Surgical treatment of lumbar spinal stenosis associated with adult scoliosis.
Lumbar spinal stenosis associated with adult scoliosis is being increasingly recognized and studied. Degenerative changes leading to spinal stenosis can precede a spinal deformity resulting in de novo scoliosis. Conversely, degenerative changes leading to spinal stenosis can occur in a preexisting deformity. Scoliosis has been shown to negatively affect the quality of life in adults studied with validated instruments. Surgical intervention can positively affect the quality of life in these patients. The optimal surgical procedure depends on a careful evaluation of involved segments and patient comorbidities. Positive sagittal imbalance is associated with significant morbidity and should be corrected when feasible. Data that continue to be collected in this patient population will guide future efforts in treating this complicated disease.
Crawford
Charles H
CH
Department of Orthopaedic Surgery, University of Louisville, Louisville, Kentucky, USA.
Glassman
Steven D
SD
D000328:Adult; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011788:Quality of Life; D011859:Radiography; D012307:Risk Factors; D012600:Scoliosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D013123:Spinal Fusion / Q000379:methods; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*