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[Spinal deformity in the adult].
1Service de Chirurgie orthopédique, Hôpital Beaujon, Clichy.
Presse Medicale (Paris, France : 1983)
|December 22, 1999
Summary
Adult spinal deformities like scoliosis can worsen over time, affecting both structure and function. Regular monitoring is crucial for managing pain and maintaining balance, with surgery offering definitive progression control.
Area of Science:
- Orthopedics
- Spinal Surgery
- Radiology
Background:
- Adult spinal deformities, including lumbar and thoracolumbar scoliosis, can progress insidiously.
- This progression impacts spinal anatomy, function, and can lead to pain and impaired equilibrium.
- Regular surveillance of patients with spinal deformations is essential.
Purpose of the Study:
- To highlight the progressive nature of adult spinal deformities.
- To discuss the anatomical and functional consequences of spinal curvature progression.
- To outline treatment options and indications for adult spinal deformities.
Main Methods:
- Serial X-ray analysis to identify key anatomical changes.
- Evaluation of treatment modalities including physical therapy, orthopedic treatment, and surgery.
- Assessment of complex indications for surgical intervention.
Main Results:
- Radiological changes include rotational dislocation, curvature stiffening (especially lumbosacral), and progressive thoracolumbar kyphosis.
- Non-surgical treatments may alleviate symptoms but do not halt deformity progression.
- Surgery effectively relieves symptoms and definitively stops spinal deformation progression.
Conclusions:
- Adult spinal deformities require ongoing monitoring due to their progressive nature.
- Treatment decisions must consider deformity type, extent, progression, patient age, and functional status.
- Surgery offers a definitive solution for halting the progression of adult spinal deformities.