DEGENERATIVE SCOLIOSIS: A CASE REPORT
Background: Scoliosis in adults is a spinal deformity in adult patients with a Cobb angle of more than 10° in the coronal plane. Degenerative scoliosis is a term used for the presence of spinal coronal deviation in the elderly population due to segment degeneration. This case report presents a quite different management option, namely applying intraoperative vertebral correction to the subject. The operative procedure carried out on the patient has experienced success as indicated by improvement in symptoms and curve progressiveness in patients.
Case: A patient suffers degenerative scoliosis at Surabaya RKZ Hospital. Data is taken from medical records, patient clinical records, home visits, and physical examination of patients.
Discussion: From the results of the post op clinical examination, it was found that pain complaints improved compared to pre-op complaints. From the results of the post op radiological examination, the position of fixation was good, there was no spondylolisthesis, lumbar dextroscoliosis (+), lumbar spondylosis (+), drain tip as high as Th12-L1.Conclusion: Giving operative management can directly improve the patient's quality of life and reduce symptoms experienced in a shorter time.
Kotwal S, Pumberger M, Hughes A, Girardi F. Degenerative Scoliosis: A Review. HSS J. 2011 Oct 11;7(3):257–64.
Silva FE, Lenke LG. Adult degenerative scoliosis: evaluation and management. Neurosurg Focus. 2010; 28:E1.
Graham RB, Sugrue PA, Koski TR. Adult Degenerative Scoliosis. Clin Spine Surg. 2016; 29(3):95–107.
Kebaish KM. Degenerative (De Novo) Adult Scoliosis. Semin Spine Surg. 2009;21(1):7–15.
Silvestre MD, Lolli F, Greggi T, et al. Adult’s Degenerative Scoliosis: Midterm Results of Dynamic Stabilization without Fusion in Eldery Patients- Is it Effective?Advances in Orthopedics. 2013; 7:1-8.
Tambe AD, Michael ALR. (iii) Adult degenerative scoliosis. Orthop Trauma. 2011;25(6):413–24.
York PJ, Kim HJ. Degenerative Scoliosis. Curr Rev Musculoskelet Med. 2017;10(4):547–58.
Cho K, Kim Y, Shin S, Suk S. Surgical Treatment of Adult Degenerative Scoliosis. Asian Spine J. 2014;8(3):371.
Palmisani M, Dema E, Cervellati S. Surgical Treatment of Adult Degenerative Scoliosis. European Spine Journal. 2013; 22(6):829-833.
Birkness JK, White AP, Albert TJ, Shaffrey TI, Harrop JS. Adult Degenerative Scoliosis: A Review. Neurosurgery Journal. 2008: 63(3):94-103.
Koerner JD, Reitman CA, Arnold PM, Rihn J. Degenerative Lumbar Scoliosis. JBJS Rev. 2015;3(4):1.
Shridharani SM, Munroe BA, Hood KA. Complications in adult degenerative scoliosis surgery. Semin Spine Surg. 2017;29(2):118–22.
Koerner JD, Reitman CA, Arnold PM, Rihn J. Degenerative Lumbar Scoliosis. JBJS Reviews. 2015;3(4):1-10.
Shridharani SM, Munroe BA, Hood KA. Complications in adult degenerative scoliosis surgery. Semin Spine Surg. 2017:1-5.
Kluba T, Dikmenli G, Dietz K, Giehl JP, Niemeyer T. Comparison of Surgical and Conservative Treatment for Degenerative Lumbar Scoliosis. Archipelago Orthopedy Trauma Surgery. 2009: 129: 1-5.
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