Scoliosis in the Elderly

Robin, Gordon C.; Span, Yehudith; Steinberg, R; Makin, M. J.; Menczel, J

doi:10.1097/00007632-198207000-00005

Cited by 210 publications

(85 citation statements)

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“…More recent research found no association with curve progression when osteoporosis was measured with DEXA scans (with a smaller margin of error) [6,18,39,40]. We, therefore, conclude that despite some inconsistent reports, based on the current literature and using DEXA scans for diagnosis, there is no relationship between osteoporosis and curve progression.…”

Section: Osteoporosiscontrasting

confidence: 50%

“…Three studies included over 100 patients [6,18,41]. The shortest follow-up was 2 years, and the longest was 30 years.…”

Section: Methodsological Qualitymentioning

confidence: 99%

“…A large proportion (85 %) of low back pain is non-specific and has an unknown aetiology [5]. Of the remaining group, one of the known causes for low back pain is scoliosis: a lateral and rotational deformity of the spine with a Cobb angle of more than 10°in the coronal plain [6,7]. Primary degenerative scoliosis or de novo degenerative lumbar scoliosis (DNDLS) is a condition in which a lumbar scoliotic curve typically develops after the age of 50 in patients who did not have a childhood scoliosis Electronic supplementary material The online version of this article (doi:10.1007/s00586-016-4619-9) contains supplementary material, which is available to authorized users.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Osteoporosiscontrasting

confidence: 50%

“…Three studies included over 100 patients [6,18,41]. The shortest follow-up was 2 years, and the longest was 30 years.…”

Section: Methodsological Qualitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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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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“…Higher Cobb angles and the development of new curves have been found to be related to the increased severity of pain [18,20,21]. Conversely others [5] found that whilst some radiographic parameters: lateral vertebral olisthy, L3 and L4 endplate obliquity angles, lumbar lordosis, and thoracolumbar kyphosis were significantly correlated with pain, the magnitude of the Cobb angle was not.…”

Section: Introductionmentioning

confidence: 99%

Abnormalities of the lumbar spine in the coronal plane on plain abdominal radiographs

Kilshaw¹,

Baker²,

Gardner³

et al. 2010

Eur Spine J

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The main objective of this study is to determine the prevalence of coronal abnormalities of the lumbar spine in a large population of patients with respect to their age and sex. Lumbar degenerative disease is associated with degenerative scoliosis. Degenerative scoliosis and lateral listhesis are important features to identify before decompressive surgery as deformity may not be seen on magnetic resonance imaging scans. Scoliosis and lateral listhesis may be important in the development of symptoms especially in an ageing population. All abdominal and plain kidney-ureter-bladder radiographs performed over a 10-month period were reviewed. 2,765 radiographs were assessed for scoliosis (Cobb angle greater then 10°), lateral listhesis and evidence of osteoarthritis. The prevalence of scoliosis, lateral listhesis and osteoarthritis of the lumbar spine increased with age. Scoliosis and lateral listhesis were significantly more prevalent in women. Deformity starts to occur after the age of 50 and steadily increases with age. By the ninth decade nearly a quarter of patients have evidence of scoliosis and lateral listhesis. As the adult lumbar spine ages, the prevalence of lateral listhesis and degenerative scoliosis increases. It is important to appreciate these coronal abnormalities in patients undergoing decompressive surgery for spinal stenosis. This increase in deformity may have a greater impact as the population continues to age.

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Scoliosis in the Elderly

Cited by 210 publications

References 0 publications

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

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

Abnormalities of the lumbar spine in the coronal plane on plain abdominal radiographs

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