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Erschienen in: Die Orthopädie 10/2020

03.09.2020 | Beckenasymmetrie | Leitthema

Herausforderungen in der Balancierung adulter Wirbelsäulendeformitäten – die vergessene koronare Ebene

verfasst von: Heiko Koller, Juliane Koller, Felix Stengel, Bernhard Meyer

Erschienen in: Die Orthopädie | Ausgabe 10/2020

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Zusammenfassung

Der vorliegende Artikel gibt einen Einblick in die Bedeutung sowie Planung und Korrektur der koronaren Balance in der Behandlung von erwachsenen Patienten mit Wirbelsäulendeformitäten.
Literatur
1.
Zurück zum Zitat Glassman SD, Berven S, Bridwell KH, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682–688PubMed Glassman SD, Berven S, Bridwell KH, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682–688PubMed
2.
Zurück zum Zitat Koller H (2019) Sagittal spinal alignment: Current concepts and a plea for a better appreciation of sagittal balance. Wirbelsäule 3:37–58 Koller H (2019) Sagittal spinal alignment: Current concepts and a plea for a better appreciation of sagittal balance. Wirbelsäule 3:37–58
3.
Zurück zum Zitat Ploumis A, Simpson AK, Cha TD, Herzog JP, Wood KB (2015) Coronal spinal balance in adult spine deformity patients with long spinal fusions: a minimum 2‑ to 5‑year follow-up study. J Spinal Disord 28:341–347 Ploumis A, Simpson AK, Cha TD, Herzog JP, Wood KB (2015) Coronal spinal balance in adult spine deformity patients with long spinal fusions: a minimum 2‑ to 5‑year follow-up study. J Spinal Disord 28:341–347
4.
Zurück zum Zitat Gupta M, Terran JS, Mundis GM, Smith JS, Shaffrey CI, Kim HJ (2013of) Pedicle subtraction osteotomy (PSO) in the revision versus primary adult spinal deformity (ASD) patient: is there a difference in correction and complications? Annual Meeting of Scoliosis Research Society,, Lion Gupta M, Terran JS, Mundis GM, Smith JS, Shaffrey CI, Kim HJ (2013of) Pedicle subtraction osteotomy (PSO) in the revision versus primary adult spinal deformity (ASD) patient: is there a difference in correction and complications? Annual Meeting of Scoliosis Research Society,, Lion
5.
Zurück zum Zitat Koller H, Pfanz C, Meier O, Hitzl W, Mayer M, Bullmann V, Schulte TL (2016) Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients. Eur Spine J 25:532–548PubMed Koller H, Pfanz C, Meier O, Hitzl W, Mayer M, Bullmann V, Schulte TL (2016) Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients. Eur Spine J 25:532–548PubMed
6.
Zurück zum Zitat Theologis A, Lertudomphonwnani T, Lenke L, Bridwell K, Gupta M (2018) The role of the fractional lumbosacral curve in persistent coronal malalignment following adult thoracolumbar deformity surgery. Annual Meeting of Scoliosis Research Society, Bologna Theologis A, Lertudomphonwnani T, Lenke L, Bridwell K, Gupta M (2018) The role of the fractional lumbosacral curve in persistent coronal malalignment following adult thoracolumbar deformity surgery. Annual Meeting of Scoliosis Research Society, Bologna
7.
Zurück zum Zitat Moal B, Schwab F, Ames CP, Smith JS, Ryan D, Mummaneni PV, Mundis GM Jr, Terran JS, Klineberg E et al (2014) Radiographic outcomes of adult spinal deformity correction: a critical analysis of variability and failures across deformity patterns. Spine Deform 2:219–225PubMed Moal B, Schwab F, Ames CP, Smith JS, Ryan D, Mummaneni PV, Mundis GM Jr, Terran JS, Klineberg E et al (2014) Radiographic outcomes of adult spinal deformity correction: a critical analysis of variability and failures across deformity patterns. Spine Deform 2:219–225PubMed
8.
