Adult Scoliosis: Prevalence, SF-36, and Nutritional Parameters in an Elderly Volunteer Population

Schwab, Frank J.; Dubey, Ashok; Gamez, Lorenzo; Fegoun, Abdelkrim Benchikh El; Hwang, Ki Soo; Pagala, Murali; Farcy, Jean-Pierre

doi:10.1097/01.brs.0000160842.43482.cd

Cited by 762 publications

(419 citation statements)

References 8 publications

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“…Adult scoliosis (de novo scoliosis in adults): Scoliosis has a prevalence of more than 8 % in adults over the age of 25 and rises up 68 % in the age of over 60 years, caused by degenerative changes in the aging spine [15,16].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of adolescent idiopathic scoliosis

Konieczny

Senyurt

Krauspe

2013

Journal of Children's Orthopaedics

806

550

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Adolescent idiopathic scoliosis is a common disease with an overall prevalence of 0.47-5.2 % in the current literature. The female to male ratio ranges from 1.5:1 to 3:1 and increases substantially with increasing age. In particular, the prevalence of curves with higher Cobb angles is substantially higher in girls than in boys: The female to male ratio rises from 1.4:1 in curves from 10°to 20°up to 7.2:1 in curves [40°. Curve pattern and prevalence of scoliosis is not only influenced by gender, but also by genetic factors and age of onset. These data obtained from school screening programs have to be interpreted with caution, since methods and cohorts of the different studies are not comparable as age groups of the cohorts and diagnostic criteria differ substantially. We do need data from studies with clear standards of diagnostic criteria and study protocols that are comparable to each other.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of adolescent idiopathic scoliosis

Konieczny

Senyurt

Krauspe

2013

Journal of Children's Orthopaedics

806

550

View full text Add to dashboard Cite

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“…Several studies have reported prevalence rates of 8.3, 8.9, and 13.3 % for adult scoliosis [16][17][18]. There is sufficient evidence to assume that the growing elderly population will result in an increase in prevalence rates of adult scoliosis [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

De novo degenerative lumbar scoliosis: a systematic review of prognostic factors for curve progression

et al. 2016

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Purpose To identify prognostic factors for curve progression in de novo degenerative lumbar scoliosis (DNDLS) by performing a systematic review of the literature. Methods Studies were selected for inclusion following a systematic search in the bibliographic databases PubMed and EMBASE prior to September 2015 and hand searches of the reference lists of retrieved articles. Two authors independently assessed methodological quality. Data were extracted and presented according to a best evidence synthesis. Results The literature search generated a total of 2696 references. After removing duplicates and articles that did not meet inclusion criteria, 12 studies were included. Due to the lack of statistical analyses, pooling of data was not possible. Strong evidence indicates that increasing intervertebral disk degeneration, lateral vertebral translation C6 mm, and an intercrest line through L5 (rather than L4) are associated with DNDLS curve progression. Moderate evidence suggests that apical vertebral rotation Grade II or III is associated with curve progression. For the majority of other prognostic factors, we found limited, conflicting, or inconclusive evidence. Osteoporosis, a coronal Cobb angle \30°, lumbar lordosis, lateral osteophytes difference of C5 mm, and degenerative spondylolisthesis have not been shown to be risk factors. Clinical risk factors for progression were not identified. Conclusions This review shows strong evidence that increased intervertebral disk degeneration, an intercrest line through L5, and apical lateral vertebral translation C6 mm are associated with DNDLS curve progression. Moderate evidence was found for apical vertebral rotation (Grade II/III) as a risk factor for curve progression. These results, however, may not be directly applicable to the individual patient.

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“…In the aging population, ASD causes a very high level of functional disability due to severe back and leg pain, subsequently reducing overall quality of life [1]. The prevalence of such curvatures of the spine has been reported being as high as 68% in healthy volunteers over the age of 60 [2][3][4]. It is expected that with the growing elderly population an increase in prevalence and incidence rates of symptomatic ASD will be seen [5,6].…”

Section: Introductionmentioning

confidence: 99%

Measuring outcomes in adult spinal deformity surgery: a systematic review to identify current strengths, weaknesses and gaps in patient-reported outcome measures

et al. 2017

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Purpose Adult spinal deformity (ASD) causes severe disability, reduces overall quality of life, and results in a substantial societal burden of disease. As healthcare is becoming more value based, and to facilitate global benchmarking, it is critical to identify and standardize patient-reported outcome measures (PROMs). This study aims to identify the current strengths, weaknesses, and gaps in PROMs used for ASD. Methods Studies were included following a systematic search in multiple bibliographic databases between 2000 and 2015. PROMs were extracted and linked to the outcome domains of WHO's International Classification of Functioning and Health (ICF) framework. Subsequently, the clinimetric quality of identified PROMs was evaluated. Results The literature search identified 144 papers that met the inclusion criteria, and nine frequently used PROMs were identified. These covered 29 ICF outcome domains, which could be grouped into three of the four main ICF chapters: body function (n = 7), activity and participation (n = 19), environmental factors (n = 3), and body structure (n = 0). A low quantity (n = 3) of papers was identified that studied the clinimetric quality of PROMs. The Scoliosis Research Society (SRS)-22 has the highest level of clinimetric quality for ASD. Conclusions Outcome domains related to mobility and pain were well represented. We identified a gap in current outcome measures regarding neurological and pulmonary function. In addition, no outcome domains were measured in the ICF chapter body structure. These results will serve as a foundation for the process of seeking international consensus on a standard set of outcome domains, accompanied PROMs and contributing factors to be used in future clinical trials and spine registries.

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Adult Scoliosis: Prevalence, SF-36, and Nutritional Parameters in an Elderly Volunteer Population

Cited by 762 publications

References 8 publications

Epidemiology of adolescent idiopathic scoliosis

Epidemiology of adolescent idiopathic scoliosis

De novo degenerative lumbar scoliosis: a systematic review of prognostic factors for curve progression

Measuring outcomes in adult spinal deformity surgery: a systematic review to identify current strengths, weaknesses and gaps in patient-reported outcome measures

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