Age-Related Progression of Degenerative Lumbar Kyphoscoliosis: A Retrospective Study

Ishihara, Yohei; Morishita, Masutaro; Kanzaki, Koji; Toyone, Tomoaki

doi:10.22603/ssrr.2019-0113

Cited by 11 publications

(3 citation statements)

References 20 publications

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“…Other studies have shown a correlation between an increase in age and kyphosis as a direct result of the progressive decline in various types of structures, such as bones, muscles, ligaments, and tendons [8]. Additionally, aging increases the likelihood of developing scoliosis, which can be attributed to progressive degenerative diseases such as facet and progressive disc degeneration [20].…”

Section: Discussionmentioning

confidence: 98%

Spinal Cord Termination and Lumbar Puncture Safety in Spinal Deformities

Alamri,

Almaktoum,

Alghanim

et al. 2024

Cureus

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BackgroundLumbar puncture, a common diagnostic and therapeutic procedure, is performed regardless of individual spinal alignment variations. However, the impact of kyphosis, scoliosis, and kyphoscoliosis on spinal cord termination level and lumbar puncture safety remains unclear. ObjectivesThis study aimed to determine if the termination level of the spinal cord is different in individuals with spinal deformities and to assess the necessity of routine neuroimaging for safe lumbar puncture localization. Study design and settingsThis single-center retrospective study was conducted at a university hospital using patients' electronic medical records. The study was focused on patients diagnosed with kyphosis, scoliosis, or kyphoscoliosis using spinal magnetic resonance imaging from January 2010 to December 2022. ParticipantsWe evaluated 240 patients: 120 with diagnosed spinal deformities (kyphosis, scoliosis, or kyphoscoliosis) and 120 without deformities, categorized by sex (deformed: 92 females, 28 males; non-deformed: 72 females, 48 males). Patients with spinal trauma, bleeding, or tumors were excluded. ResultsNo statistically significant correlation was found between spinal deformities and spinal cord termination, with L1 remaining the most common endpoint in all groups. ConclusionRoutine neuroimaging prior to lumbar puncture in patients with spinal deformities was not associated with a safer procedure due to no observed impact on the termination level of the spinal cord.

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Section: Discussionmentioning

confidence: 98%

Spinal Cord Termination and Lumbar Puncture Safety in Spinal Deformities

Alamri,

Almaktoum,

Alghanim

et al. 2024

Cureus

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show abstract

“…The Ishihara et al study revealed the mechanism in which the reported case with left convex thoracolumbar neuromuscular kyphoscoliosis was analyzed by CT scan and the results showed the deviation of the axis to the left side between the esophagus and the stomach. The study further elaborated on the improvements in the symptoms of GERD after surgical management of scoliosis in that patient [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Scoliosis and Gastroesophageal Reflux Disease in Adults

Eryilmaz

Ahmed

Rehmani

et al. 2021

Cureus

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Out of 210 patients, 146 were found to have degenerative scoliosis at the level of the lumbar and thoracolumbar spine. Fifty-two patients had a right convex curve, and 94 had a left convex curve. Sixty-nine patients had GERD. According to the analysis of the multivariate logistic regression, the Cobb angle was highly related to GERD (p-value <0.05 and odds ratio of 1.031). The participants were grouped according to the Cobb angle of curve at the lumbar spine (less than 30 degrees with a large right-sided convex curve, 30 and more with a small curve, and more than 30+ degrees with a large left-sided convex curve). The study revealed that a large left-sided convex curve was highly related to GERD, with a p-value <0.05 and odds ratio of 10.935. ConclusionsThe left-sided large convex curve at the thoracolumbar or lumbar spine, especially when the Cobb angle was more than 30 degrees, was highly associated with GERD. Therefore, the symptoms of GERD should be monitored in the elderly population with degenerative scoliosis.

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“…Previous studies have identified lateral translation as a risk factor for the progression of scoliosis [2][3][4] . In addition, lateral translation has been found associated with greater back and leg pain [5][6][7][8] .…”

Section: Introductionmentioning

confidence: 98%

Risk Factors for Lateral Translation in Residual Adolescent Idiopathic Scoliosis with a Thoracolumbar/Lumbar Curve

Kotani

Sakuma

Iijima

et al. 2022

Spine Surg Relat Res

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Introduction Although lateral vertebral translation is associated with inducing curve progression and pain, no study has analyzed risk factors for lateral slip in patients with residual adolescent idiopathic scoliosis (AIS). This study aimed to investigate risk factors for lateral slip in patients with residual AIS. Methods We included 42 preoperative patients with residual AIS with a thoracolumbar/lumbar (TL/L) curve (3 male, 39 female; age 41.9±18.2 years, TL/L Cobb angle 55.5±10.0°). All patients were >20 years and had been diagnosed with AIS during their adolescence. Lateral slip was defined as more than a 6-mm slip on coronal CT images. Results Patients were divided into slip (n=22) and nonslip (n=20) groups. Significant differences were observed in age, TL/L Cobb angle, TL/L curve flexibility, lumbar lordosis, thoracolumbar kyphosis, apical vertebral rotation, apical vertebral translation, and L3 and L4 tilt between the groups. Multivariate analyses and receiver operating characteristic curves found that only older age was a significant risk factor for lateral slip (odds ratio: 1.214; 95% confidence interval: 1.047-1.407; P =0.010), with a cutoff value of 37 years old. Conclusions Older age, especially >37 years, is a risk factor for lateral slip in patients with residual AIS. These findings suggest that surgery for residual AIS should be considered before patients are in their mid-30s to avoid lateral translation.

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Age-Related Progression of Degenerative Lumbar Kyphoscoliosis: A Retrospective Study

Cited by 11 publications

References 20 publications

Spinal Cord Termination and Lumbar Puncture Safety in Spinal Deformities

Spinal Cord Termination and Lumbar Puncture Safety in Spinal Deformities

Scoliosis and Gastroesophageal Reflux Disease in Adults

Risk Factors for Lateral Translation in Residual Adolescent Idiopathic Scoliosis with a Thoracolumbar/Lumbar Curve

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