nach oben

MUSCULOSKELETAL SURGERY

Erschienen in:

01.04.2013 | Review

Current classification systems for adult degenerative scoliosis

verfasst von: C. Faldini, A. Di Martino, M. De Fine, M. T. Miscione, C. Calamelli, A. Mazzotti, F. Perna

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

At present, a big effort of the scientific community has been directed toward a more proper and standardized approach to the patients affected by degenerative scoliosis, and recent attention has turned toward the development of classification schemes. A literature analysis highlighted several classification schemes developed for degenerative scoliosis patients: the Simmons classification system, the Aebi system, the Faldini working classification system, the Schwab system, and the Scoliosis Research Society system. Aim of the current manuscript is to scrutinize the available literature in order to provide a comprehensive overview of these current classification schemes for adult scoliosis, by describing and commenting clinical development, limits and potential of their application together with their implications for surgical planning.

Aebi M (2005) The adult scoliosis. Eur Spine J 14:925–948. doi:10.1007/s00586-005-1053-9 PubMedCrossRef

Piazzolla A, De Giorgi G, Solarino G (2011) Vertebral body recollapse without trauma after kyphoplasty with calcium phosphate cement. Musculoskelet Surg 95:141–145. doi:10.1007/s12306-011-0130-y PubMedCrossRef

Hristova GI, Jarzem P, Ouellet JA, Roughley PJ, Epure LM, Antoniou J, Mwale F Calcification in human intervertebral disc degeneration and scoliosis. J Orthop Res 29:1888–1895. doi:10.1002/jor.21456

de Vries AA, Mullender MG, Pluymakers WJ, Castelein RM, van Royen BJ (2010) Spinal decompensation in degenerative lumbar scoliosis. Eur Spine J 19:1540–1544. doi:10.1007/s00586-010-1368-z PubMedCrossRef

Ohtori S, Yamashita M, Inoue G, Yamauchi K, Koshi T, Suzuki M, Takaso M, Orita S, Eguchi Y, Ochiai N, Kishida S, Mimura M, Yanagawa N, Ishikawa T, Arai G, Miyagi M, Kamoda H, Aoki Y, Kuniyoshi K, Nakamura J, Takahashi K (2010) Rotational hypermobility of disc wedging using kinematic CT: preliminary study to investigate the instability of discs in degenerated scoliosis in the lumbar spine. Eur Spine J 19:989–994. doi:10.1007/s00586-010-1299-8 PubMedCrossRef

Taha H, Bareksei Y, Albanna W, Schirmer M (2010) Ligamentum flavum cyst in the lumbar spine: a case report and review of the literature. J Orthop Traumatol 11:117–122. doi:10.1007/s10195-010-0094-y PubMedCrossRef

Tribus CB (2003) Degenerative lumbar scoliosis: evaluation and management. J Am Acad Orthop Surg 11:174–183PubMed

Fu KM, Rhagavan P, Shaffrey CI, Chernavvsky DR, Smith JS Prevalence, severity, and impact of foraminal and canal stenosis among adults with degenerative scoliosis. Neurosurgery 69:1181–1187. doi:10.1227/NEU.0b013e31822a9aeb

Birknes JK, White AP, Albert TJ, Shaffrey CI, Harrop JS (2008) Adult degenerative scoliosis: a review. Neurosurgery 63:94–103. doi:10.1227/01.NEU.0000325485.49323.B2 PubMedCrossRef

10.

Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy JP, Pagala M (2002) Adult scoliosis: a quantitative radiographic and clinical analysis. Spine (Phila Pa 1976) 27:387–392CrossRef

11.

Caterini R, Mancini F, Bisicchia S, Maglione P, Farsetti P (2011) The correlation between exaggerated fluid in lumbar facet joints and degenerative spondylolisthesis: prospective study of 52 patients. J Orthop Traumatol 12:87–91. doi:10.1007/s10195-011-0141-3 PubMedCrossRef

12.

Mohanty SP, Bhat SN, Ishwara-Keerthi C (2011) The effect of posterior instrumentation of the spine on canal dimensions and neurological recovery in thoracolumbar and lumbar burst fractures. Musculoskelet Surg 95:101–106. doi:10.1007/s12306-011-0111-1 PubMedCrossRef

13.