Zurück zum Zitat Lewis SJ, Keshen SG, Kato S, Dear TE, Gazendam AM (2018) Risk factors for postoperative coronal balance in adult spinal deformity surgery. Global Spine J 8:690–697PubMedPubMedCentral Lewis SJ, Keshen SG, Kato S, Dear TE, Gazendam AM (2018) Risk factors for postoperative coronal balance in adult spinal deformity surgery. Global Spine J 8:690–697PubMedPubMedCentral
9.
Zurück zum Zitat Acaroglu E, Guler UO, Yavu Y, Pellise F, Domingo‑S M, Yakici S, Genc Y, Alanay A, Perez-Grueso FJS, European Spine Study Group (2013of) Multiple regression analysis of factors affecting HRQL in adult spinal deformity. 20th IMAST, Vancouver Acaroglu E, Guler UO, Yavu Y, Pellise F, Domingo‑S M, Yakici S, Genc Y, Alanay A, Perez-Grueso FJS, European Spine Study Group (2013of) Multiple regression analysis of factors affecting HRQL in adult spinal deformity. 20th IMAST, Vancouver
10.
Zurück zum Zitat Ploumis A, Liu H, Mehbod AA, Transfeldt EE, Winter RB (2009) A correlation of radiographic and functional measurements in adult degenerative scoliosis. Spine 34:1581–1584PubMed Ploumis A, Liu H, Mehbod AA, Transfeldt EE, Winter RB (2009) A correlation of radiographic and functional measurements in adult degenerative scoliosis. Spine 34:1581–1584PubMed
11.
Zurück zum Zitat Cho W, Mason JR, Smith JS, Shimer AL et al (2013) Failure of lumbopelvic fixation after long construct fusions in patients with adult spinal deformity: clinical and radiographic risk factors. J Neurosurg Spine 19:445–453PubMed Cho W, Mason JR, Smith JS, Shimer AL et al (2013) Failure of lumbopelvic fixation after long construct fusions in patients with adult spinal deformity: clinical and radiographic risk factors. J Neurosurg Spine 19:445–453PubMed
12.
Zurück zum Zitat Ploumis A, Trivedi V, Shin J‑H, Wood KB, Grottkau BE (2018) Progression of idiopathic thoracic or thoracolumbar scoliosis and pelvic obliquity in adolescent patients with and without limb length discrepancy. Scoliosis Spinal Disord 13(18):1–10 Ploumis A, Trivedi V, Shin J‑H, Wood KB, Grottkau BE (2018) Progression of idiopathic thoracic or thoracolumbar scoliosis and pelvic obliquity in adolescent patients with and without limb length discrepancy. Scoliosis Spinal Disord 13(18):1–10
13.
Zurück zum Zitat Pasha S, Aubin CE, Sangole AP, Labelle H, Parent S, Mac-Thiong JM (2011) Three-dimensional spinopelvic relative alignment in adolescent idiopathic scoliosis. Spine 39:564–570 Pasha S, Aubin CE, Sangole AP, Labelle H, Parent S, Mac-Thiong JM (2011) Three-dimensional spinopelvic relative alignment in adolescent idiopathic scoliosis. Spine 39:564–570
14.
Zurück zum Zitat Qiu XS, Zhang JJ, Yang SW, Lv F, Wang ZW, Chiew J, Ma WW, Qiu Y (2012) Anatomical study of the pelvis in patients with adolescent idiopathic scoliosis. J Anat 220:1469–1480 Qiu XS, Zhang JJ, Yang SW, Lv F, Wang ZW, Chiew J, Ma WW, Qiu Y (2012) Anatomical study of the pelvis in patients with adolescent idiopathic scoliosis. J Anat 220:1469–1480
15.
