Do benefits overcome the risks related to surgery for adult scoliosis? A detailed analysis of a consecutive case series

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Abstract

Purpose The surgical approach to adult spine deformities is complex and presents a high incidence of complications. Methods We report here a prospective consecutive case series analysis of 20 patients submitted to posterior correction and instrumented fusion for adult degenerative scoliosis. Clinical outcomes were assessed by self-reported measures. Pre-operative and post-operative complications were analysed during a mean 30-month follow-up period. Results Eleven patients (55 %) presented pre-operative or post-operative complications. Fifteen different complications occurred, six in the early pre-operative period and nine during follow-up period: ten of these complications occurred in patients who underwent a previous surgery for spine disease. Conclusions The clinical improvement at the final follow-up resulted as statistically significant only for the group of patients exposed to posterior fusion without interbody fusion. The observations reported here have to be considered for a shared decision-making in the management of adult scoliosis.

Original languageEnglish
JournalEuropean Spine Journal
Volume22
Issue numberSUPPL.6
DOIs
Publication statusPublished - Nov 2013

Keywords

  • Adult degenerative scoliosis
  • Posterior instrumented arthrodesis
  • Posterior lumbar interbody fusion (PLIF)
  • Pre-operative and post-operative complications
  • Transforaminal lumbar interbody fusion (TLIF)

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Medicine(all)

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