title: The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: a prospective observational study.
abstract: OBJECTIVE
  To study pain relief curve correction, and functional outcomes after decompression and instrumented arthrodesis in degenerative lumbar scoliosis patients with spinal stenosis.
  
  
  METHODS
  Thirty-one degenerative scoliosis patients with symptom of spinal stenosis who underwent decompression and fusion with pedicular screw plate instrumentation and completed at least 2-year follow-up were included in this study Functional outcomes were obtained using Oswestry Disability Index (ODI) and Roland Morris score. The VAS pain relief walking ability and curve correction were collected as a result of the surgery.
  
  
  RESULTS
  Average age of the patients at the time of surgery was 64.87years (range, 50-87years) and mean follow-up was 32 months (range, 24-60 months). There was significant improvement in all outcome parameters including pain scales, walking ability, ODI, and Roland Morris score (p < 0.05) Five patients had major complications with two cases requiring re-operation.
  
  
  CONCLUSIONS
  Degenerative scoliosis with spinal stenosis is a complex spinal disease that requires decompression and stabilization procedures. Wide decompressive laminectomy and instrumented arthrodesis with pedicular screw plate system provided satisfied outcome included pain relief and functional restoration.
authors.affiliation: Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. gun_keo@yahoo.com
authors.forename: Gun
authors.initials: G
authors.lastname: Keorochana
authors.forename: Tulyapruek
authors.initials: T
authors.lastname: Tawonsawatruk
authors.forename: Wichien
authors.initials: W
authors.lastname: Laohachareonsombat
authors.forename: Wiwat
authors.initials: W
authors.lastname: Wajanavisit
authors.forename: Suphaneewan
authors.initials: S
authors.lastname: Jaovisidha
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D015331:Cohort Studies; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D012600:Scoliosis / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D013123:Spinal Fusion; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome