ABSTRACT

With the patients that are picked right, the correction of the scoliosis operation renders good results. We can say that with the correctly chosen patients the lumbar degenerative scoliosis correction operation with decompression and instrumentation is a correct treatment option.

The calculated preoperative average Cobb’s angles of the patients were 22.6 (15-40) with postoperative average has fallen to 4.8 (0-10). The preoperative average L1-S1 lumbar lordosis angle of the patients was 30.8 (15-45) and significant lordosis loss was noted. Postoperative average L1-S1 lordosis angle were calculated to be 40.3 (25-55). Preoperative average VAS was 7.8(7-9) with the postoperative average 2.4(0-4). Preoperative average ODI was 54 % (46-74 %) with the postoperative resulting average of 18% (12-30 %).

Our Study includes 20 patients operated between years 2012-2014 with lumbar degenerative scoliosis diagnosis. The patients are retrospectively studied. 15 women, 5 men with an age average of 57 (46-82). The average follow-up is 16.3 months (8-36). Pre and postoperative VAS and ODI scores are used for assessment. Radiologic control of the patients was done using calculated Cobb’s angle from standing scoliosis images and L1-S1 lumbar lordosis angles.

Degenerative lumbar scoliosis is a slow progressed scoliosis most commonly seen in over 40 year adults. Degenerative or de novo lumbar scoliosis is defined as over 10 degrees of Cobb angle bent spine in adults with completed spine development sans having adolescent idiopathic scoliosis. Increased pain with movement is a common symptom along with walking irregularities and intermittent claudication like neurologic symptoms. Ideally spine should be fused in all segments contributing to the deformity.