Zurück zum Zitat Qiu XS, Wang ZW, Qiu Y, Wang WJ, Mao SH, Zhu ZZ, Qian BP, Wang SF, Zhu F, Qiao J (2013) Preoperative pelvic axial rotation: a possible predictor for postoperative coronal decompensation in thoracolumbar/lumbar adolescent idiopathic scoliosis. Eur Spine J 22:1264–1272PubMedPubMedCentral Qiu XS, Wang ZW, Qiu Y, Wang WJ, Mao SH, Zhu ZZ, Qian BP, Wang SF, Zhu F, Qiao J (2013) Preoperative pelvic axial rotation: a possible predictor for postoperative coronal decompensation in thoracolumbar/lumbar adolescent idiopathic scoliosis. Eur Spine J 22:1264–1272PubMedPubMedCentral
16.
Zurück zum Zitat Knutson GA (2005) Anatomic and functional leg-length inequality: a review and recommendation for clinical decsion-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance. Chiropr Osteopathy 13(11):1–10 Knutson GA (2005) Anatomic and functional leg-length inequality: a review and recommendation for clinical decsion-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance. Chiropr Osteopathy 13(11):1–10
17.
Zurück zum Zitat Chan CYW, Kyaw SN, Chiu CK, Mohamad SM, Kwan MK (2017) Pelvic obliquity in adolescent idopathic scoliosis (AIS) An analysis of 311 lower limb radiographs. IMAST, Cape Town Chan CYW, Kyaw SN, Chiu CK, Mohamad SM, Kwan MK (2017) Pelvic obliquity in adolescent idopathic scoliosis (AIS) An analysis of 311 lower limb radiographs. IMAST, Cape Town
18.
Zurück zum Zitat Lee CS, Ha JK, Kim DG, Kim H, Hwang CJ, Lee DH, Cho JH (2015) The clinical importance of sacral slanting in patients with adolescent idiopathic scoliosis undergoing surgery. Spine J 15:834–840PubMed Lee CS, Ha JK, Kim DG, Kim H, Hwang CJ, Lee DH, Cho JH (2015) The clinical importance of sacral slanting in patients with adolescent idiopathic scoliosis undergoing surgery. Spine J 15:834–840PubMed
19.
Zurück zum Zitat Kim C‑K, Hey HWD, Juh H‑S, Kim K‑T (2017) Supra-acetabular line is better than supra-iliac line for coronal balance referencing—a study of perioperative whole spine x‑rays in degeenrative lumbar scoliosis and ankylosing spondylitis patients. Spine J 17:1837–1845PubMed Kim C‑K, Hey HWD, Juh H‑S, Kim K‑T (2017) Supra-acetabular line is better than supra-iliac line for coronal balance referencing—a study of perioperative whole spine x‑rays in degeenrative lumbar scoliosis and ankylosing spondylitis patients. Spine J 17:1837–1845PubMed
20.
Zurück zum Zitat Koller H, Koller J, Mayer M, Hempfing A, Hitzl W (2018) Osteotomies in ankylosing spondylitis: where, how many, and how much ? Eur Spine J 27:70–100PubMed Koller H, Koller J, Mayer M, Hempfing A, Hitzl W (2018) Osteotomies in ankylosing spondylitis: where, how many, and how much ? Eur Spine J 27:70–100PubMed
21.
Zurück zum Zitat Acosta F, Koller H, Zenner J, Ferraris L, Hitzl W, Meier O, Ondra S, Koski T, Schmidt R (2010) Spinal surgery in patients with Parkinson’s disease: experiences with the challenges posed by sagittal imbalance and the Parkinson’s spine. Eur Spine J 19:1785–1794PubMedPubMedCentral Acosta F, Koller H, Zenner J, Ferraris L, Hitzl W, Meier O, Ondra S, Koski T, Schmidt R (2010) Spinal surgery in patients with Parkinson’s disease: experiences with the challenges posed by sagittal imbalance and the Parkinson’s spine. Eur Spine J 19:1785–1794PubMedPubMedCentral
22.
