title: Adult scoliosis: age-related deformity and surgery.
abstract: OBJECTIVE
  We retrospectively analyzed our results in thoracolumbar and lumbar adolescent idiopathic scoliosis treated during adulthood.
  
  
  METHODS
  Fifty-two thoracolumbar and 30 lumbar idiopathic scoliosis surgically treated were reviewed. Mean follow-up was 9.5 ± 6.6 years. All the subjects were analyzed by visual analog scale, Oswestry Disability Index (ODI), and SF-36 scores before and after surgery and at follow-up. The scoliotic curve, thoracic kyphosis, lumbar lordosis, pelvic incidence (PI), pelvic tilt (PT), sacral slope, and C7 plumb line were measured. For the statistical analysis, multivariate multiple regression models were formulated, considering as significative a P < 0.05.
  
  
  RESULTS
  A statistically significant clinical and radiological amelioration was noted after surgery and at final follow-up. According to the logistic regression model, ODI was related to lumbar lordosis and spino-pelvic parameters at follow-up. The only determinant of failure was age.
  
  
  CONCLUSIONS
  Spino-pelvic recovery is easier in patients aged less than 60 years with PI < 55° and PT < 25°.
authors.affiliation: Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Bari, Italy, silvanadegiorgi@virgilio.it.
authors.forename: Silvana
authors.initials: S
authors.lastname: De Giorgi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: De Giorgi
authors.forename: Carmela
authors.initials: C
authors.lastname: Borracci
authors.forename: Silvio
authors.initials: S
authors.lastname: Tafuri
authors.forename: Andrea
authors.initials: A
authors.lastname: Piazzolla
authors.forename: Biagio
authors.initials: B
authors.lastname: Moretti
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D008161:Lumbosacral Region / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D010388:Pelvis / Q000000981:diagnostic imaging; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D064232:Visual Analog Scale; D055815:Young Adult