title: [Selection of suitable procedure in the treatment of degenerative lumbar scoliosis based upon imaging studies].
abstract: OBJECTIVE
  To compare the clinical efficacies of two different procedures in the treatment of degenerative lumbar scoliosis.
  
  
  METHODS
  From August 2008 to August 2011, 28 patients of lumbar degenerative scoliosis were divided into one group (n = 14) undergoing modified transforaminal lumbar interbody fusion (TLIF) instrumented surgery and another group (n = 14) undergoing posterolateral fusion (PLF) instrumented surgery. There were 12 males and 16 females with a mean age of 66.2 years (range: 54-79). The operative durations and bleeding volumes of two groups were recorded. The post-operative efficacy was evaluated with VAS (visual analogue scale) for low back pain, ODI (Oswestry disability index), Cobb' angle and lumbar lordosis angle on plain film.
  
  
  RESULTS
  The mean follow-up period was 25.9 months. The operative duration was 192.0 ± 44.7 min in modified TLIF group versus 163.0 ± 39.0 min in PLF group. The bleeding volume was 718.0 ± 197.2 ml in modified TLIF group versus 546.0 ± 226.6 ml in PLF group. All operated lumbar intervertebral achieved bony fusion in modified TLIF group by the last follow-up. Two cases had no bony fusion and there was one case of pseudarthrosis in PLF group. Significant differences existed between two groups in pre-operative and post-operative values of VAS, ODI, Cobb' s angle and lumbar lordosis angle (P < 0.05). There were significant differences between two groups in the values of pre-operative and post-operative VAS and lumbar lordosis angle (P < 0.05) but not in the values of pre-operative and post-operative ODI and Cobb' s angle (P > 0.05).
  
  
  CONCLUSIONS
  As an alternative, safe and effective procedure, modified TLIF instrumented is superior to PLF instrumented in the treatment of lumbar degenerative scoliosis.
authors: Huai'an First Hospital, Nanjing Medical University, Huai'an, China.
authors: Yue
authors: Y
authors: Xie
authors: Yong-yi
authors: YY
authors: Xu
authors: Shou-guo
authors: SG
authors: Wang
authors: Feng
authors: F
authors: Ji
authors: Hao-dong
authors: HD
authors: Fei
authors: Yun-ru
authors: YR
authors: Ge
authors: Qing-hua
authors: QH
authors: Zhao
authors: Ji-wei
authors: JW
authors: Tian
mesh_terms: D000368:Aged; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D012600:Scoliosis / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D016896:Treatment Outcome