Zurück zum Zitat Koller H, Zenner J, Ferraris L et al (2009) Sagittale Balance und posttraumatische Fehlstellungen der Brust- und Lendenwirbelsäule. Orthopäd Unfallchir Up2date 4:277–320 Koller H, Zenner J, Ferraris L et al (2009) Sagittale Balance und posttraumatische Fehlstellungen der Brust- und Lendenwirbelsäule. Orthopäd Unfallchir Up2date 4:277–320
23.
Zurück zum Zitat Koller J, Koller H, Mayer M, Hempfing A, Hitzl W (2018) Osteotomies in ankylosing spondylitis: where, how many, and how much? Eur Spine J 27:70–100PubMed Koller J, Koller H, Mayer M, Hempfing A, Hitzl W (2018) Osteotomies in ankylosing spondylitis: where, how many, and how much? Eur Spine J 27:70–100PubMed
24.
Zurück zum Zitat Schwab F, Fegoun AB, Gamez L et al (2005) A lumbar classification of scoliosis in the adult patient: preliminary approach. Spine 30:1670–1673PubMed Schwab F, Fegoun AB, Gamez L et al (2005) A lumbar classification of scoliosis in the adult patient: preliminary approach. Spine 30:1670–1673PubMed
25.
Zurück zum Zitat Schwab F, Farcy J‑P, Bridwell K, Berven S, Glassmann S, Harrast J, Horton W (2006) A clinical impact classification of scoliosis in the adult. Spine 31:2109–2114PubMed Schwab F, Farcy J‑P, Bridwell K, Berven S, Glassmann S, Harrast J, Horton W (2006) A clinical impact classification of scoliosis in the adult. Spine 31:2109–2114PubMed
26.
Zurück zum Zitat Schwab FJ, Hawkinson N, Lafage V, Smith JS, Hart R, Mundis G, Burton DC, Line B, Akbarnia B, Boachie-Adjei O, Hostin R, Shaffrey CI, Arlet VA, Wood K, Gupta M, Bess S, Mummaneni PV, International Spine Study Group (2012) Risk factors for major peri-operative complications in adult spinal deformity surgery: a multi-center review of 953 consecutive patients. Eur Spine J 21:2603–2610PubMedPubMedCentral Schwab FJ, Hawkinson N, Lafage V, Smith JS, Hart R, Mundis G, Burton DC, Line B, Akbarnia B, Boachie-Adjei O, Hostin R, Shaffrey CI, Arlet VA, Wood K, Gupta M, Bess S, Mummaneni PV, International Spine Study Group (2012) Risk factors for major peri-operative complications in adult spinal deformity surgery: a multi-center review of 953 consecutive patients. Eur Spine J 21:2603–2610PubMedPubMedCentral
27.
Zurück zum Zitat Smith JS, Klineberg E, Schwab F, Shaffrey CI, Moal B, Ames CP, Hostin R, Fu KMG, Burton D, Akbarnia B, Gupta M, Hart R, Bess S, Lafage V, International Spine Study Group (2013) Change in classification grade by the SRS-Schwab adult spinal deformity classification predicts impact on health-related quality of life measures. Spine 38:1663–1671PubMed Smith JS, Klineberg E, Schwab F, Shaffrey CI, Moal B, Ames CP, Hostin R, Fu KMG, Burton D, Akbarnia B, Gupta M, Hart R, Bess S, Lafage V, International Spine Study Group (2013) Change in classification grade by the SRS-Schwab adult spinal deformity classification predicts impact on health-related quality of life measures. Spine 38:1663–1671PubMed
28.
