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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

20.08.2016 | General Review • SPINE - LUMBAR

Lumbar scoliosis associated with spinal stenosis in idiopathic and degenerative cases

verfasst von: J. C. Le Huec, A. Cogniet, S. Mazas, A. Faundez

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2016

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Abstract

Degenerative de novo scoliosis is commonly present in older adult patients. The degenerative process including disc bulging, facet arthritis, and ligamentum flavum hypertrophy contributes to the appearance of symptoms of spinal stenosis. Idiopathic scoliosis has also degenerative changes that can lead to spinal stenosis.

Purpose

The aetiology, prevalence, biomechanics, classification, symptomatology, and treatment of idiopathic and degenerative lumbar scoliosis in association with spinal stenosis are reviewed.

Study design

Review study is based on a review of pertinent but non-exhaustive literature of the last 20 years in PubMed in English language.

Methods

Retrospective analysis of studies focused on all parameters concerning scoliosis associated with stenosis.

Results

Very few publications have focused specifically on idiopathic scoliosis and stenosis, and this was before the advent of modern segmental instrumentation. On the other hand, many papers were found for degenerative scoliosis and stenosis with treatment methods based on aetiology of spinal canal stenosis and analysis of global sagittal and frontal parameters. Satisfactory clinical results after operative treatment range from 83 to 96 % but with increased percentage of complications. Recent literature analysed the importance of stabilizing or not the spine after decompression in such situation knowing the increasing risk of instability after facet resection. No prospective randomized studies were found to support short instrumentation. Long instrumentation and fusion to prevent distabilization after decompression were always associated with higher complication rates. Imbalance patients with unsatisfactory compensation capacities were at risk of complications.

Conclusions

Operative treatment using newly proposed classification system of lumbar scoliosis with associated canal stenosis is useful. Sagittal balance and rotatory dislocation are the main parameters to analyse to determine the length of fusion.

Garfin SR, Herkowitz HN, Mirkovic S (2000) Spinal stenosis. Instr Course Lect 49:361–374PubMed

Kostuik JP (1979) Decision making in adult scoliosis. Spine 4(6):521–525CrossRefPubMed

Pritchett JW, Bortel DT (1993) Degenerative symptomatic lumbar scoliosis. Spine 18(6):700–703CrossRefPubMed

Pérennou D, Marcelli C, Hérisson C, Simon L (1994) Adult lumbar scoliosis. Epidemiologic aspects in a low-back pain population. Spine 19(2):123–128CrossRefPubMed

Trammell TR, Schroeder RD, Reed DB (1988) Rotatory olisthesis in idiopathic scoliosis. Spine 13(12):1378–1382CrossRefPubMed

Sengupta DK, Herkowitz HN, Lumbar spinal stenosis (2003) Treatment strategies and indications for surgery. Orthop Clin North Am 34(2):281–295CrossRefPubMed

Vanderpool DW, James JI, Wynne-Davies R (1969) Scoliosis in the elderly. J Bone Joint Surg Am 51(3):446–455PubMed

Robin GC, Span Y, Steinberg R, Makin M, Menczel J (1982) Scoliosis in the elderly: a follow-up study. Spine 7(4):355–359CrossRefPubMed

Kobayashi T, Atsuta Y, Takemitsu M, Matsuno T, Takeda N (2006) A prospective study of de novo scoliosis in a community based cohort. Spine 31(2):178–182CrossRefPubMed

10.

Murata Y, Takahashi K, Hanaoka E, Utsumi T, Yamagata M, Moriya H (2002) Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbar scoliosis. Spine 27(20):2268–2273CrossRefPubMed

11.

Farfan HF (1980) The pathological anatomy of degenerative spondylolisthesis. A cadaver study. Spine 5(5):412–418CrossRefPubMed

12.

Veldhuizen AG, Scholten PJ (1987) Kinematics of the scoliotic spine as related to the normal spine. Spine 12(9):852–858CrossRefPubMed

13.

Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M et al (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 30(9):1082–1085CrossRefPubMed

14.

Weinstein SL, Ponseti IV (1983) Curve progression in idiopathic scoliosis. J Bone Joint Surg Am 65(4):447–455PubMed

15.

Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F (2005) The impact of positive sagittal balance in adult spinal deformity. Spine 30(18):2024–2029CrossRefPubMed

16.

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

17.

Amundsen T, Weber H, Nordal HJ, Magnaes B, Abdelnoor M, Lilleâs F (2000) Lumbar spinal stenosis: conservative or surgical management? A prospective 10-year study. Spine 25(11):1424–1435 (discussion 1435–6) CrossRefPubMed

18.

