Adult Degenerative Scoliosis

Abstract

Populational aging increases the incidence of musculoskeletal degenerative processes, such as adult scoliosis (AS). Adult scoliosis is defined as a spinal deformity in the coronal plane with a Cobb angle > 10°. Adult scoliosis may be iatrogenic or result from a degenerative process (scoliosis de novo) or a pre-existing scoliosis.

Adult scoliosis is a potentially limiting condition that affects a heterogeneous group of patients. Clinical treatment proved to be ineffective and surgery is often indicated. The present paper reviews AS pathophysiology, clinical presentation and diagnosis, in addition to surgical indications and the main techniques currently used.

Keywords

scoliosis/physiopathology - scoliosis/therapy - intervertebral disc degeneration - adult

Publikationsverlauf

Eingereicht: 05. September 2019

Angenommen: 10. Januar 2020

Artikel online veröffentlicht:
22. Juli 2020

• Referências

• 1 Wong LL, Carvalho JA. O rápido processo de envelhecimento populacional do Brasil: sérios desafios para as políticas públicas. Rev Bras Estud Popul 2006; 23 (01) 5-26
• 2 Nasri F. O envelhecimento populacional no Brasil. Einstein (Sao Paulo) 2008; 6 (Suppl. 01) S4-S6
• 3 Schwab F, Dubey A, Gamez L. et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976) 2005; 30 (09) 1082-1085
• 4 Aebi M. The adult scoliosis. Eur Spine J 2005; 14 (10) 925-948
• 5 Youssef JA, Orndorff DO, Patty CA. et al. Current status of adult spinal deformity. Global Spine J 2013; 3 (01) 51-62
• 6 Bess S, Line B, Fu KM. et al; International Spine Study Group. The Health Impact of Symptomatic Adult Spinal Deformity: Comparison of Deformity Types to United States Population Norms and Chronic Diseases. Spine (Phila Pa 1976) 2016; 41 (03) 224-233
• 7 McCarthy I, Hostin R, O'Brien M, Saigal R, Ames CP. Health economic analysis of adult deformity surgery. Neurosurg Clin N Am 2013; 24 (02) 293-304
• 8 Vernon-Roberts B, Moore RJ, Fraser RD. The natural history of age-related disc degeneration: the influence of age and pathology on cell populations in the L4-L5 disc. Spine (Phila Pa 1976) 2008; 33 (25) 2767-2773
• 9 Silva FE, Lenke LG. Adult degenerative scoliosis: evaluation and management. Neurosurg Focus 2010; 28 (03) E1
• 10 York PJ, Kim HJ. Degenerative Scoliosis. Curr Rev Musculoskelet Med 2017; 10 (04) 547-558
• 11 Diebo BG, Shah NV, Boachie-Adjei O. et al. Adult spinal deformity. Lancet 2019; 394 (10193): 160-172
• 12 Routh RH, Rumancik S, Pathak RD, Burshell AL, Nauman EA. The relationship between bone mineral density and biomechanics in patients with osteoporosis and scoliosis. Osteoporos Int 2005; 16 (12) 1857-1863
• 13 Grubb SA, Lipscomb HJ, Suh PB. Results of surgical treatment of painful adult scoliosis. Spine (Phila Pa 1976) 1994; 19 (14) 1619-1627
• 14 Cho KJ, Kim YT, Shin SH, Suk SI. Surgical treatment of adult degenerative scoliosis. Asian Spine J 2014; 8 (03) 371-381
• 15 Smith JS, Shaffrey CI, Fu KM. et al. Clinical and radiographic evaluation of the adult spinal deformity patient. Neurosurg Clin N Am 2013; 24 (02) 143-156
• 16 Bess S, Boachie-Adjei O, Burton D. et al. International Spine Study Group. Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients. Spine (Phila Pa 1976) 2009; 34 (20) 2186-2190
• 17 Marty-Poumarat C, Scattin L, Marpeau M, Garreau de Loubresse C, Aegerter P. Natural history of progressive adult scoliosis. Spine (Phila Pa 1976) 2007; 32 (11) 1227-1234
