Comparison of surgical and conservative treatment for degenerative lumbar scoliosis
Introduction Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group over the last decades. A rising number of elderly patients suffering from degenerative “de novo” lumbar scoliosis (DLS) may be e...
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Published in | Archives of orthopaedic and trauma surgery Vol. 129; no. 1; pp. 1 - 5 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer-Verlag
01.01.2009
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Abstract | Introduction
Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group over the last decades. A rising number of elderly patients suffering from degenerative “de novo” lumbar scoliosis (DLS) may be eligible for surgical options to treat their spinal deformities. Therefore, we compared the clinical and radiographic results of conservative and surgical treatment.
Materials and methods
During 1990–2003, 55 patients with DLS were treated and followed up for a minimum of 24 months. Group 1 patients (
n
= 26) underwent surgery (decompression and spondylodesis), group 2 patients (
n
= 29) declined surgery and received conservative treatment (analgesics, physiotherapy). Clinical data, theatre records and X-rays were analysed. All patients were contacted and 73.1% of group 1 and 75.8% of group 2 patients were clinically re-evaluated and received standing radiographs on average 4.8 and 3.8 years after the initial procedure or consultation, respectively.
Results
We found a significantly higher rate of spinal stenosis and degenerative spondylolisthesis in group 1 patients (
P
< 0.01). The procedure corrected the lumbar deformity in the frontal and sagittal planes. Three patients required revision for implant failure. Walking distance improved significantly during the postoperative course. Analgesic requirement decreased in comparison to group 2 patients. No significant difference was evident between the groups in terms of lumbar back pain after 3.8 and 4.8 years, respectively.
Conclusion
Operative treatment of DLS with decompression in combination with a longer fusion improved walking ability and quality of life. Reduced need of analgesics can be anticipated. Benefits of surgery and risks of complications have to be considered carefully to avoid disappointment in expectations. |
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AbstractList | Introduction
Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group over the last decades. A rising number of elderly patients suffering from degenerative “de novo” lumbar scoliosis (DLS) may be eligible for surgical options to treat their spinal deformities. Therefore, we compared the clinical and radiographic results of conservative and surgical treatment.
Materials and methods
During 1990–2003, 55 patients with DLS were treated and followed up for a minimum of 24 months. Group 1 patients (
n
= 26) underwent surgery (decompression and spondylodesis), group 2 patients (
n
= 29) declined surgery and received conservative treatment (analgesics, physiotherapy). Clinical data, theatre records and X-rays were analysed. All patients were contacted and 73.1% of group 1 and 75.8% of group 2 patients were clinically re-evaluated and received standing radiographs on average 4.8 and 3.8 years after the initial procedure or consultation, respectively.
Results
We found a significantly higher rate of spinal stenosis and degenerative spondylolisthesis in group 1 patients (
P
< 0.01). The procedure corrected the lumbar deformity in the frontal and sagittal planes. Three patients required revision for implant failure. Walking distance improved significantly during the postoperative course. Analgesic requirement decreased in comparison to group 2 patients. No significant difference was evident between the groups in terms of lumbar back pain after 3.8 and 4.8 years, respectively.
Conclusion
Operative treatment of DLS with decompression in combination with a longer fusion improved walking ability and quality of life. Reduced need of analgesics can be anticipated. Benefits of surgery and risks of complications have to be considered carefully to avoid disappointment in expectations. Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group over the last decades. A rising number of elderly patients suffering from degenerative "de novo" lumbar scoliosis (DLS) may be eligible for surgical options to treat their spinal deformities. Therefore, we compared the clinical and radiographic results of conservative and surgical treatment. During 1990-2003, 55 patients with DLS were treated and followed up for a minimum of 24 months. Group 1 patients (n=26) underwent surgery (decompression and spondylodesis), group 2 patients (n=29) declined surgery and received conservative treatment (analgesics, physiotherapy). Clinical data, theatre records and X-rays were analysed. All patients were contacted and 73.1% of group 1 and 75.8% of group 2 patients were clinically