Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, improvement of surgical techniques, creation of new implants and progress in anesthetic aids, the problem of degenerative scoli...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Anton V. Yarikov, Anton A. Denisov, Igor I. Smirnov, Alexandr A. Kalinkin, Denis N. Dolotin, Sergey V. Masevnin, Michail Y. Dokish, Olga A. Perlmutter, Andrey G. Sosnin, Alexandr P. Fraerman, Alexandr E. Simonov, Ekaterina V. Sannikova
Formato:	article
Lenguaje:	RU
Publicado:	Eco-vector 2021
Materias:	degenerative scoliosis de novo scoliosis adult scoliosis spinal deformities sagittal balance individual implant Medicine R
Acceso en línea:	https://doaj.org/article/9674e71a650545ceae966d573b2aee93
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9674e71a650545ceae966d573b2aee93
record_format	dspace
spelling	oai:doaj.org-article:9674e71a650545ceae966d573b2aee932021-11-30T18:15:22ZDegenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients2220-30952618-862710.17816/clinpract66692https://doaj.org/article/9674e71a650545ceae966d573b2aee932021-10-01T00:00:00Zhttps://journals.eco-vector.com/clinpractice/article/viewFile/66692/pdfhttps://doaj.org/toc/2220-3095https://doaj.org/toc/2618-8627Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, improvement of surgical techniques, creation of new implants and progress in anesthetic aids, the problem of degenerative scoliosis has been more and more frequently considered from the viewpoint of a surgical approach. There are many theories about the factors that contribute to the formation of degenerative scoliosis. The conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, bracing, epidural and paravertebral injections with glucocorticosteroids and physical therapy. In case the conservative therapy is ineffective and there is a significant decrease in the quality of life, the issue of the surgical intervention is raised individually for each patient. Currently, the role and the volume of the surgical intervention in individuals with this pathology remains debatable. The choice of a surgical technique depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods and a mandatory estimation of the parameters of the global vertebral-pelvic balance. Therefore, in this article, we pay special attention to the surgical algorithms based on the choice of the decompression type and the fusion length. We describe the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors of the surgical treatment, as well as associated complications.Anton V. YarikovAnton A. DenisovIgor I. SmirnovAlexandr A. KalinkinDenis N. DolotinSergey V. MasevninMichail Y. DokishOlga A. PerlmutterAndrey G. SosninAlexandr P. FraermanAlexandr E. SimonovEkaterina V. SannikovaEco-vectorarticledegenerative scoliosisde novo scoliosisadult scoliosisspinal deformitiessagittal balanceindividual implantMedicineRRUКлиническая практика , Vol 12, Iss 3, Pp 90-103 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	degenerative scoliosis de novo scoliosis adult scoliosis spinal deformities sagittal balance individual implant Medicine R
spellingShingle	degenerative scoliosis de novo scoliosis adult scoliosis spinal deformities sagittal balance individual implant Medicine R Anton V. Yarikov Anton A. Denisov Igor I. Smirnov Alexandr A. Kalinkin Denis N. Dolotin Sergey V. Masevnin Michail Y. Dokish Olga A. Perlmutter Andrey G. Sosnin Alexandr P. Fraerman Alexandr E. Simonov Ekaterina V. Sannikova Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
description	Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, improvement of surgical techniques, creation of new implants and progress in anesthetic aids, the problem of degenerative scoliosis has been more and more frequently considered from the viewpoint of a surgical approach. There are many theories about the factors that contribute to the formation of degenerative scoliosis. The conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, bracing, epidural and paravertebral injections with glucocorticosteroids and physical therapy. In case the conservative therapy is ineffective and there is a significant decrease in the quality of life, the issue of the surgical intervention is raised individually for each patient. Currently, the role and the volume of the surgical intervention in individuals with this pathology remains debatable. The choice of a surgical technique depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods and a mandatory estimation of the parameters of the global vertebral-pelvic balance. Therefore, in this article, we pay special attention to the surgical algorithms based on the choice of the decompression type and the fusion length. We describe the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors of the surgical treatment, as well as associated complications.
format	article
author	Anton V. Yarikov Anton A. Denisov Igor I. Smirnov Alexandr A. Kalinkin Denis N. Dolotin Sergey V. Masevnin Michail Y. Dokish Olga A. Perlmutter Andrey G. Sosnin Alexandr P. Fraerman Alexandr E. Simonov Ekaterina V. Sannikova
author_facet	Anton V. Yarikov Anton A. Denisov Igor I. Smirnov Alexandr A. Kalinkin Denis N. Dolotin Sergey V. Masevnin Michail Y. Dokish Olga A. Perlmutter Andrey G. Sosnin Alexandr P. Fraerman Alexandr E. Simonov Ekaterina V. Sannikova
author_sort	Anton V. Yarikov
title	Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
title_short	Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
title_full	Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
title_fullStr	Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
title_full_unstemmed	Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
title_sort	degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients
publisher	Eco-vector
publishDate	2021
url	https://doaj.org/article/9674e71a650545ceae966d573b2aee93
work_keys_str_mv	AT antonvyarikov degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT antonadenisov degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT igorismirnov degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT alexandrakalinkin degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT denisndolotin degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT sergeyvmasevnin degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT michailydokish degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT olgaaperlmutter degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT andreygsosnin degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT alexandrpfraerman degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT alexandresimonov degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients AT ekaterinavsannikova degenerativescoliosisofthespinediagnosisclassificationandsurgicalapproachinolderpatients
_version_	1718406395248771072

Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Ejemplares similares