• 18 Schwab FJ, Blondel B, Bess S. et al. International Spine Study Group (ISSG). Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine (Phila Pa 1976) 2013; 38 (13) E803-E812
• 19 Kim W, Porrino JA, Hood KA, Chadaz TS, Klauser AS, Taljanovic MS. Clinical Evaluation, Imaging, and Management of Adolescent Idiopathic and Adult Degenerative Scoliosis. Curr Probl Diagn Radiol 2019; 48 (04) 402-414
• 20 Schwab F, Ungar B, Blondel B. et al. Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study. Spine (Phila Pa 1976) 2012; 37 (12) 1077-1082
• 21 Somoskeöy S, Tunyogi-Csapó M, Bogyó C, Illés T. Accuracy and reliability of coronal and sagittal spinal curvature data based on patient-specific three-dimensional models created by the EOS 2D/3D imaging system. Spine J 2012; 12 (11) 1052-1059
• 22 Schwab F, Blondel B, Chay E. et al. The comprehensive anatomical spinal osteotomy classification. Neurosurgery 2014; 74 (01) 112-120
• 23 Uribe JS, Schwab F, Mundis GM. et al. The comprehensive anatomical spinal osteotomy and anterior column realignment classification. J Neurosurg Spine 2018; 29 (05) 565-575
• 24 Teles AR, Mattei TA, Righesso O, Falavigna A. Effectiveness of Operative and Nonoperative Care for Adult Spinal Deformity: Systematic Review of the Literature. Global Spine J 2017; 7 (02) 170-178
• 25 Haldeman S, Nordin M, Chou R. et al. The Global Spine Care Initiative: World Spine Care executive summary on reducing spine-related disability in low- and middle-income communities. Eur Spine J 2018; 27 (Suppl. 06) 776-785
• 26 DePalma MJ, Slipman CW. Evidence-informed management of chronic low back pain with epidural steroid injections. Spine J 2008; 8 (01) 45-55
• 27 Passias PG, Jalai CM, Line BG. et al. International Spine Study Group. Patient profiling can identify patients with adult spinal deformity (ASD) at risk for conversion from nonoperative to surgical treatment: initial steps to reduce ineffective ASD management. Spine J 2018; 18 (02) 234-244
• 28 Sengupta D. Adult Spinal Deformity. In: Rao R, Smuck M. editors. Orthopaedic knowledge update: spine. 4th ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2012: 349-367
• 29 Cho KJ, Suk SI, Park SR. et al. Short fusion versus long fusion for degenerative lumbar scoliosis. Eur Spine J 2008; 17 (05) 650-656
• 30 Fu X, Sun XL, Harris JA. et al. Long fusion correction of degenerative adult spinal deformity and the selection of the upper or lower thoracic region as the site of proximal instrumentation: a systematic review and meta-analysis. BMJ Open 2016; 6 (11) e012103
• 31 Li FC, Chen QX, Chen WS, Xu K, Wu QH, Chen G. Posterolateral lumbar fusion versus transforaminal lumbar interbody fusion for the treatment of degenerative lumbar scoliosis. J Clin Neurosci 2013; 20 (09) 1241-1245
• 32 Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg 2015; 1 (01) 2-18
• 33 Rao PJ, Loganathan A, Yeung V, Mobbs RJ. Outcomes of anterior lumbar interbody fusion surgery based on indication: a prospective study. Neurosurgery 2015; 76 (01) 7-23
• 34 Phillips FM, Isaacs RE, Rodgers WB. et al. Adult degenerative scoliosis treated with XLIF: clinical and radiographical results of a prospective multicenter study with 24-month follow-up. Spine (Phila Pa 1976) 2013; 38 (21) 1853-1861
• 35 Sansur CA, Smith JS, Coe JD. et al. Scoliosis research society morbidity and mortality of adult scoliosis surgery. Spine (Phila Pa 1976) 2011; 36 (09) E593-E597