re-evaluated and received standing radiographs on average 4.8 and 3.8 years after the initial procedure or consultation, respectively. We found a significantly higher rate of spinal stenosis and degenerative spondylolisthesis in group 1 patients (P<0.01). The procedure corrected the lumbar deformity in the frontal and sagittal planes. Three patients required revision for implant failure. Walking distance improved significantly during the postoperative course. Analgesic requirement decreased in comparison to group 2 patients. No significant difference was evident between the groups in terms of lumbar back pain after 3.8 and 4.8 years, respectively. Operative treatment of DLS with decompression in combination with a longer fusion improved walking ability and quality of life. Reduced need of analgesics can be anticipated. Benefits of surgery and risks of complications have to be considered carefully to avoid disappointment in expectations. INTRODUCTIONDemographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group over the last decades. A rising number of elderly patients suffering from degenerative "de novo" lumbar scoliosis (DLS) may be eligible for surgical options to treat their spinal deformities. Therefore, we compared the clinical and radiographic results of conservative and surgical treatment.MATERIALS AND METHODSDuring 1990-2003, 55 patients with DLS were treated and followed up for a minimum of 24 months. Group 1 patients (n=26) underwent surgery (decompression and spondylodesis), group 2 patients (n=29) declined surgery and received conservative treatment (analgesics, physiotherapy). Clinical data, theatre records and X-rays were analysed. All patients were contacted and 73.1% of group 1 and 75.8% of group 2 patients were clinically re-evaluated and received standing radiographs on average 4.8 and 3.8 years after the initial procedure or consultation, respectively.RESULTSWe found a significantly higher rate of spinal stenosis and degenerative spondylolisthesis in group 1 patients (P<0.01). The procedure corrected the lumbar deformity in the frontal and sagittal planes. Three patients required revision for implant failure. Walking distance improved significantly during the postoperative course. Analgesic requirement decreased in comparison to group 2 patients. No significant difference was evident between the groups in terms of lumbar back pain after 3.8 and 4.8 years, respectively.CONCLUSIONOperative treatment of DLS with decompression in combination with a longer fusion improved walking ability and quality of life. Reduced need of analgesics can be anticipated. Benefits of surgery and risks of complications have to be considered carefully to avoid disappointment in expectations. |
Author | Dikmenli, Gülden Niemeyer, Thomas Giehl, Johannes P. Dietz, Klaus Kluba, Torsten |
Author_xml | – sequence: 1 givenname: Torsten surname: Kluba fullname: Kluba, Torsten email: torsten.kluba@med.uni-tuebingen.de organization: Department of Orthopaedic Surgery, Eberhard-Karls-University Tübingen – sequence: 2 givenname: Gülden surname: Dikmenli fullname: Dikmenli, Gülden organization: Department of Orthopaedic Surgery, Eberhard-Karls-University Tübingen – sequence: 3 givenname: Klaus surname: Dietz fullname: Dietz, Klaus organization: Department of Biometry, Eberhard-Karls-University Tübingen – sequence: 4 givenname: Johannes P. surname: Giehl fullname: Giehl, Johannes P. organization: Competence Centre Quality Management MDK Baden-Württemberg – sequence: 5 givenname: Thomas surname: Niemeyer fullname: Niemeyer, Thomas organization: Department of Orthopaedic Surgery, Eberhard-Karls-University Tübingen |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18560848$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1097/01.brs.0000181057.60012.08 10.1097/00007632-200303150-00016 10.1007/s00586-003-0593-0 10.1097/01.brs.0000194777.87055.1b 10.1007/s00586-005-1053-9 10.1097/00007632-199407001-00011 |
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Keywords | Spondylodesis Back pain Degenerative lumbar scoliosis “De novo” scoliosis |
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PublicationTitle | Archives of orthopaedic and trauma surgery |
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References | Barrios, Lapuente, Saestre (CR2) 2002; 88 Kobayashi, Atsuta, Takemitsu, Matsuno, Takeda (CR7) 2006; 31 Irwin, Hilibrand, Gustavel, McLain, Shaffer, Myers, Glaser, Hart (CR6) 2005; 30 Fairbank, Couper, Davies, O`Brien (CR5) 1980; 66 Mc Phee, Swanson (CR8) 1998; 57 Schwab, Dubey, Pagala, Gamez, Farcy (CR10) 2003; 28 Grubb, Lipscomb, Suh (CR4) 1994; 19 Ogilvie (CR9) 1992; 41 Benoist (CR3) 2003; 12 Aebi (CR1) 2005; 14 M Benoist (673_CR3) 2003; 12 T Kobayashi (673_CR7) 2006; 31 F Schwab (673_CR10) 2003; 28 ZN Irwin (673_CR6) 2005; 30 SA Grubb (673_CR4) 1994; 19 JCT Fairbank (673_CR5) 1980; 66 M Aebi (673_CR1) 2005; 14 C Barrios (673_CR2) 2002; 88 IB Mc Phee (673_CR8) 1998; 57 JW Ogilvie (673_CR9) 1992; 41 |
