Tian Cheng1,2, Paul Gerdhem3,4. 1. Department of Orthopaedics, Karolinska University Hospital Huddinge, K54, 141 86, Stockholm, Sweden. 2. Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, K54, 141 86, Stockholm, Sweden. 3. Department of Orthopaedics, Karolinska University Hospital Huddinge, K54, 141 86, Stockholm, Sweden. paul.gerdhem@karolinska.se. 4. Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, K54, 141 86, Stockholm, Sweden. paul.gerdhem@karolinska.se.
Abstract
PURPOSE: The outcome of surgery for degenerative lumbar scoliosis was studied in the Swedish Spine register. METHODS: 209 patients (mean age 66 years) were identified; 45 had undergone decompression and/or fusion of one segment (minor group) and 164 had undergone fusion of two or more segments, with or without decompression (major group). RESULTS: VAS back pain, VAS leg pain, ODI and EQ-5D index improved after surgery in both groups (p < 0.05), with medium to large effect sizes of surgery. Global assessment for back pain and satisfaction was significantly better in the major group than in the minor group (p < 0.05) at the 2-year follow-up. Additional spine surgery was observed in 57 out of the 209 patients during a mean period of 5.4 years. CONCLUSION: Surgery for degenerative lumbar scoliosis improves quality of life with medium to large effect sizes, but carries a high risk of additional surgery.
PURPOSE: The outcome of surgery for degenerative lumbar scoliosis was studied in the Swedish Spine register. METHODS: 209 patients (mean age 66 years) were identified; 45 had undergone decompression and/or fusion of one segment (minor group) and 164 had undergone fusion of two or more segments, with or without decompression (major group). RESULTS: VAS back pain, VAS leg pain, ODI and EQ-5D index improved after surgery in both groups (p < 0.05), with medium to large effect sizes of surgery. Global assessment for back pain and satisfaction was significantly better in the major group than in the minor group (p < 0.05) at the 2-year follow-up. Additional spine surgery was observed in 57 out of the 209 patients during a mean period of 5.4 years. CONCLUSION: Surgery for degenerative lumbar scoliosis improves quality of life with medium to large effect sizes, but carries a high risk of additional surgery.
Entities:
Keywords:
Degenerative lumbar scoliosis; Lumbar spine; Spinal deformity; Spinal surgery
Authors: Erik M Holzer; Emin Aghayev; Dave O'Riordan; Tamas F Fekete; Dezső J Jeszenszky; Daniel Haschtmann; Francois Porchet; Frank S Kleinstueck; Tim Pigott; Everard Munting; Andrea Luca; Anne F Mannion Journal: Eur Spine J Date: 2020-11-24 Impact factor: 3.134