scholarly journals Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age

2019 ◽  
Vol Volume 14 ◽  
pp. 2195-2203
Author(s):  
Jun-zhe Ding ◽  
Chao Kong ◽  
Xiang-yao Sun ◽  
Shi-bao Lu
Keyword(s):  
Risk Factors ◽  
Perioperative Complications ◽  
Degenerative Lumbar Scoliosis ◽  
Scoliosis Surgery ◽  
Lumbar Scoliosis

scholarly journals Comparison between dynamic stabilization and instrumented fusion in the treatment of spinal stenosis with degenerative lumbar scoliosis

2019 ◽  
Author(s):  
Lei Luo ◽  
Lang Fang ◽  
Qiang Zhou ◽  
Chen Zhao ◽  
Pei Li ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Spinal Stenosis ◽  
Perioperative Complications ◽  
Dynamic Stabilization ◽  
Degenerative Lumbar Scoliosis ◽  
Instrumented Fusion ◽  
Lumbar Scoliosis ◽  
Significant Difference ◽  
Posterior Instrumented Fusion

Abstract Background Posterior instrumented fusion is the most widely accepted surgical treatment for spinal stenosis with degenerative lumbar scoliosis (DLS). However, long fusion can affect daily activities due to lumbar stiffness. Several clinical studies have shown that Dynesys dynamic stabilization in addition to laminectomy could lead to significant improvements in clinical outcomes. This study aimed to compare the outcomes of Dynesys dynamic stabilization with posterior instrumented fusion for the management of spinal stenosis with DLS. Methods Between August 2010 and Deccember 2015, a total of 46 patients with spinal stenosis and degenerative lumbar scoliosis were enrolled in this study. 26 patients (Dynesys group) had fenestration decompression, selective intervertebral fusion and Dynesys stabilizationin. 20 patients (fusion group) underwent posterior instrumented fusion. Clinical outcomes, radiographic data, and perioperative complications were compared between the two groups. The average duration of follow-up for the Dynesys group and fusion group was 38 and 33 months respectively. Results The mean number of fixed segments were 3.3±0.8 in Dynesys group and 4.3±0.8 in fusion group. Lower average values of operative duration and blood loss were observed in the dynamic group than in the fusion group. VAS for back and leg pain improved in both groups of patients. There were significant difference in ODI and LSDI (lumbar stiffness disability index) between Dynesys group and fusion group at the last follow-up. The scoliosis Cobb's angle and lumbar lordosis significantly improved in both groups after surgery, and no significant difference were observed between the groups at the last follow-up (P＞0.05). Dynesys stabilization resulted in significantly higher preservation of motion at the implanted segments. Conclusions This study demonstrated that both Dynesys dynamic stabilization and instrumented fusion can improve clinical outcomes of patients with degenerative lumbar scoliosis. Compared to instrumented fusion, Dynesys stabilizationin have advantages on blood loss, operation time, perioperative complications. In addition, Dynesys stabilization partially preserves the ROM of the stabilized segments that may reduce the limitation on daily activities caused by lumbar stiffness. Dynesys stabilizationin can also correct scoliosis, prevent progression of the curve, and maintain lumbar lordosis in mild to moderate lumbar scoliosis without sagittal imbalance.

scholarly journals Risk factors of degenerative lumbar scoliosis in patients with lumbar spinal canal stenosis

Medicine ◽  
2019 ◽  
Vol 98 (38) ◽  
pp. e17177 ◽  
Author(s):  
Chunlei Wang ◽  
Hengrui Chang ◽  
Xianda Gao ◽  
Jiaxin Xu ◽  
Xianzhong Meng
Keyword(s):  
Risk Factors ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Degenerative Lumbar Scoliosis ◽  
Lumbar Spinal Canal Stenosis ◽  
Lumbar Scoliosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

Risk Factors of Sagittal Decompensation After Long Posterior Instrumentation and Fusion for Degenerative Lumbar Scoliosis

Spine ◽  
2010 ◽  
Vol 35 (17) ◽  
pp. 1595-1601 ◽  
Author(s):  
Kyu-Jung Cho ◽  
Se-Il Suk ◽  
Seung-Rim Park ◽  
Jin Hyok Kim ◽  
Suk-Bong Kang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posterior Instrumentation ◽  
Degenerative Lumbar Scoliosis ◽  
Lumbar Scoliosis
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