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Abstract
Study Design
The retrospective study was designed to propose treatment options of degenerative scoliosis
Objectives
To propose various treatment options based on patients’ clinical symptoms & radiologic findings and finally to get a standard treatment options.
Summary of Literature Review
The studies about the treatment options of degenerative scoliosis were few, so we propose the treatment options of degenerative scoliosis.
Materials & Methods
Between January, 1994 and A ugust, 2000, 136 cases of degenerative scoliosis were diagnosed. A mong these cases, 45 cases (33%) were performed operative treatment. There were 45 women and 4 men. The average patients age was 62.6 years (range 43~78years). The average follow up time was 23 months (range 12 mon~66 months). Scoliotic angle within curve was measured by Cobb's methods, and rotation of pedicles were measured by Nash and Moe methods.
Results
The overall satisfactory clinical results was noted in 37 (82%) of 45 patients. By Kirkardy- Willis questionnaire, 14 cases were excellent, 23 cases were good, 5 cases were fair, 3 cases were poor. Before surgery, average Cobb's angle measured 16 degree (range 7~44 degree), after surgery, this corrected to 9.2 degree (range 2~25 degree). But, degree of improvement in Cobb's angle and one of clinical symptom relief had no statistic correlations (p>0.05).
Conclusion
1) W hen neurologic symptoms were chief complaints, and scoliosis curvature was stable. only decompression surgery should be performed. 2) when mild back pain and neurologic symptoms were chief complaints, and rotatory subluxation at stenotic level, decompression & limited post. instrumentation & fusion. 3) when severe back pain and neurologic symptoms were chief complaints, and scoliosis curvature was unstable, decompression & long post. instrumentation & fusion. 4) When only technical pain- no neurologic symptoms- was a chief complaints, correction & fusion with instrumentation.
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REFERENCES
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Table 1.
Kirkaldy-Willis questionnaire (last F/U시)
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