北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 骨科  > 期刊论文
学科主题: 临床医学
题名:
Surgical Strategy in Adult Lumbar Scoliosis The Utility of Categorization Into 2 Groups Based on Primary Symptom, Each With 2-Year Minimum Follow-up
作者: Zeng, Yan1; White, Andrew P.2; Albert, Todd J.3; Chen, Zhongqiang1
关键词: adult lumbar scoliosis ; degenerative lumbar scoliosis ; scoliotic deformity ; surgical strategy
刊名: SPINE
发表日期: 2012-04-20
DOI: 10.1097/BRS.0b013e31824af5c6
卷: 37, 期:9, 页:E556-E561
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: SPINAL STENOSIS ; OUTCOMES ; INSTRUMENTATION ; MANAGEMENT ; DISORDERS
英文摘要:

Study Design. This is a cohort investigation of 2 categories of patients with adult lumbar scoliosis.

Objective. To demonstrate the different surgical strategies between 2 categories of patients with adult lumbar scoliosis based on their symptoms and radiological findings.

Summary of Background Data. It has been hypothesized that patients with adult lumbar scoliosis should be categorized, when possible, into 2 distinct groups on the basis of clinical symptoms and that this categorization can best guide surgical treatment strategy.

Methods. Between January 2002 and December 2004, 43 patients with adult lumbar scoliosis underwent surgical treatment. Each patient was categorized into 1 of 2 distinct groups before surgery. Group 1 patients had primary symptoms related to stenosis, and the surgical strategy was posterior local decompression with or without instrumented fusion at the treated levels. Group 2 patients had primary symptoms related to symptomatic or progressive deformity, and the surgical strategy was instrumented fusion, to include at least the end vertebrae, by posterior or by combined anterior/posterior approach, with or without selective decompression. Preoperative and postoperative radiographical evaluation was performed. Preoperative and postoperative clinical outcomes utilized were the Modified Prolo Scale and the Patient Satisfaction Index (PSI).

Results. The average age at the time of treatment was 61 years. The mean follow-up time after surgery was 35 months (range, 2465 months). A radiographical grade I fusion (definitely fused) was achieved in 65% of cases. Failure of fusion was seen in 9.1% for group 1 and 9.5% for group 2. In group 1, the average Modified Prolo Scale was 9.5 before surgery and 15.9 at follow-up and total satisfaction rate (PSI) was 82%. In group 2, the average Modified Prolo Scale was 10.9 before surgery and 17.0 at follow-up and total satisfaction rate (PSI) was 86%.

Conclusion. Categorization of patients into 2 groups, 1 with primarily stenosis symptoms and 1 with primarily deformity symptoms, may be effective for surgical decision making. These 2 categories of patients may be expected to enjoy similar clinical improvements after surgical treatment.

语种: 英语
WOS记录号: WOS:000303067600006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58249
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Peking Univ, Hosp 3, Dept Orthoped, Beijing 100191, Peoples R China
2.Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Carl J Shapiro Dept Orthopaed Surg, Boston, MA 02215 USA
3.Thomas Jefferson Univ Hosp, Dept Orthoped, Philadelphia, PA 19107 USA

Recommended Citation:
Zeng, Yan,White, Andrew P.,Albert, Todd J.,et al. Surgical Strategy in Adult Lumbar Scoliosis The Utility of Categorization Into 2 Groups Based on Primary Symptom, Each With 2-Year Minimum Follow-up[J]. SPINE,2012,37(9):E556-E561.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Zeng, Yan]'s Articles
[White, Andrew P.]'s Articles
[Albert, Todd J.]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Zeng, Yan]‘s Articles
[White, Andrew P.]‘s Articles
[Albert, Todd J.]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace