Llif en la correcciÓn de la escoliosis degenerativa en pacientes de la tercera edad

Translated title of the contribution: Llif in the correction of degenerative scoliosis in elderly patients

Vladimir Sergeevich Klimov, Ivan Igorevich Vasilenko, Jamil Afetovich Rzaev, Alexey Vladimirovich Evsyukov, Roman Vladimirovich Khalepa, Evgeniya Valeryevna Amelina, Sergey Olegovych Ryabykh, Priyank Sinha, Marcel Ivanov

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The incidence of adult degenerative scoliosis (ADS) among individuals over 50 years old can be as high as 68%. Surgical interventions aimed at correcting the spinal deformity in elderly patients are accompanied by a high risk of complications. The use of lateral lumbar interbody fusion (LLIF) is associated with lower rates of complications when compared with open anterior or posterior fusions. Methods: Ninety-three patients with ADS (23 men, 70 women) were operated at the Federal Neurosurgical Center. The average age was 63 (52 to 73 years). Results: Back pain, measured according to the Visual Analogue Scale (VAS), decreased from 5.9/6 (4;8) (format – mean/ median (1;3 quartile)) to 2.6/3 (1;3) points (p <0.0001). Leg pain according to the VAS decreased from 4.6/4 (3;7) to 1.4/1 (0;2) points (p < 0.0001). Functional adaptation according to the Oswestry Disability Index (ODI) improved from 47.8±17.4 to 38.5±14.5 (p < 0.0273). Pelvic tilt (PT) before the surgery was 23.9±12.2° whereas at 12 months follow-up it was 16.8±5.9° (p < 0.0001). PI-LL mismatch pre surgery was 12.1/13 (9;16)° whereas 12 months later it was 7.9/8 (6;10)° (p = 0.0002). Conclusions: Restoration of local sagittal balance in ADS patients by short-segment fixation using LLIF technology leads to a statistically significant improvement in quality of life and increased functional adaptation. A lower incidence of early and late postoperative complications, less intraoperative blood loss and shorter hospital stay makes LLIF, in combination with minimally invasive transpedicular fixation, the method of choice to correct ADS in elderly patients. Level of evidence IV; Case series.

Translated title of the contributionLlif in the correction of degenerative scoliosis in elderly patients
Original languageSpanish
Pages (from-to)243-248
Number of pages6
JournalColuna/ Columna
Volume19
Issue number4
DOIs
Publication statusPublished - 2020

Keywords

  • Adult
  • Deformity
  • Quality of Life
  • Scoliosis
  • Spine

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