Amendola L, Gasbarrini A, Fosco M, Simoes CE, Terzi S, De Iure F, Boriani S (2011) Fenestrated pedicle screws for cement-augmented purchase in patients with bone softening: a review of 21 cases. J Orthop Traumatol 12:193–199. doi:10.1007/s10195-011-0164-9 PubMedCrossRef

14.

Berven SH, Deviren V, Mitchell B, Wahba G, Hu SS, Bradford DS (2007) Operative management of degenerative scoliosis: an evidence-based approach to surgical strategies based on clinical and radiographic outcomes. Neurosurg Clin N Am 18:261–272. doi:10.1016/j.nec.2007.03.003 PubMedCrossRef

15.

Nachemson A (1968) A long term follow-up study of non-treated scoliosis. Acta Orthop Scand 39:466–476PubMedCrossRef

16.

Baron EM, Albert TJ (2006) Medical complications of surgical treatment of adult spinal deformity and how to avoid them. Spine (Phila Pa 1976) 31:S106–S118. doi:10.1097/01.brs.0000232713.69342.df CrossRef

17.

Sansur CA, Smith JS, Coe JD, Glassman SD, Berven SH, Polly DW, Jr, Perra JH, Boachie-Adjei O, Shaffrey CI Scoliosis research society morbidity and mortality of adult scoliosis surgery. Spine (Phila Pa 1976) 36:E593–E597. doi:10.1097/BRS.0b013e3182059bfd

18.

Quraishi NA, Lewis SJ, Kelleher MO, Sarjeant R, Rampersaud YR, Fehlings MG (2009) Intraoperative multimodality monitoring in adult spinal deformity: analysis of a prospective series of one hundred two cases with independent evaluation. Spine (Phila Pa 1976) 34:1504–1512. doi:10.1097/BRS.0b013e3181a87b66 CrossRef

19.

Simmons ED (2001) Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis. Clin Orthop Relat Res 384:45–53

20.

Simmons ED Jr, Simmons EH (1992) Spinal stenosis with scoliosis. Spine (Phila Pa 1976) 17:S117–S120CrossRef

21.

Xie Y, Fu Q, Chen ZQ, Shi ZC, Zhu XD, Wang CF, Li M (2011) Comparison between two pedicle screw augmentation instrumentations in adult degenerative scoliosis with osteoporosis. BMC Musculoskelet Disord 12:286. doi:10.1186/1471-2474-12-286 PubMedCrossRef

22.

Faldini C (2009) Le scoliosi degenerative. Timeo Editore, Bologna, Italy

23.

Faldini C, Pagkrati S, Grandi G, Di Gennaro V, Faldini O, Giannini S (2006) Degenerative lumbar scoliosis: features and surgical treatment. J Orthop Traumatol 7:67–71CrossRef

24.

Schwab F, Farcy JP, Bridwell K, Berven S, Glassman S, Harrast J, Horton W (2006) A clinical impact classification of scoliosis in the adult. Spine (Phila Pa 1976) 31:2109–2114. doi:10.1097/01.brs.0000231725.38943.ab CrossRef

25.

Lowe T, Berven SH, Schwab FJ, Bridwell KH (2006) The SRS classification for adult spinal deformity: building on the King/Moe and Lenke classification systems. Spine (Phila Pa 1976) 31:S119–S125. doi:10.1097/01.brs.0000232709.48446.be CrossRef

26.

Gelalis ID, Arnaoutoglou C, Christoforou G, Lykissas MG, Batsilas I, Xenakis T Prospective analysis of surgical outcomes in patients undergoing decompressive laminectomy and posterior instrumentation for degenerative lumbar spinal stenosis. Acta Orthop Traumatol Turc 44:235–240. doi:10.3944/AOTT.2010.2278

27.

Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine (Phila Pa 1976) 30:682–688CrossRef

28.

Good CR, Lenke LG, Bridwell KH, O’Leary PT, Pichelmann MA, Keeler KA, Baldus CR, Koester LA Can posterior-only surgery provide similar radiographic and clinical results as combined anterior (thoracotomy/thoracoabdominal)/posterior approaches for adult scoliosis? Spine (Phila Pa 1976) 35:210–218. doi:10.1097/BRS.0b013e3181c91163

29.

Tsai TH, Huang TY, Lieu AS, Lee KS, Kung SS, Chu CW, Hwang SL (2011) Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis. Acta Neurochir (Wien) 153:547–555. doi:10.1007/s00701-010-0909-x CrossRef

30.

Li F, Chen Q, Chen W, Xu K, Wu Q Posterior-only approach with selective segmental TLIF for degenerative lumbar scoliosis. J Spinal Disord Tech 24:308–312. doi:10.1097/BSD.0b013e3181f9a7d5

31.

Wu CH, Wong CB, Chen LH, Niu CC, Tsai TT, Chen WJ (2008) Instrumented posterior lumbar interbody fusion for patients with degenerative lumbar scoliosis. J Spinal Disord Tech 21:310–315. doi:10.1097/BSD.0b013e318148b256 PubMedCrossRef

32.

Shen FH, Samartzis D, Khanna AJ, Anderson DG (2007) Minimally invasive techniques for lumbar interbody fusions. Orthop Clin N Am 38:373–386; abstract vi. doi:10.1016/j.ocl.2007.04.002

33.

Ozgur BM, Aryan HE, Pimenta L, Taylor WR (2006) Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435–443. doi:10.1016/j.spinee.2005.08.012 PubMedCrossRef

34.

Caputo AM, Michael KW, Chapman TM, Jr, Massey GM, Howes CR, Isaacs RE, Brown CR (2012) Clinical outcomes of extreme lateral interbody fusion in the treatment of adult degenerative scoliosis. Sci World J 680643. doi:10.1100/2012/680643

35.

Isaacs RE, Hyde J, Goodrich JA, Rodgers WB, Phillips FM A prospective, nonrandomized, multicenter evaluation of extreme lateral interbody fusion for the treatment of adult degenerative scoliosis: perioperative outcomes and complications. Spine (Phila Pa 1976) 35:S322–S330. doi:10.1097/BRS.0b013e3182022e04

36.

Karikari IO, Nimjee SM, Hardin CA, Hughes BD, Hodges TR, Mehta AI, Choi J, Brown CR, Isaacs RE Extreme lateral interbody fusion approach for isolated thoracic and thoracolumbar spine diseases: initial clinical experience and early outcomes. J Spinal Disord Tech 24:368–375. doi:10.1097/BSD.0b013e3181ffefd2

37.

Xia XP, Chen HL, Cheng HB Prevalence of adjacent segment degeneration after spine surgery: a systematic review and meta-analysis. Spine (Phila Pa 1976). doi:10.1097/BRS.0b013e318273a2ea

38.

Bridwell KH, Edwards CC 2nd, Lenke LG (2003) The pros and cons to saving the L5–S1 motion segment in a long scoliosis fusion construct. Spine (Phila Pa 1976) 28:S234–S242. doi:10.1097/01.BRS.0000092462.45111.27 CrossRef

39.

O’Shaughnessy BA, Bridwell KH, Lenke LG, Cho W, Baldus C, Chang MS, Auerbach JD, Crawford CH Does a long-fusion “T3-sacrum” portend a worse outcome than a short-fusion “T10-sacrum” in primary surgery for adult scoliosis? Spine (Phila Pa 1976) 37:884–890. doi:10.1097/BRS.0b013e3182376414

40.

Nicodemo A, Capella M, Deregibus M, Masse A (2011) Nonunion of a sacral fracture refractory to bone grafting: internal fixation and osteogenic protein-1 (BMP-7) application. Musculoskelet Surg 95:157–161. doi:10.1007/s12306-011-0131-x PubMedCrossRef

41.

Cho KJ, Suk SI, Park SR, Kim JH, Kim SS, Lee TJ, Lee JJ, Lee JM (2008) Short fusion versus long fusion for degenerative lumbar scoliosis. Eur Spine J 17:650–656. doi:10.1007/s00586-008-0615-z PubMedCrossRef

42.

Transfeldt EE, Topp R, Mehbod AA, Winter RB Surgical outcomes of decompression, decompression with limited fusion, and decompression with full curve fusion for degenerative scoliosis with radiculopathy. Spine (Phila Pa 1976) 35:1872–1875. doi:10.1097/BRS.0b013e3181ce63a2

43.

Smith JS, CI Shaffrey, Kuntz Ct, Mummaneni PV (2008) Classification systems for adolescent and adult scoliosis. Neurosurgery 63:16–24. doi:10.1227/01.NEU.0000320447.61835.EA PubMedCrossRef

44.

Charosky S, Guigui P, Blamoutier A, Roussouly P, Chopin D Complications and risk factors of primary adult scoliosis surgery: a multicenter study of 306 patients. Spine (Phila Pa 1976) 37:693–700. doi:10.1097/BRS.0b013e31822ff5c1

45.

Smith JS, Saulle D, Chen CJ, Lenke LG, Polly DW, Jr, Kasliwal MK, Broadstone PA, Glassman SD, Vaccaro AR, Ames CP, Shaffrey CI Rates and causes of mortality associated with spine surgery based on 108,419 procedures: a review of the scoliosis research society morbidity and mortality database. Spine (Phila Pa 1976). doi:10.1097/BRS.0b013e318257fada

46.

Burneikiene S, Nelson EL, Mason A, Rajpal S, Serxner B, Villavicencio AT Complications in patients undergoing combined transforaminal lumbar interbody fusion and posterior instrumentation with deformity correction for degenerative scoliosis and spinal stenosis. Surg Neurol Int 3:25. doi:10.4103/2152-7806.92933

47.

Cloyd JM, Acosta FL, Jr, Cloyd C, Ames CP Effects of age on perioperative complications of extensive multilevel thoracolumbar spinal fusion surgery. J Neurosurg Spine 12:402–408. doi:10.3171/2009.10.SPINE08741

48.

Fu KM, Smith JS, Polly DW, Jr, Ames CP, Berven SH, Perra JH, McCarthy RE, Knapp DR, Jr, Shaffrey CI Correlation of higher preoperative American Society of Anesthesiology grade and increased morbidity and mortality rates in patients undergoing spine surgery. J Neurosurg Spine 14:470–474. doi:10.3171/2010.12.SPINE10486

49.

Portigliatti Barbos M, Mognetti B, Pecoraro S, Picco W, Veglio V (2010) Decolonization of orthopedic surgical team S. aureus carriers: impact on surgical-site infections. J Orthop Traumatol 11:47–49. doi:10.1007/s10195-010-0081-3 PubMedCrossRef

50.

Crawford CH, 3rd, Smail J, Carreon LY, Glassman SD Health-related quality of life after posterolateral lumbar arthrodesis in patients seventy-five years of age and older. Spine (Phila Pa 1976) 36:1065–1068. doi:10.1097/BRS.0b013e3181e8afa0

51.

Fu KM, Smith JS, Sansur CA, Shaffrey CI Standardized measures of health status and disability and the decision to pursue operative treatment in elderly patients with degenerative scoliosis. Neurosurgery 66:42–47; discussion 47. doi:10.1227/01.NEU.0000361999.29279.E6

Titel: Current classification systems for adult degenerative scoliosis
verfasst von: C. Faldini
A. Di Martino
M. De Fine
M. T. Miscione
C. Calamelli
A. Mazzotti
F. Perna
Publikationsdatum: 01.04.2013
Verlag: Springer Milan
Erschienen in: MUSCULOSKELETAL SURGERY / Ausgabe 1/2013
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-013-0245-4

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Current classification systems for adult degenerative scoliosis

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2013

Primary hydatid cyst of the thigh: on seven cases

The ruptured Achilles tendon: a current overview from biology of rupture to treatment

Challenges in the management of floating knee injuries in a resource constrained setting

The Burch-Schneider antiprotrusio cage: medium follow-up results

Posterior approach in thoracolumbar tuberculosis: a clinical and radiological review of 67 operated cases

Arthroscopic treatment for cuff tear: strength recovery at 12 months of follow-up

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie