Lomber Dejeneratif Skolyoza Yaklaşım

Malçok, Ümit Ali; Yaman, Onur

Lomber Dejeneratif Skolyoza Yaklaşım

Ümit Ali MALÇOK, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Çanakkale, Türkiye)

Onur YAMAN (Koç Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Türk Nöroşirürji Dergsi

6 3

Yıl: 2018 Cilt: 28 Sayı: 2 Sayfa Aralığı: 230 - 237 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Lomber Dejeneratif Skolyoza Yaklaşım

Öz:

Lomber dejeneratif skolyoz 50 yaş sonrası erişkin dönemde görülür. Asimetrik disk dejenerasyonu zemininde gelişmekte olduğu görülmektedir. Erişkin skolyotik deformitenin bir de novo deformite olduğu ve hastalığın ilerleyici olduğu hastalara anlatılmalıdır. Bu hastalarda tedavi yöntemine karar verebilmek için; şikayetleri, klinik bulguları, radyolojik ölçümleri ve sistemik hastalıkları birlikte yorumlanmalıdır. Cerrahi sonrası iyileşme seviyesini öngörebilmek için tüm bunlara ihtiyacımız var. SRS-Schwab Sınıflaması'nın kullanılması cerrahi sonrası beklentilerin daha iyi anlaşılmasını sağlayacaktır. Hangi eğriliklerin füzyona katılması gerektiği ya da füzyon seviyelerinin ne olması gerektiğini öngörebilmek için Berjano ve Lamartina sınıflamasından yararlanılabilinir. Literatürdeki serilere bakıldığında cerrahi tedavi yapılan hastaların yaşam kalitesi, konservatif takip edilen hastalara göre daha yüksek olduğu izlenmektedir.

Anahtar Kelime:

Konular: Nörolojik Bilimler Cerrahi

Approach to Lumbar Degenerative Scoliosis

Öz:

Lumbar degenerative scoliosis occurs in the adult period after 50 years of age. It develops on a background of asymmetric disc degeneration. The patients should be explained that adult scoliotic deformity is a de novo development and can be progressive. To be able to decide on the treatment method in these patients, the complaints, clinical findings, radiological measurements and systemic diseases should be evaluated together. We need all this information to predict the level of healing after surgery. The use of the SRS-Schwab Classification will provide a better understanding of post-surgical expectations. The Berjano and Lamartina classifications can be used to predict what curvatures should be involved in fusion, and what the fusion levels should be. According to the literature, patients who underwent surgical treatment are more likely to have a higher quality of life than patients who are followed conservatively.

Anahtar Kelime:

