar interbody fusion with anterior plate." Neurosurgical Focus 41, videosuppl1 (July 2016): 1. http://dx.doi.org/10.3171/2016.2.focusvid.1692.

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Lumbar interbody fusion is an important technique for the treatment of degenerative disc disease and degenerative scoliosis. The oblique lumbar interbody fusion (OLIF) establishes a minimally invasive retroperitoneal exposure anterior to the psoas and lumbar plexus. In this video case presentation, the authors demonstrate the techniques of the OLIF at L5–S1 performed on a 69-year-old female with degenerative scoliosis as one component of an overall strategy for her deformity correction.The video can be found here: https://youtu.be/VMUYWKLAl0g.
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Ughratdar, Ismail, Samiul Muquit, Harshal Ingale, Ahmad Moussa, Amr Ammar, and Michael Vloeberghs. "Cervical implantation of intrathecal baclofen pump catheter in children with severe scoliosis." Journal of Neurosurgery: Pediatrics 10, no. 1 (July 2012): 34–38. http://dx.doi.org/10.3171/2012.3.peds11474.

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Object Intrathecal baclofen (ITB) pump catheter placement is traditionally performed through entry into the spinal sac at the lumbar spine. A minority of children with cerebral palsy have severe concomitant neuromuscular scoliosis. In these children, whether surgically treated or not, access to the intradural space via the lumbar spine may prove technically challenging. The authors report on a series of children in whom, for various reasons, an ITB catheter was implanted using a posterior cervical spine approach. Methods The records of 20 children in whom a baclofen catheter had been placed were retrospectively reviewed to assess the demographic details, indications, and outcome of this procedure. Results This approach was successful in all but one of the children in whom the procedure was abandoned given the presence of significant extradural scar tissue. Of the 20 children, 7 had previously undergone lumbar ITB catheter implantation, although the catheter was subsequently, iatrogenically transected during scoliosis surgery. Nine children had had corrective scoliosis surgery, and the fusion mass obviated access to the lumbar spinal sac. Four children had untreated scoliosis and corrective surgery was being contemplated. Complications included infection requiring explantation (2 patients), catheter migration (1 patient), intolerance to ITB (1 patient), and failure of implantation (1 patient). All patients who tolerated the ITB experienced improvement in spasticity. No complications were associated with the spinal level of catheter insertion. Conclusions Implantation of an ITB catheter via a cervical approach is safe and feasible and should be considered in children with severe corrected or uncorrected scoliosis, and thus avoiding the lumbar spinal sac.
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Nikitin, A. S., and A. A. Grin. "Combination of degenerative lumbar spinal stenosis and spinal deformity. Literature review." Russian journal of neurosurgery 20, no. 3 (September 19, 2018): 91–103. http://dx.doi.org/10.17650/1683-3295-2018-20-3-91-103.

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The study objective is to analyze currently available publications on spinal deformity in patients with degenerative lumbar spinal stenosis.Materials and methods. We analyzed 90 manuscripts published between 1980 and 2017.Results. We describe the parameters used to assess spinal deformity and evaluate their role for predicting the course of degenerative spinal disease. We provide the results of latest studies assessing the impact of spinal deformity on the outcome of surgical treatment in patients with degenerative lumbar spinal stenosis. We identified the following risk factors for scoliosis progression: wedge-shaped intervertebral disc in the frontal projection, low middle sacral axis, lateral spondylolisthesis, small L vertebral body, vertebral rotation, Cobb angle >20°, and sagittal imbalance.Conclusion. We recommend decompressive interventions with facet joint preservation in patients with spinal deformity and degenerative lumbar spinal stenosis with no risk factors for scoliosis progression and radicular symptoms only (without pronounced low back pain). In patients with no risk factors for scoliosis progression, radicular symptoms, and low back pain, it is advisable to combine decompression with short fixation. For individuals at risk of scoliosis progression, we recommend supplementing decompression with long fixation exceeding scoliosis curve.
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Beyazal, Mehmet, Münevver Serdaroglu Beyazal, Ekrem Kara, Hatice Beyazal Polat, Fatma Beyazal Çeliker, and Şaban Ergene. "Renal Artery Dissection in a Patient With Degenerative Scoliosis: A Rare Complication Caused by Lumbar Vertebra Osteophyte." Vascular and Endovascular Surgery 52, no. 4 (March 1, 2018): 316–19. http://dx.doi.org/10.1177/1538574418761983.

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Isolated spontaneous renal artery dissection (RAD) without known trauma is rare, and its etiology has not been determined. However, notable risk factors including hypertension, strenuous exercise, connective tissue disorders, atherosclerosis, extracorporeal shock wave lithotripsy, and cocaine abuse have been reported. To the best of our knowledge, isolated RAD caused by lumbar vertebra osteophytes in patients with degenerative lumbar scoliosis has not been reported in the literature. In this article, we present a case of RAD caused by lumbar vertebra osteophyte in a patient with degenerative scoliosis and discuss the management of the disease.
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Park, Saejong, Saejong Park, and Saejong Park. "Characteristics of elite rhythmic gymnasts with scoliosis in Korea." IJASS(International Journal of Applied Sports Sciences) 33, no. 2 (December 31, 2021): 159–66. http://dx.doi.org/10.24985/ijass.2021.33.2.159.

