The Scoliosis Research Society Classification for Adult Spinal Deformity
Section snippets
Distinction of adult deformity from adolescent idiopathic deformity
Existing classification systems for spinal deformity have significant limitations and do not include parameters that are important considerations in deformity of the adult spine. The King/Moe classification is an ordinal classification system for thoracic idiopathic scoliosis that was intended to provide guidance for treatment of thoracic deformity [15]. The authors demonstrated that the classification has significant value in determining the appropriate levels for fusion for thoracic
Value of a classification for adult spinal deformity
Classification systems are important and valuable to the physician who cares for patients with spinal disorders because they serve to characterize a disorder accurately, to guide treatment and decision making, and to form a basis for the uniform reporting of results of care that may lead to an evidence-based approach to care [25]. A classification system for spinal deformity has four main purposes:
- 1.
Systematic categorization of similar disorders
- 2.
Prognosis regarding natural history and outcomes of
Scoliosis Research Society adult deformity classification system
The proposed classification is based on standing full-length radiographs in the coronal and sagittal planes [28]. Global balance, regional deformity patterns, and focal degenerative changes within the deformity are the parameters considered in the classification. The classification also includes primary sagittal deformity, which is commonly related to degenerative disc disease; developmental pathologic change, including Scheuermann's kyphosis; trauma; primary myopathies; and osteoporosis in
Summary
The SRS adult deformity classification offers an important framework for the establishment of a comprehensive description of adult spinal deformity. The terminology and definitions adopted by the SRS were applied in categorization of apical level, and thus curve types. Further modifiers offer important descriptors relevant to surgical decision making. Adult spinal deformity is distinct from adolescent deformity because of the predominance of lumbar degenerative conditions, regional loss of
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Biological principles of adult degenerative scoliosis
2023, Trends in Molecular MedicineChanges in Spinal Alignment of Women Who Underwent Unilateral Mastectomy with Immediate Autologous Breast Reconstruction Compared To Mastectomy without Breast Reconstruction
2022, Clinical Breast CancerCitation Excerpt :Cobb's angle of more than 10 degrees has been used as a cut-off for the minimal degree of tilting to diagnose adolescent scoliosis.29 This seemingly arbitrary plotting of a cut-off point has however been challenged by other researchers, with huge variations in prevalence of scoliosis if 10 degrees as a cut-off point is used, thus prompting other classifications to be formulated.30 However, many still use 10 degrees as the minimal value to begin closer monitoring of patients’ spinal alignment.21
Adult degenerative scoliosis – A literature review
2020, Interdisciplinary Neurosurgery: Advanced Techniques and Case ManagementCitation Excerpt :Patients with adult degenerative scoliosis most commonly present with axial backpain as their primary complaint. The frequency of this is reported by two retrospective cohort studies and one retrospective cohort study to occur in up to 90% of cases [3,16,17]. It is important to take a thorough history of the exact nature of the axial backache as subtle nuances provide valuable information regarding management and expected outcome.
Imaging in Neurology
2016, Imaging in NeurologyDiagnostic Imaging: Spine
2015, Diagnostic Imaging: SpineAnalysis of the direct cost of surgery for four diagnostic categories of adult spinal deformity
2013, Spine JournalCitation Excerpt :Surgical decision making for patients with adult spinal deformity (ASD) is challenging. The existing literature on ASD is characterized by variable approaches to common clinical presentations and offers little guidance regarding an evidence-based approach to care [1,2]. Such an approach should aim to optimize clinical outcomes while limiting the cost of care, thus optimizing the value of the intervention.