Konular: Nörolojik Bilimler Cerrahi

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Aebi M: The adult scoliosis. Eur Spine J 14(10): 925-948, 2005
2. Agabegi SS, Kazemi N, Sturm PF, Mehlman CT: Natural history of adolescent idiopathic scoliosis in skeletally mature patients: A critical review. J Am Acad Orthop Surg 23(2) 714- 723, 2015
3. Bao H, Yan P, Qiı Y, Liu Z, Zhu F: Coronal imbalance in degenerative lumbar scoliosis. Prevalence and influence on surgical decision-making for spinal osteotomy. Bone Joint J 98-B(9): 1227-1233, 2016
4. Berjano P, Lamartina C: Classification of degenerative segment disease in adults with deformity of the lumbar or thoracolumbar spine. Eur Spine J 23(9): 1815-1824, 2014
5. Carter OD, Haynes SG: Prevalence rates for scoliosis in US adults: Results from the first National Health and Nutrition Examination Survey. Int J Epidemiol 16(4): 537-544, 1987
6. Cheung KM, Lenke LG, Luk KD: Prediction of scoliosis correction with thoracic segmental pedicle screw constructs using fulcrum bending radiographs. Spine 35(5): 557-561, 2010
7. Cho Kj, Suk SI, Park SR: Arthrodesis to L5 versus S1 in long instrumentation and fusion for degenerative lumbar scoliosis. Eur Spine J 18: 531-537, 2009
8. Devlin VJ, Asher MA: Biomechanics and surgical principles of long fusions to the sacrum. Spine 10: 515-544, 1996
9. Edwards CC, Bridwell KH, Patel A: Long adult deformity fusions to L5 and the sacrum. A matched cohort analysis. Spine 29: 1996-2005, 2004
10. Fu KM, Rhagavan P, Shaffrey CI, Chernavvsky DR, Smith JS: Prevalence, severity, and impact of foramina and canal stenosis among adults with degenerative scoliosis. Neurosurgery 69(6):1181-1187, 2011
11. Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F: The impact of positive sagittal balance in adult spine deformity. Spine (Phila Pa 1976) 30(18): 2024-2029, 2005
12. Glassman SD, Berven S, Bridwell K: Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30: 682-688, 2005
13. Grubb SA, Lipscomb HJ, Coonrad RW: Degenerative adult onset scoliosis. Spine (Phila Pa 1976) 13(3): 241-245, 1988
14. Horton WC, Brown CW, Bridwell KH, Glassman SD, Suk SI, Cha CW: Is there an optimal patient stance for obtaining a lateral 36'' radiograph? A critical comparison of three techniques. Spine (Phila Pa 1976) 30(4): 427-433, 2005
15. Kebaish KM: Sacropelvic fixation: Techniques and complications. Spine (Phila Pa 1976) 35: 2245-2251, 2010
16. Kostuik JP: Treatment of scoliosis in the adult thoracolumbar spine with special reference to fusion to the sacrum. Orthop Clin North Am 19: 371-381, 1988
17. Lazennec JY, Brusson A, Rousseau MA: THA patients in standing and squatting positions: A prospective evaluation using the low-dose 'Full-Body' EOS imaging system. Semin Arthro 23(4): 220-225, 2012
18. Potter BK, Kuklo TR, O'Brien MF: Sacro-iliac fixation for treatment of high grade spondylolisthesis. Sem Spine Surg 16: 119-125, 2004
19. Pritchett JW, Bortel DT: Degenerative symptomatic lumbar scoliosis. Spine (Phila Pa 1976) 18(6):700-703, 1993
20. Raman T, Kebaish K: Distal fixation for adult lumbar scoliosis: Indications and techniques. In: Kleineberg EO (ed), Adult Lumbar Scoliosis, Springer, 2017: 181-193
21. Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, Boachie-Adjei O, Burton DC, Akbarnia BA, Mundis GM, Ames CP, Kebaish K, Hart RA, Farcy JP, Lafage V; International Spine Study Group (ISSG): Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: A prospective multicenter analysis. Spine (Phila PA 1976) 38: E803-812, 2013
22. Silva FE, Lenke LG: Adult degenerative scoliosis: Evaluation and management. Neurosurg Focus 28(3): E1, 2010
23. Slobodyanyuk K, Poorman CE, Smith JS, Protopsaltis TS, Hostin R, Bess S, Mundis GM Jr, Schwab FJ, Lafage V; International Spine Study Group: Clinical improvement through nonoperative treatment of adult spinal deformity: Who is likely to benefit? Neurosurg Focus 36: E2, 2014
24. Smith JS, Shaffrey CI, Berven S, Glassman S, Hamill C, Horton W, Ondra S, Schwab F, Shainline M, Fu KM, Bridwell K; Spinal Deformity Study Group: Improvement of back pain with operative and nonoperative treatment in adults with scoliosis. Neurosurgery 65(1): 86-93, 2009
25. Somoskeoy S, Tunyogi-Csapó M, Bogyó C, Illés T: Accuacy and reliability of coronal and sagittal spinal curvature data based on patient specific three dimensional models created by the EOS 2D/3D imaging system. Spine J 12(11):1052- 2059, 2012
26. Sure DR, LaBagnara M, Smith JS, Shaffrey CI: Defining adult lumbar scoliosis. In: Kleineberg EO (ed), Adult Lumbar Scoliosis, Springer, 2017: 1-9
27. White AA, Jupiter J, Southwick WO, Panjabi MM: An experimental study of the immediate load bearing capacity of three surgical constructions for anterior spine fusions. Clin Orthop Relat Res 91: 21-28, 1973

APA	Malçok Ü, Yaman O (2018). Lomber Dejeneratif Skolyoza Yaklaşım. , 230 - 237.
Chicago	Malçok Ümit Ali,Yaman Onur Lomber Dejeneratif Skolyoza Yaklaşım. (2018): 230 - 237.
MLA	Malçok Ümit Ali,Yaman Onur Lomber Dejeneratif Skolyoza Yaklaşım. , 2018, ss.230 - 237.
AMA	Malçok Ü,Yaman O Lomber Dejeneratif Skolyoza Yaklaşım. . 2018; 230 - 237.
Vancouver	Malçok Ü,Yaman O Lomber Dejeneratif Skolyoza Yaklaşım. . 2018; 230 - 237.
IEEE	Malçok Ü,Yaman O "Lomber Dejeneratif Skolyoza Yaklaşım." , ss.230 - 237, 2018.
ISNAD	Malçok, Ümit Ali - Yaman, Onur. "Lomber Dejeneratif Skolyoza Yaklaşım". (2018), 230-237.

APA	Malçok Ü, Yaman O (2018). Lomber Dejeneratif Skolyoza Yaklaşım. Türk Nöroşirürji Dergsi, 28(2), 230 - 237.
Chicago	Malçok Ümit Ali,Yaman Onur Lomber Dejeneratif Skolyoza Yaklaşım. Türk Nöroşirürji Dergsi 28, no.2 (2018): 230 - 237.
MLA	Malçok Ümit Ali,Yaman Onur Lomber Dejeneratif Skolyoza Yaklaşım. Türk Nöroşirürji Dergsi, vol.28, no.2, 2018, ss.230 - 237.
AMA	Malçok Ü,Yaman O Lomber Dejeneratif Skolyoza Yaklaşım. Türk Nöroşirürji Dergsi. 2018; 28(2): 230 - 237.
Vancouver	Malçok Ü,Yaman O Lomber Dejeneratif Skolyoza Yaklaşım. Türk Nöroşirürji Dergsi. 2018; 28(2): 230 - 237.
IEEE	Malçok Ü,Yaman O "Lomber Dejeneratif Skolyoza Yaklaşım." Türk Nöroşirürji Dergsi, 28, ss.230 - 237, 2018.
ISNAD	Malçok, Ümit Ali - Yaman, Onur. "Lomber Dejeneratif Skolyoza Yaklaşım". Türk Nöroşirürji Dergsi 28/2 (2018), 230-237.