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Oheneba Boachie-Adjei, MD on adult scoliosis and management of degenerative lumbar disorders
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Spine Neuroimaging | Scoliosis | Vertebral Column

Forty-seven patients who had undergone short segment decompression and fusion were evaluated. The average follow-up period was more than 3 years. The preoperative scoliotic angle and number of fusion segments was 13.6±3.9° and 2.3±0.5, respectively. The preoperative, postoperative and last follow-up scoliotic angles were compared and the time of progression of scoliotic angle was determined.

01/09/2008 · Classification of scoliosis is dependent on patient age, spinal abnormality, scoliotic curve, ..
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01/10/2013 · Spine Neuroimaging - Download as ..

Fusion over the apical vertebra was not carried out, and the scoliotic curvature on the coronal plane was measured using the Cobb's angle on the whole spine standing posteroanterior radiographs as soon as possible after surgery (2 weeks after surgery), 3 months, 6 months and 9 months after surgery, and at last follow-up. In addition, changes in the scoliotic curvature and wedging of the upper adjacent disc of the apical vertebra were recorded and analyzed. The time for the resumption of curve progression was forecasted in this manner.

Nine L4-5 discs that needed reoperation were significantly associated with lateral listhesis and scoliotic ..
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Before surgery, the state of health and daily lifestyle of the patient must be considered sufficiently in conjunction with the main symptoms and radiological abnormal findings of the patients. If long segment fusion is not possible or recommended in accordance with the overall state of the patient, then short segment decompression and fusion should be executed in a limited manner by focusing on a decrease in low back pain and leg pain. However, in such cases, the change in scoliotic curvature will accelerate after short segmentation decompression and fusion,. Accordingly, this study examined the changes in the scoliotic curvature retrospectively and deduced the factors that accelerate curvature in cases in whom only short segment decompression and fusion were carried out without a deformity correction for degenerative lumbar scoliosis.

scoliotic curve that develops above or below a major curve and tends to provide balance in the coronal plane
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Schroth Exercises For Scoliosis - The Schroth Method

Clinical symptoms and signs
Degenerative adult scoliosis affects 6% of the population and the average age at presentation is 60 years. They typically present with back pain with radicular leg pain. Back pain may arise from the facet joint arthritis, and can be localised either at the apex of its concavity or in the counter curve from below the curve to above the curve.

What does it mean to have concave right scoliosis - …

All animals will undergo a plain radiograph at the time of their procedure to record spinal alignment in sagittal and coronal planes before and after intraoperative tether tensioning. At 3 months after their original procedure all animals will undergo a general anesthetic, have repeat radiographs obtained, and then percutaneous release of the cable tethers. The animals will then be allowed to return to unrestricted activity. At 6 and 9 months after implantation, the animals will have repeat general anesthetic and repeat plain x-rays obtained. At 12 months after implantation, the animals will have repeat general anesthetic and be euthanized after which repeat plain x-rays will be obtained. At this time, a high resolution CT scan of the vertebra will be obtained to allow for assessment of vertebral morphology (vertebral body wedging) as well as generalized chest CT with algorithms used to determine lung volume. The vertebral bodies and intervening discs at the apex of the curvatures will be isolated and then processed for decalcified histology. Histology will assess the health of the intervertebral discs between the scoliosis and control groups. Unpaired T tests will be used to assess for any statistical differences of the scoliosis Cobb angle, the magnitude of vertebral body wedging, and lung volumes between the control and experimental groups.

03/06/1981 · Static and dynamic listhesis, fusion, ..

Usually curve progression is not a significant issue in adult scoliosis but may be important in younger age. However, curve progression becomes a considerable problem once the curve reaches a certain degree as the progression of the curve continues to load asymmetrically on the osteoporotic vertebral bodies and facet joints resulting in further collapse. In addition, as age increases the co-morbidities increase and surgical intervention may become risky. Unlike, the adolescent scoliosis, adults >40 years of age rarely present with cosmesis as their main symptom. It may be occasionally seen in patients younger than 40 years of age.