Topical issues of treatment of degenerate scoliosis at adults at the present stage (review)

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Abstract

Degenerative scoliosis is a prevalent issue among the aging population. Controversy remains over the role of surgical intervention in patients with this disease. Authors carry out the review of literature data, consider various approaches of surgical treatment depending on a stage of a disease and extent of deformation, including a decompression, instrumented posterior spinal fusion, an anterior spinal fusion, and osteotomy. These treatment options are based on clinical analysis, radiographic analysis of the mechanical stability of the deformity, given pain generators, and necessary sagittal balance. The high potential complication rates appear to be outweighed by the eventual successful clinical outcomes in patients suitable for operative intervention. This approach has had favorable outcomes and could help resolve the controversy.

About the authors

D. A. Mikhaylov

Vreden Russian Research Institute of Traumatology and Ortopedics

Author for correspondence.
Email: dim.m.a@mail.ru
Russian Federation

D. A. Ptashnikov

Vreden Russian Research Institute of Traumatology and Ortopedics; Mechnikov North-Western State Medical University

Email: noemail@neicon.ru
Russian Federation

V. D. Usikov

Vreden Russian Research Institute of Traumatology and Ortopedics

Email: noemail@neicon.ru
Russian Federation

S. V. Masevnin

Vreden Russian Research Institute of Traumatology and Ortopedics

Email: noemail@neicon.ru
Russian Federation

M. Hao

Mechnikov North-Western State Medical University

Email: noemail@neicon.ru
Russian Federation

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