Zurück zum Zitat Plais N, Bao H, Kim HJ, Gupta CG, Shaffrey CI, Elysee JC, Mundis CI, Hostin R, Burton DC, Ames CP, Klineberg EO, Bess S, Schwab FJ, LaFage V, International Spine Study Group (2017of) Fractional curves in adult spinal deformity: Is it a driver of a compensation for coronal malalignment ? Annual Meeting of Scoliosis Research Society, Philadelphia Plais N, Bao H, Kim HJ, Gupta CG, Shaffrey CI, Elysee JC, Mundis CI, Hostin R, Burton DC, Ames CP, Klineberg EO, Bess S, Schwab FJ, LaFage V, International Spine Study Group (2017of) Fractional curves in adult spinal deformity: Is it a driver of a compensation for coronal malalignment ? Annual Meeting of Scoliosis Research Society, Philadelphia
30.
Zurück zum Zitat Bao H, Liu Z, Zhang Y, Sun X, Jiang J, Qian B, Mao S, Qiu Y, Zhu Z (2019) Sequential correction technique to avoid postoperative global coronal decompensation in rigid adult spinal deformity: a technical note and preliminary results. Eur Spine J 28:2179–2186PubMed Bao H, Liu Z, Zhang Y, Sun X, Jiang J, Qian B, Mao S, Qiu Y, Zhu Z (2019) Sequential correction technique to avoid postoperative global coronal decompensation in rigid adult spinal deformity: a technical note and preliminary results. Eur Spine J 28:2179–2186PubMed
31.
Zurück zum Zitat Daniels AH, Koller H, Hiratzka SL, Mayer M, Meier O, Contag AG, Eltorai AEM, Hiratzka J, Kojo HD, Shaffrey CI, Smith JS, Bess S, Klineberg EO, Ames CP, Lafage V, Line B, Schwab FJ, Hart RA, Group ISS. (2017) Selecting caudal fusion levels: 2 year functional and stiffness outcomes with matched pairs analysis in multilevel fusion to L5 versus S1. Eur Spine J 26:1645–1651PubMed Daniels AH, Koller H, Hiratzka SL, Mayer M, Meier O, Contag AG, Eltorai AEM, Hiratzka J, Kojo HD, Shaffrey CI, Smith JS, Bess S, Klineberg EO, Ames CP, Lafage V, Line B, Schwab FJ, Hart RA, Group ISS. (2017) Selecting caudal fusion levels: 2 year functional and stiffness outcomes with matched pairs analysis in multilevel fusion to L5 versus S1. Eur Spine J 26:1645–1651PubMed
32.
Zurück zum Zitat Pasha S, Ilharreborde B, Baldwin K (2018) Sagittal spinopelvic alignment after posterior spinal fusion in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Spine 44:41–52 Pasha S, Ilharreborde B, Baldwin K (2018) Sagittal spinopelvic alignment after posterior spinal fusion in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Spine 44:41–52
33.
Zurück zum Zitat Koller H, Zenner J, Hempfing A, Ferraris L, Meier O (2014) Reinforcement of lumbosacral instrumentation using S1-pedicle screws combined with S2-alar screws. Oper Orthop Traumatol 25:294–314 Koller H, Zenner J, Hempfing A, Ferraris L, Meier O (2014) Reinforcement of lumbosacral instrumentation using S1-pedicle screws combined with S2-alar screws. Oper Orthop Traumatol 25:294–314
34.
Zurück zum Zitat Koller H, Mayer M, Hitzl W, Meier O (2014) Comparison of the surgical treatment in major thoracolumbar / lumbar adult scoliosis: anterior release vs posterior-only correction. Annual Meeting of German Spine Society, Leipzig Koller H, Mayer M, Hitzl W, Meier O (2014) Comparison of the surgical treatment in major thoracolumbar / lumbar adult scoliosis: anterior release vs posterior-only correction. Annual Meeting of German Spine Society, Leipzig
35.
