TY - JOUR

T1 - Spinal deformity in elderly patients

T2 - comparison of two distal termination sites of lumbar curve fusion

AU - Zaborovskii, Nikita

AU - Ptashnikov, Dmitrii

AU - Mikhaylov, Dmitrii

AU - Smekalenkov, Oleg

AU - Masevnin, Sergei

AU - Lapaeva, Olga

AU - Mooraby, Zabioulah

PY - 2017

Y1 - 2017

N2 - PURPOSE: This report compares the clinical, radiographic, and functional outcomes of fusion from thoracolumbar region terminating at L5 or at sacrum and pelvis in elderly patients with spinal deformity.METHODS: Ninety-four elderly patients who underwent spinal deformity surgery at our institution were evaluated. Patients were divided into two groups. The group L included 43 patients who underwent fusion of lumbar curve from thoracolumbar region to L5. The group P consisted of 51 patients who were treated using fusion from lower thoracic region to S1 extending to the pelvis. Radiographic outcomes, health-related to the quality of life (HRQOL) parameters, and complications with a 3-year minimum follow-up were analyzed and compared between two groups.RESULTS: In the group L, the ideal sagittal balance was not achieved. The group P showed a better restoration of global spinal alignments compared with the group L. The HRQOL scores (VAS, ODI, SRS-24) of the patients after 3 years are slightly higher in the group P, but we did not get significant difference between groups. The total number of complications was higher in the group P.CONCLUSIONS: The research showed that fusion of lumbar curve extending to the pelvis provided good sagittal balance, global spinal alignments, and likely HRQOL parameters after 3-year follow-up. But, eventually, we obtained higher number of complications.

AB - PURPOSE: This report compares the clinical, radiographic, and functional outcomes of fusion from thoracolumbar region terminating at L5 or at sacrum and pelvis in elderly patients with spinal deformity.METHODS: Ninety-four elderly patients who underwent spinal deformity surgery at our institution were evaluated. Patients were divided into two groups. The group L included 43 patients who underwent fusion of lumbar curve from thoracolumbar region to L5. The group P consisted of 51 patients who were treated using fusion from lower thoracic region to S1 extending to the pelvis. Radiographic outcomes, health-related to the quality of life (HRQOL) parameters, and complications with a 3-year minimum follow-up were analyzed and compared between two groups.RESULTS: In the group L, the ideal sagittal balance was not achieved. The group P showed a better restoration of global spinal alignments compared with the group L. The HRQOL scores (VAS, ODI, SRS-24) of the patients after 3 years are slightly higher in the group P, but we did not get significant difference between groups. The total number of complications was higher in the group P.CONCLUSIONS: The research showed that fusion of lumbar curve extending to the pelvis provided good sagittal balance, global spinal alignments, and likely HRQOL parameters after 3-year follow-up. But, eventually, we obtained higher number of complications.

KW - Aged

KW - Bone Malalignment/surgery

KW - Fractures, Ununited/surgery

KW - Humans

KW - Low Back Pain/etiology

KW - Lumbar Vertebrae/abnormalities

KW - Male

KW - Postoperative Complications/etiology

KW - Quality of Life

KW - Spinal Fusion/methods

KW - Thoracic Vertebrae/abnormalities

KW - Treatment Outcome

U2 - 10.1007/s00590-016-1858-8

DO - 10.1007/s00590-016-1858-8

M3 - Article

C2 - 27644426

VL - 27

SP - 73

EP - 78

JO - European Journal of Orthopaedic Surgery and Traumatology

JF - European Journal of Orthopaedic Surgery and Traumatology

SN - 1633-8065

IS - 1

ER -