Shapiro GS, Taira G, Boachie-Adjei O (2003) Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis: a study of long-term clinical radiographic outcomes. Spine 28(4):358–363PubMed

19.

Aebi M (2005) The adult scoliosis. Eur Spine J 14(10):925–948CrossRefPubMed

20.

Ploumis A, Transfledt EE, Denis F (2007) Degenerative lumbar scoliosis associated with spinal stenosis. Spine J 7(4):428–436CrossRefPubMed

21.

Schwab F, Ungar B, Blondel B, Buchowski J, Coe J, Deinlein D et al (2012) Scoliosis research society—Schwab adult spinal deformity classification: a validation study. Spine 37(12):1077–1082CrossRefPubMed

22.

Yagi M, King AB, Boachie-Adjei O (2012) Incidence, risk factors, and natural course of proximal junctional kyphosis: surgical outcomes review of adult idiopathic scoliosis. Minimum 5 years of follow-up. Spine 37(17):1479–1489CrossRefPubMed

23.

Ascani E, Bartolozzi P, Logroscino CA, Marchetti PG, Ponte A, Savini R et al (1986) Natural history of untreated idiopathic scoliosis after skeletal maturity. Spine 11(8):784–789CrossRefPubMed

24.

Benner B, Ehni G (1979) Degenerative lumbar scoliosis. Spine 4(6):548–552CrossRefPubMed

25.

Epstein JA, Epstein BS, Jones MD (1979) Symptomatic lumbar scoliosis with degenerative changes in the elderly. Spine 4(6):542–547CrossRefPubMed

26.

Grubb SA, Lipscomb HJ, Coonrad RW (1988) Degenerative adult onset scoliosis. Spine 13(3):241–245CrossRefPubMed

27.

Grubb SA, Lipscomb HJ (1982) Diagnostic findings in painful adult scoliosis. Spine 17(5):518–527CrossRef

28.

Frazier DD, Lipson SJ, Fossel AH, Katz JN (1997) Associations between spinal deformity and outcomes after decompression for spinal stenosis. Spine 22(17):2025–2029CrossRefPubMed

29.

Nachemson A (1979) Adult scoliosis and back pain. Spine 4(6):513–517CrossRefPubMed

30.

Koller H, Pfanz C, Meier O, Hitzl W, Mayer M, Bullmann V et al (2016) Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients. Eur Spine J 25(2):532–548CrossRefPubMed

31.

Hwang D-W, Jeon S-H, Kim J-W, Kim E-H, Lee J-H, Park K-J (2009) Radiographic progression of degenerative lumbar scoliosis after short segment decompression and fusion. Asian Spine J 3(2):58–65CrossRefPubMedPubMedCentral

32.

Cho K-J, Suk S-I, Park S-R, Kim J-H, Kim S-S, Lee T-J et al (2008) Short fusion versus long fusion for degenerative lumbar scoliosis. Eur Spine J 17(5):650–656CrossRefPubMedPubMedCentral

33.

Transfeldt EE, Topp R, Mehbod AA, Winter RB (2010) Surgical outcomes of decompression, decompression with limited fusion, and decompression with full curve fusion for degenerative scoliosis with radiculopathy. Spine 35(20):1872–1875CrossRefPubMed

34.

Simmons ED, Simmons EH (1992) Spinal stenosis with scoliosis. Spine 17(6 Suppl):S117–S120CrossRefPubMed

35.

McDonnell MF, Glassman SD, Dimar JR, Puno RM, Johnson JR (1996) Perioperative complications of anterior procedures on the spine. J Bone Joint Surg Am 78(6):839–847PubMed

36.

Wang MY, Green BA, Shah S, Vanni S, Levi ADO (2003) Complications associated with lumbar stenosis surgery in patients older than 75 years of age. Neurosurg Focus 14(2):e7CrossRefPubMed

37.

Benz RJ, Ibrahim ZG, Afshar P, Garfin SR (2001) Predicting complications in elderly patients undergoing lumbar decompression. Clin Orthop 384:116–121CrossRefPubMed

38.

Bradford DS, Tay BK, Hu SS (1999) Adult scoliosis: surgical indications, operative management, complications, and outcomes. Spine 24(24):2617–2629CrossRefPubMed

39.

La Grone MO (1988) Loss of lumbar lordosis. A complication of spinal fusion for scoliosis. Orthop Clin North Am 19(2):383–393PubMed

Titel: Lumbar scoliosis associated with spinal stenosis in idiopathic and degenerative cases
verfasst von: J. C. Le Huec
A. Cogniet
S. Mazas
A. Faundez
Publikationsdatum: 20.08.2016
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 7/2016
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-016-1829-0

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