Functional Limitations Due to Lumbar Stiffness in Adults With and Without Spinal Deformity

Daniels, Alan H.; Smith, Justin S.; Hiratzka, Jayme; Ames, Christopher P.; Bess, Shay; Shaffrey, Christopher I.; Schwab, Frank J.; Lafage, Virginie; Klineberg, Eric O.; Burton, Doug; Mundis, Greg; Line, Breton; Hart, Robert A.

doi:10.1097/brs.0000000000001090

Cited by 34 publications

(19 citation statements)

References 27 publications

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“…Elderly patients spend a lot of time indoors and do not generally participate in a great deal of outdoor activity like younger patients. Most of the questions in LSDI are about indoor activity and, thus, we believe LSDI may be a valid instrument for daily function assessment in ADS patients after fusion surgery. In our study, LSDI in + grade PI‐LL and ++ grade PI‐LL was significantly higher than that in 0 grade PI‐LL, but no statistical difference was observed between them.…”

Section: Discussionmentioning

confidence: 46%

Optimal Pelvic Incidence Minus Lumbar Lordosis Mismatch after Long Posterior Instrumentation and Fusion for Adult Degenerative Scoliosis

Zhang¹,

Zi-fang²,

Zhao-han³

et al. 2017

Orthopaedic Surgery

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Section: Discussionmentioning

confidence: 46%

Optimal Pelvic Incidence Minus Lumbar Lordosis Mismatch after Long Posterior Instrumentation and Fusion for Adult Degenerative Scoliosis

Zhang¹,

Zi-fang²,

Zhao-han³

et al. 2017

Orthopaedic Surgery

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“…When interpreting the findings of this review it is important to note that degenerative change and normal ageing contribute to decreased flexibility and increased stiffness in the adult spine [34]. Spinal stiffness in particular is increased in patients with spinal deformity [35]. Thus, it is plausible that the spine of an adult with scoliosis may be significantly more resistant to the influence of external corrective forces such as those being exerted by a spinal brace/orthosis.…”

Section: Discussionmentioning

confidence: 99%

A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data

McAviney¹,

Mee

Fazalbhoy

et al. 2020

BMC Musculoskelet Disord

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Background: There is a paucity of literature regarding the conservative management of adult scoliosis. The authors review and summarize the literature from 1967 to 2018 on the clinical outcomes of spinal brace/orthosis use in this subgroup of the population. Methods: CINAHL, Embase, CENTRAL, PubMed and PEDro were searched from database inception to the 30th of October, 2018. A combination of medical subject heading terms and keywords pertaining to three core concepts (adult, scoliosis, and braces/orthoses) were used in the search. Studies were included if A) clinical outcomes were collected from B) participants ≥18 years C) receiving spinal brace/orthosis treatment for D) primary degenerative (de novo) scoliosis or progressive idiopathic scoliosis. A step-wise screening process was employed which involved a title and abstract screen for relevancy followed by a full text eligibility appraisal by two authors. Data were extracted, and a risk of bias assessment was performed on the included cohort studies using the Newcastle-Ottawa Scale. Given the overall level and quality of the available evidence, conclusions were drawn based on a qualitative summary of the evidence. Results: Ten studies (four case reports and six cohort studies) were included which detailed the clinical outcomes of soft (2 studies) or rigid bracing (8 studies), used as a standalone therapy or in combination with physiotherapy/ rehabilitation, in 339 adults with various types of scoliosis. Most studies included female participants only. Commonly reported outcomes were pain (7 studies), function (3 studies) and Cobb angles (3 studies), with followup times ranging from 2 days to 17 years. Brace wear prescriptions ranged from 2 to 23 h per day, and there was mixed brace-compliance reported. Most studies reported modest or significant reduction in pain and improvement in function at follow-up. There were mixed findings with regards to Cobb angle changes in response to bracing. Participants from one study noted discomfort associated with bracing. Each of the six cohort studies demonstrated a high risk of bias.

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“…A relationship between scoliosis and pain might be mediated by variables other than the curve itself. It has been shown that compared with asymptomatic volunteers, baseline data on lumbar stiffness evaluated by means of Lumbar Stiffness Disability Index (LSDI) correlates with pain (Pearson correlation “r” LSDI versus SRS-22 Pain: −0–749) and functional limitations (LSDI vs SRS-22 Function: −0.760) in patients with spinal deformity [ 67 ].…”

Section: Adolescent Idiopathic Scoliosis (Ais) and Back Painmentioning

confidence: 99%

Adolescent idiopathic scoliosis and back pain

Balagué

Pellisé

2016

Scoliosis

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This broad narrative review addresses the relationship between adolescent idiopathic scoliosis (AIS) and back pain. AIS can be responsible for low back pain, particularly major cases. However, a linear relationship between back pain and the magnitude of the deformity cannot be expected for any individual patient. A large number of juvenile patients can remain pain-free. The long-term prognosis is rather benign for many cases and thus a tailored approach to the individual patient seems mandatory. The level of evidence available does not allow stringent recommendations for any of the disorders included in this review.

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Functional Limitations Due to Lumbar Stiffness in Adults With and Without Spinal Deformity

Cited by 34 publications

References 27 publications

Optimal Pelvic Incidence Minus Lumbar Lordosis Mismatch after Long Posterior Instrumentation and Fusion for Adult Degenerative Scoliosis

Optimal Pelvic Incidence Minus Lumbar Lordosis Mismatch after Long Posterior Instrumentation and Fusion for Adult Degenerative Scoliosis

A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data

Adolescent idiopathic scoliosis and back pain

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