By Eric O. Klineberg
Providing a valid definition and evaluation of the pertinent remedy targets for the administration of grownup lumbar scoliosis, this functional and complete consultant covers every little thing from pre-operative assessment and radiography to post-operative administration and issues. either non-operative and operative suggestions are provided, together with minimally invasive innovations, decompression, anterior unencumber, spinal osteotomy, and proximal and distal fixation, with an emphasis on medical instructions and administration results. The impression and prevention of issues following therapy also are mentioned, together with the prevention of proximal junctional kyphosis. Concluding with an exam of destiny instructions for examine and scientific remedy ideas, the excellent strategy of this publication offers the orthopedic physician, neurosurgeon and spinal practitioner with the most up-tp-date facts and specialist thought of the review and administration of grownup lumbar scoliosis.
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Additional info for Adult Lumbar Scoliosis: A Clinical Guide to Diagnosis and Management
Hamzaoglu A et al. Assessment of curve flexibility in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30(14):1637–42. Cheh G et al. The reliability of preoperative supine radiographs to predict the amount of curve flexibility in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2007;32(24):2668–72. Lazennec JY et al. Total Hip Prostheses in Standing, Sitting and Squatting Positions: an overview of our 8 years practice using the EOS imaging technology. 2015;9:26–44. THA patients in standing and sitting positions: a prospective evaluation using the low-dose “Full-Body” EOS® imaging system.
Orthop Clin North Am. 1994;25(2):247–64. 46. Spontaneous cerebrospinal fluid leaks: from intracranial hypotension to cerebrospinal fluid hypo- 2 Imaging Adult Lumbar Scoliosis volemia – evolution of a concept. Mayo Clin Proc. 1999;74(11):1113–23. Evaluation and treatment of dural tears in lumbar spine surgery: a review. Clin Orthop Relat Res. 2001;389:238–47. Nam TK et al. Remote cerebellar hemorrhage after lumbar spinal surgery. J Korean Neurosurg Soc. 2009;46(5):501–4. 49. Intracranial hemorrhage following lumbar spine surgery.
High preoperative PT and SVA have been specifically shown to increase the risk of poor surgical outcomes. Poor postoperative alignment is a common cause of patient dissatisfaction and low HRQOLs; careful and adequate planning is critical in providing the proper degree of sagittal correction tailored to each individual patient. , alterations in TK after lumber realignment surgery, have been observed. Surgical planning will need to account for these changes, although they are currently still difficult to predict.