References_xml | – volume: 30 start-page: 2208 issue: 19 year: 2005 end-page: 2221 ident: CR6 article-title: Variations in surgical decision making for degenerative spinal disorders. Part 1: Lumbar spine publication-title: Spine doi: 10.1097/01.brs.0000181057.60012.08 contributor: fullname: Hart – volume: 41 start-page: 251 year: 1992 end-page: 255 ident: CR9 article-title: Adult scoliosis: evaluation and nonsurgical treatment publication-title: Instr Course Lect contributor: fullname: Ogilvie – volume: 66 start-page: 271 year: 1980 end-page: 273 ident: CR5 article-title: The Oswestry low back pain questionnaire publication-title: Physiotherapy contributor: fullname: O`Brien – volume: 28 start-page: 602 year: 2003 end-page: 606 ident: CR10 article-title: Adult scoliosis: a health assessment analysis by SF36 publication-title: Spine doi: 10.1097/00007632-200303150-00016 contributor: fullname: Farcy – volume: 12 start-page: S86 issue: Suppl 2 year: 2003 end-page: S89 ident: CR3 article-title: Natural history of the aging spine publication-title: Eur Spine J doi: 10.1007/s00586-003-0593-0 contributor: fullname: Benoist – volume: 31 start-page: 178 issue: 2 year: 2006 end-page: 182 ident: CR7 article-title: A prospective study of de novo scoliosis in a community based cohort publication-title: Spine doi: 10.1097/01.brs.0000194777.87055.1b contributor: fullname: Takeda – volume: 14 start-page: 925 year: 2005 end-page: 948 ident: CR1 article-title: The adult scoliosis publication-title: Eur Spine J doi: 10.1007/s00586-005-1053-9 contributor: fullname: Aebi – volume: 19 start-page: 1619 issue: 14 year: 1994 end-page: 1627 ident: CR4 article-title: Results of surgical treatment of painful adult scoliosis publication-title: Spine doi: 10.1097/00007632-199407001-00011 contributor: fullname: Suh – volume: 88 start-page: 290 year: 2002 end-page: 303 ident: CR2 article-title: Treatment for chronic pain in adult scoliosis publication-title: Stud Health Technol Inform contributor: fullname: Saestre – volume: 57 start-page: 16 issue: 1 year: 1998 end-page: 22 ident: CR8 article-title: The surgical management of degenerative lumbar scoliosis. Posterior instrumentation alone versus two stage surgery publication-title: Bull Hosp It Dis contributor: fullname: Swanson – volume: 88 start-page: 290 year: 2002 ident: 673_CR2 publication-title: Stud Health Technol Inform contributor: fullname: C Barrios – volume: 41 start-page: 251 year: 1992 ident: 673_CR9 publication-title: Instr Course Lect contributor: fullname: JW Ogilvie – volume: 14 start-page: 925 year: 2005 ident: 673_CR1 publication-title: Eur Spine J doi: 10.1007/s00586-005-1053-9 contributor: fullname: M Aebi – volume: 19 start-page: 1619 issue: 14 year: 1994 ident: 673_CR4 publication-title: Spine doi: 10.1097/00007632-199407001-00011 contributor: fullname: SA Grubb – volume: 57 start-page: 16 issue: 1 year: 1998 ident: 673_CR8 publication-title: Bull Hosp It Dis contributor: fullname: IB Mc Phee – volume: 28 start-page: 602 year: 2003 ident: 673_CR10 publication-title: Spine contributor: fullname: F Schwab – volume: 66 start-page: 271 year: 1980 ident: 673_CR5 publication-title: Physiotherapy contributor: fullname: JCT Fairbank – volume: 12 start-page: S86 issue: Suppl 2 year: 2003 ident: 673_CR3 publication-title: Eur Spine J doi: 10.1007/s00586-003-0593-0 contributor: fullname: M Benoist – volume: 31 start-page: 178 issue: 2 year: 2006 ident: 673_CR7 publication-title: Spine doi: 10.1097/01.brs.0000194777.87055.1b contributor: fullname: T Kobayashi – volume: 30 start-page: 2208 issue: 19 year: 2005 ident: 673_CR6 publication-title: Spine doi: 10.1097/01.brs.0000181057.60012.08 contributor: fullname: ZN Irwin |
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Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in... Demographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in this age group... IntroductionDemographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in... INTRODUCTIONDemographic changes create an expansion of the elderly population segment of society. Demands of mobility and quality of life have increased in... |
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SubjectTerms | Adult Aged Aged, 80 and over Analgesics Analgesics - therapeutic use Decompression, Surgical Degenerative disc disease Humans Internal Fixators Lumbar Vertebrae - surgery Medicine Medicine & Public Health Middle Aged Older people Orthopaedic Surgery Orthopedics Pain Measurement Quality of Life Radiography Scoliosis Scoliosis - etiology Scoliosis - surgery Scoliosis - therapy Spinal Fusion Spinal Stenosis - diagnostic imaging Spinal Stenosis - surgery Spinal Stenosis - therapy Spondylolisthesis - etiology Spondylolisthesis - surgery Spondylolisthesis - therapy Surgery Walking |
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Title | Comparison of surgical and conservative treatment for degenerative lumbar scoliosis |
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