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The study aimed to investigate the demographic and physical characteristics of South Korean female elite rhythmic gymnasts with scoliosis. Twenty-eight female elite rhythmic gymnasts aged 16.1 ±3.0 years were enrolled and divided by Cobb angle into a scoliosis group and a non-scoliosis group. In addition to the baseline characteristics of each group, visual analogue scale (VAS) scores for lumbago and results of the 36-item health survey version 2 (SF-36v2) questionnaires were collected. The pelvic tilt degree, leg length, hip range of motion and back-muscle strength were also measured and analyzed together. Radiographs of the thoracolumbar spine were taken for each subject. The scoliosis group (n=17) had significantly higher age, height, weight, and body fat compared to the non-scoliosis group. Further, six of the scoliosis group gymnasts had lumbar compression fractures or spondylolysis. Spinal flexors and extensors of all the subjects were balanced in strength but the lateral flexors showed noticeable imbalance. Elite rhythmic gymnasts were found to be increasingly susceptible to scoliosis and other spinal disorders with age and years of training. Spinal lateral-flexor muscle imbalance was more severe with scoliosis.
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Zhu, Zezhang. "Sciatic Scoliosis Evolution after Lumbar Discectomy: A Comparison Between Adolescents and Young Adults." Pain Physician 5, no. 22;5 (September 11, 2019): E457—E465. http://dx.doi.org/10.36076/ppj/2019.22.e457.

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Background: Scoliosis secondary to lumbar disc herniation (LDH) may occur in both adolescents and adults. As the spine is more flexible in adolescents than in adults, the curve features and curve evolution could be different between these 2 cohorts, which were unclear. Objectives: To compare the radiologic features of scoliosis secondary to LDH between adolescents and adults, and to further characterize the curve evolution after lumbar discectomy in 2 cohorts. Study Design: A retrospective study. Setting: An inpatient surgery center. Methods: Patients with scoliosis secondary to LDH who underwent surgical intervention between 2010 and 2016 were reviewed. Radiographic parameters were measured on standing whole spine radiographs. The apical vertebral translation was measured on serial radiographs taken before surgery, one month and 6 months after surgery, and at last follow-up to evaluate the curve evolution. Meanwhile, the patients’ reported outcomes were evaluated. According to age, patients were divided into adolescent and adult group. Comparisons between the 2 groups were made with regards to the preoperative and postoperative radiographic parameters and clinical outcomes. Results: A total of 42 adolescent and 41 adult patients were included in this study. The incidence of scoliosis secondary to LDH in the adolescents was significantly higher than that in the adults. Adolescent patients present remarkably higher incidence of coronal balance as compared with the adult patients preoperatively. No significant difference was observed between the 2 groups in terms of preoperative radiographic parameters. A total of 85.7% of the adolescent patients and 92.7% of the adult patients achieved resolution of scoliosis within 6 months after surgery. Limitations: This was a retrospective study with a small series of cases and relatively short-term follow-up. Conclusions: The incidence of scoliosis secondary to LDH in adolescents is significantly higher than in adults. Moreover, adolescent patients are more likely to present coronal balance before surgery. The 2 cohorts could have comparable curve evolution, and resolution of scoliosis generally occurred within 6 months after surgery. Key words: Sciatic scoliosis, lumbar disc herniation, adolescent, adult, resolution, lumbar discectomy
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45

Park, Yu-Kyeong, Jung Hee Lee, Jae Soo Kim, Yun Kyu Lee, and Hyun-Jong Lee. "Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report." Journal of Acupuncture Research 38, no. 4 (November 30, 2021): 320–24. http://dx.doi.org/10.13045/jar.2021.00108.

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Lumbar spinal stenosis (LSS) is a common degenerative spinal condition that can have unpredictable improvement and worsening of symptoms which include low back pain, radiating pain, claudication, and degenerative lumbar scoliosis affecting quality of life. In this study, thread embedding acupuncture (TEA) was used as a conservative treatment for LSS in combination with complex Korean medicine treatments (acupuncture, herbal medicines, and physical therapy). The treatment was evaluated using the numerical rating scale, walking distance and duration, and inclination of radiological lumbar scoliosis according to antalgic posture. TEA was performed 27 times between June 8, 2020, and March 16, 2021. The patient showed improvement in numerical rating scale score from 7 to 2, pain-free walking distance from 10 m to 900 m, and scoliosis inclination following treatment. The findings of this study suggest that TEA may be helpful in the treatment of LSS.
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46

Tribus, Clifford B. "Degenerative Lumbar Scoliosis: Evaluation and Management." Journal of the American Academy of Orthopaedic Surgeons 11, no. 3 (May 2003): 174–83. http://dx.doi.org/10.5435/00124635-200305000-00004.

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Morimoto, Tetsuya, Shigenori Minami, Yasushi Nagatomo, and Toshisuke Sakaki. "Mini-ALIF for Degenerative Lumbar Scoliosis." Spinal Surgery 29, no. 2 (2015): 186–90. http://dx.doi.org/10.2531/spinalsurg.29.186.

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Zhang, Haiping, Xingbang Niu, Biao Wang, Simin He, and Dingjun Hao. "Scoliosis secondary to lumbar osteoid osteoma." Medicine 95, no. 47 (November 2016): e5362. http://dx.doi.org/10.1097/md.0000000000005362.

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Zeng, Yan, Andrew P. White, Todd J. Albert, and Zhongqiang Chen. "Surgical Strategy in Adult Lumbar Scoliosis." Spine 37, no. 9 (April 2012): E556—E561. http://dx.doi.org/10.1097/brs.0b013e31824af5c6.

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Bao, H., P. Yan, Y. Qiu, Z. Liu, and F. Zhu. "Coronal imbalance in degenerative lumbar scoliosis." Bone & Joint Journal 98-B, no. 9 (September 2016): 1227–33. http://dx.doi.org/10.1302/0301-620x.98b9.37273.

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