Topical issues of treatment of degenerate scoliosis at adults at the present stage (review)

• 出版年: Travmatologiâ i Ortopediâ Rossii
• 主要な著者: D. A. Mikhaylov, D. A. Ptashnikov, V. D. Usikov, S. V. Masevnin, M. Hao
• フォーマット: 論文
• 言語: ロシア語
• 出版事項: Vreden Russian Research Institute of Traumatology and Orthopedics 2016-09-01
• 主題: дегенеративный сколиоз у взрослых; остеотомия; деформация позвоночника; сагиттальный баланс; adults degenerate scoliosis; osteotomy; spine deformity; sagittal balance
• オンライン･アクセス: https://journal.rniito.org/jour/article/view/108
• ISSN: 2311-2905; 2542-0933

Degenerative scoliosis is a prevalent issue among the aging population. Controversy remains over the role of surgical intervention in patients with this disease. Authors carry out the review of literature data, consider various approaches of surgical treatment depending on a stage of a disease and extent of deformation, including a decompression, instrumented posterior spinal fusion, an anterior spinal fusion, and osteotomy. These treatment options are based on clinical analysis, radiographic analysis of the mechanical stability of the deformity, given pain generators, and necessary sagittal balance. The high potential complication rates appear to be outweighed by the eventual successful clinical outcomes in patients suitable for operative intervention. This approach has had favorable outcomes and could help resolve the controversy.