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Limited long-segment fusion for degenerative lower lumbar scoliosis: a special kind of scoliosis

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Abstract

Aim

The aim of the study was to investigate the feasibility of limited long-segment fusion for a special kind of scoliosis: degenerative lower lumbar scoliosis without severe thoracolumbar kyphosis.

Methods

A total of 43 patients with degenerative lower lumbar scoliosis who underwent spinal surgery at our hospital from June 2003 to September 2012 were included in this retrospective study. The apical vertebrae included L3 and L4, the end vertebra was L2 or L3, and the T10-L2 kyphosis angle was <20°. The limited long-segment fusion group (upper end vertebrae L2) included 19 patients, and the long-segment fusion group (upper end vertebrae T9-11) included 24 patients. The radiographic parameters and Oswestry disability index (ODI) scores were compared between the two groups pre-operatively and at the last follow-up evaluation.

Results

The differences in the lumbar Cobb angle, lumbar lordosis angle, pelvic tilt angle, sacral slope angle, T10-L2 kyphosis angle, proximal junctional kyphosis angle, and ODI scores between the two groups pre-operatively and at the last follow-up evaluation were not statistically significant (p > 0.05). The limited long-segment fusion group did not exhibit post-operative proximal junctional kyphosis.

Conclusions

Limited long-segment fusion is effective for patients with degenerative lower lumbar scoliosis without severe thoracolumbar kyphosis.

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Authors and Affiliations

  1. Department of Orthopaedics, Chinese People’s Liberation Army General Hospital (301 Hospital), 28 Fuxing Rd., Beijing, 100853, People’s Republic of China

    Jianwei Du, Xiangyu Tang, Ningdao Li, Lin Zhang & Xifeng Zhang

  2. Department of Orthopaedics, Yangzhou No.1 People’s Hospital, 368 Hanjiang Rd., Yangzhou, 225001, People’s Republic of China

    Jianwei Du

  3. Department of Orthopaedics, Chinese People’s Liberation Army 264 Hospital, 30 Qiaodong Rd., Taiyuan, 030001, People’s Republic of China

    Xiangyu Tang

Authors
  1. Jianwei Du
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  2. Xiangyu Tang
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  3. Ningdao Li
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  4. Lin Zhang
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  5. Xifeng Zhang
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Corresponding author

Correspondence to Xifeng Zhang.

Additional information

Jianwei Du and Xiangyu Tang are co-first authors.

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Du, J., Tang, X., Li, N. et al. Limited long-segment fusion for degenerative lower lumbar scoliosis: a special kind of scoliosis. International Orthopaedics (SICOT) 40, 1227–1231 (2016). https://doi.org/10.1007/s00264-016-3128-0

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  • DOI: https://doi.org/10.1007/s00264-016-3128-0

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