By Eric O. Klineberg
Providing a legitimate definition and overview of the pertinent remedy pursuits for the administration of grownup lumbar scoliosis, this useful and accomplished advisor covers every little thing from pre-operative assessment and radiography to post-operative administration and issues. either non-operative and operative recommendations are provided, together with minimally invasive options, decompression, anterior liberate, spinal osteotomy, and proximal and distal fixation, with an emphasis on scientific guidance and administration results. The influence and prevention of problems following remedy also are mentioned, together with the prevention of proximal junctional kyphosis. Concluding with an exam of destiny instructions for study and scientific therapy suggestions, the excellent technique of this e-book presents the orthopedic health care provider, neurosurgeon and spinal practitioner with the most up-tp-date facts and professional considered the evaluate and administration of grownup lumbar scoliosis.
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Additional info for Adult Lumbar Scoliosis: A Clinical Guide to Diagnosis and Management
EOS 2D/3D X-ray imaging system: a systematic review and economic evaluation. Health Technol Assess. 2012;16(14):1–188. Kalifa G et al. Evaluation of a new low-dose digital x-ray device: first dosimetric and clinical results in children. Pediatr Radiol. 1998;28(7):557–61. Smith-Bindman R et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med. 2009;169(22):2078–86. Le Bras A et al. 3D detailed reconstruction of vertebrae with low dose digital stereoradiography.
A disadvantage is that the SF-36 is copyrighted and a licencing fee is required for its use in commercial applications, though generally for non- commercial applications, a licence can be obtained without a fee. The SF-12 was developed in 1996 as an abbreviated form of the full survey. It can be recorded in the same mode as the SF-36 but has the advantage of taking less than 5 min to complete. The SF-12 is not as sensitive in detecting change at the level of the individual but is fine as a population tool.
Predicting outcomes from adult scoliosis surgery has proven difficult. Patients on either end of the disease spectrum tend to improve after surgery; it is those who fall between the extremes— the majority of patients—that have mixed results. Poor outcomes occur even after a successful sagittal realignment. This emphasizes the need for further studies to determine if there are radiographic parameters that can be further optimized to increase chances of obtaining good clinical results. Conclusion Radiographic parameters, clinically backed with patient-reported outcomes, are both useful in the baseline evaluation of and the treatment selection for adult spinal deformity patients.
Adult Lumbar Scoliosis: A Clinical Guide to Diagnosis and Management by Eric O. Klineberg