Zurück zum Zitat Soroceanu A, Burton DC, Oren JH, Smith JS, Hostin R, Shaffrey CI, Akbarnia BA, Ames CP, Errico TJ, Bess S, Gupta MC, Deviren V, Schwab FJ, Lafage V, International Spine Study Group (2016) Medical complications after adult spinal deformity surgery: incidence, risk factors, and clinical impact. Spine 41:1718–1723PubMed Soroceanu A, Burton DC, Oren JH, Smith JS, Hostin R, Shaffrey CI, Akbarnia BA, Ames CP, Errico TJ, Bess S, Gupta MC, Deviren V, Schwab FJ, Lafage V, International Spine Study Group (2016) Medical complications after adult spinal deformity surgery: incidence, risk factors, and clinical impact. Spine 41:1718–1723PubMed
36.
Zurück zum Zitat Koller MOH (2017) Operative Aufrichtung von Kyphosen. Schattauer, Frankfurt Koller MOH (2017) Operative Aufrichtung von Kyphosen. Schattauer, Frankfurt
37.
Zurück zum Zitat Makhni MC, Cerpa M, Lin JD, Park PJ, Lenke LG (2018) The “Kickstand Rod” technique for correction of coronal imbalance in patients with adult spinal deformity: theory and technical considerations. J Spine Surg 4:798–802PubMedPubMedCentral Makhni MC, Cerpa M, Lin JD, Park PJ, Lenke LG (2018) The “Kickstand Rod” technique for correction of coronal imbalance in patients with adult spinal deformity: theory and technical considerations. J Spine Surg 4:798–802PubMedPubMedCentral
38.
Zurück zum Zitat Schreyer H, Koller H, Koller J (2018) Biomechanical rationale for lumbosacral instrumentation and fusion. DepuySynthes-DSEM/SPN/0517/0668 Schreyer H, Koller H, Koller J (2018) Biomechanical rationale for lumbosacral instrumentation and fusion. DepuySynthes-DSEM/SPN/0517/0668
39.
Zurück zum Zitat McWilliams AB, Loughenbury FA, Stewart TD, Redmond AC, Stone MH (2019) Hip surgeons and leg length inequality after primary hip replacement. Hip Int 29:102–108PubMed McWilliams AB, Loughenbury FA, Stewart TD, Redmond AC, Stone MH (2019) Hip surgeons and leg length inequality after primary hip replacement. Hip Int 29:102–108PubMed
40.
Zurück zum Zitat Whitehouse SL, Wylde V, Taylor AH, Pattison GT, Bannister GC, Blom AW (2009) Prevalence and functional impact of patient-perceived leg length discrepancy after hip replacement. Eur Spine J 33:905–909 Whitehouse SL, Wylde V, Taylor AH, Pattison GT, Bannister GC, Blom AW (2009) Prevalence and functional impact of patient-perceived leg length discrepancy after hip replacement. Eur Spine J 33:905–909
41.
Zurück zum Zitat Benedetti MG, Catani F, Benedetti E, Berti L, Di Gioia A, Giannini S (2010) To what extent does leg length discrepancy impair motor activity in patients after total hip arthroplasty? Int Orthop 34:1115–1121PubMed Benedetti MG, Catani F, Benedetti E, Berti L, Di Gioia A, Giannini S (2010) To what extent does leg length discrepancy impair motor activity in patients after total hip arthroplasty? Int Orthop 34:1115–1121PubMed
42.
Zurück zum Zitat Grivas TB, Angouris K, Chandrinos M, Kechagias V (2018) Truncal changes in children with mild limb length inequality: a surface topography study. Scoliosis Spinal Disord 13(27):1–10 Grivas TB, Angouris K, Chandrinos M, Kechagias V (2018) Truncal changes in children with mild limb length inequality: a surface topography study. Scoliosis Spinal Disord 13(27):1–10
Metadaten
Titel
Herausforderungen in der Balancierung adulter Wirbelsäulendeformitäten – die vergessene koronare Ebene
verfasst von
Heiko Koller
Juliane Koller
Felix Stengel
Bernhard Meyer
Publikationsdatum
03.09.2020
Verlag
Springer Medizin
Erschienen in
Die Orthopädie / Ausgabe 10/2020
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-020-03993-7

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