Surgical Outcomes of Decompression, Decompression With Limited Fusion, and Decompression With Full Curve Fusion for Degenerative Scoliosis With Radiculopathy

Abstract

Both good and poor results were seen with each of the 3 procedures.

Outcome of surgery for degenerative lumbar scoliosis: an observational study using the Swedish Spine register

“…One study found that isolated decompression and short fusion surgery improved ODI while long fusion did not [10], and another found no difference in global outcome between groups [8]. Differences in baseline group characteristics such as age and symptoms may explain the differences between these studies and the present study.…”

“…The proportion of patients operated with isolated decompression and short fusion was small compared to other studies evaluating quality of life outcomes [8,10]. We cannot exclude that patients with degenerative lumbar scoliosis and concomitant spinal stenosis that were surgically treated might have been entered into the Swespine registry with the diagnosis ''spinal stenosis'' instead of ''degenerative lumbar scoliosis''.…”

“…Little is known about patient-reported quality of life outcomes after surgery [4,6,[8][9][10]. In addition, more follow-up data regarding the risk of repeated surgery after several years is needed [8,11,12].…”

Is the Lateral Transpsoas Approach Feasible for the Treatment of Adult Degenerative Scoliosis?

“…Nevertheless, instrumented arthrodesis procedures are not free of complications, and considering all the comorbidities associated with an older population, surgical treatment of degenerative scoliosis should be carefully studied to avoid them. Transfeldt et al [36] has shown that complications occur more frequently in larger and more complex procedures, such as long fusions (sacrum to curve apex). Overall major complication rates for these procedures, including neurologic deficit, infection, thromboembolism, and death, can exceed 30% [11,36].…”

“…Transfeldt et al [36] has shown that complications occur more frequently in larger and more complex procedures, such as long fusions (sacrum to curve apex). Overall major complication rates for these procedures, including neurologic deficit, infection, thromboembolism, and death, can exceed 30% [11,36].…”