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Degenerative Scoliosis
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • "De novo" scoliosis
            • Definitions

              • Lateral curvature in spine due to degenerative disc and facet disease in older patients
              • Deformity in a skeletally mature patient with Cobb angle of  > 10° in coronal plane
                • Advanced degenerative changes and predominance of lower lumbar curves

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nonvascular Interventions

                      • Nuclear Medicine Findings

                        • Other Modality Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Alimi M et al: Radiological and clinical outcomes following extreme lateral interbody fusion. J Neurosurg Spine. 20(6):623-35, 2014
                                          2. Khajavi K et al: Two-year radiographic and clinical outcomes of a minimally invasive, lateral, transpsoas approach for anterior lumbar interbody fusion in the treatment of adult degenerative scoliosis. Eur Spine J. 23(6):1215-23, 2014
                                          3. Kotwal S et al: Degenerative scoliosis: a review. HSS J. 7(3):257-64, 2011
                                          4. Benglis DM et al: Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity. Neurosurgery. 63(3 Suppl):191-6, 2008
                                          5. Birknes JK et al: Adult degenerative scoliosis: a review. Neurosurgery. 63(3 Suppl):94-103, 2008
                                          6. Berven SH et al: The Scoliosis Research Society classification for adult spinal deformity. Neurosurg Clin N Am. 18(2):207-13, 2007
                                          7. Ploumis A et al: Degenerative lumbar scoliosis associated with spinal stenosis. Spine J. 7(4):428-36, 2007
                                          8. Bartynski WS et al: Lumbar root compression in the lateral recess: MR imaging, conventional myelography, and CT myelography comparison with surgical confirmation. AJNR Am J Neuroradiol. 24(3):348-60, 2003
                                          9. Daffner SD et al: Adult degenerative lumbar scoliosis. Am J Orthop. 32(2):77-82; discussion 82, 2003
                                          10. Gupta MC: Degenerative scoliosis. Options for surgical management. Orthop Clin North Am. 34(2):269-79, 2003
                                          11. Tsuchiya K et al: Application of multi-detector row helical scanning to postmyelographic CT. Eur Radiol. 13(6):1438-43, 2003
                                          12. Murata Y et al: Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbar scoliosis. Spine. 27(20):2268-73, 2002
                                          13. Willen J et al: The diagnostic effect from axial loading of the lumbar spine during computed tomography and magnetic resonance imaging in patients with degenerative disorders. Spine. 26(23):2607-14, 2001
                                          14. Duance VC et al: Changes in collagen cross-linking in degenerative disc disease and scoliosis. Spine. 23(23):2545-51, 1998
                                          15. McPhee IB et al: The surgical management of degenerative lumbar scoliosis. Posterior instrumentation alone versus two stage surgery. Bull Hosp Jt Dis. 57(1):16-22, 1998
                                          16. Pritchett JW et al: Degenerative symptomatic lumbar scoliosis. Spine. 18(6):700-3, 1993
                                          17. Thornbury JR et al: Disk-caused nerve compression in patients with acute low-back pain: diagnosis with MR, CT myelography, and plain CT. Radiology. 186(3):731-8, 1993
                                          18. Ogilvie JW: Adult scoliosis: evaluation and nonsurgical treatment. Instr Course Lect. 41:251-5, 1992
                                          19. Grubb SA et al: Degenerative adult onset scoliosis. Spine. 13(3):241-5, 1988
                                          20. Robin GC et al: Scoliosis in the elderly: a follow-up study. Spine. 7(4):355-9, 1982
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • "De novo" scoliosis
                                                    • Definitions

                                                      • Lateral curvature in spine due to degenerative disc and facet disease in older patients
                                                      • Deformity in a skeletally mature patient with Cobb angle of  > 10° in coronal plane
                                                        • Advanced degenerative changes and predominance of lower lumbar curves

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nonvascular Interventions

                                                              • Nuclear Medicine Findings

                                                                • Other Modality Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Alimi M et al: Radiological and clinical outcomes following extreme lateral interbody fusion. J Neurosurg Spine. 20(6):623-35, 2014
                                                                                  2. Khajavi K et al: Two-year radiographic and clinical outcomes of a minimally invasive, lateral, transpsoas approach for anterior lumbar interbody fusion in the treatment of adult degenerative scoliosis. Eur Spine J. 23(6):1215-23, 2014
                                                                                  3. Kotwal S et al: Degenerative scoliosis: a review. HSS J. 7(3):257-64, 2011
                                                                                  4. Benglis DM et al: Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity. Neurosurgery. 63(3 Suppl):191-6, 2008
                                                                                  5. Birknes JK et al: Adult degenerative scoliosis: a review. Neurosurgery. 63(3 Suppl):94-103, 2008
                                                                                  6. Berven SH et al: The Scoliosis Research Society classification for adult spinal deformity. Neurosurg Clin N Am. 18(2):207-13, 2007
                                                                                  7. Ploumis A et al: Degenerative lumbar scoliosis associated with spinal stenosis. Spine J. 7(4):428-36, 2007
                                                                                  8. Bartynski WS et al: Lumbar root compression in the lateral recess: MR imaging, conventional myelography, and CT myelography comparison with surgical confirmation. AJNR Am J Neuroradiol. 24(3):348-60, 2003
                                                                                  9. Daffner SD et al: Adult degenerative lumbar scoliosis. Am J Orthop. 32(2):77-82; discussion 82, 2003
                                                                                  10. Gupta MC: Degenerative scoliosis. Options for surgical management. Orthop Clin North Am. 34(2):269-79, 2003
                                                                                  11. Tsuchiya K et al: Application of multi-detector row helical scanning to postmyelographic CT. Eur Radiol. 13(6):1438-43, 2003
                                                                                  12. Murata Y et al: Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbar scoliosis. Spine. 27(20):2268-73, 2002
                                                                                  13. Willen J et al: The diagnostic effect from axial loading of the lumbar spine during computed tomography and magnetic resonance imaging in patients with degenerative disorders. Spine. 26(23):2607-14, 2001
                                                                                  14. Duance VC et al: Changes in collagen cross-linking in degenerative disc disease and scoliosis. Spine. 23(23):2545-51, 1998
                                                                                  15. McPhee IB et al: The surgical management of degenerative lumbar scoliosis. Posterior instrumentation alone versus two stage surgery. Bull Hosp Jt Dis. 57(1):16-22, 1998
                                                                                  16. Pritchett JW et al: Degenerative symptomatic lumbar scoliosis. Spine. 18(6):700-3, 1993
                                                                                  17. Thornbury JR et al: Disk-caused nerve compression in patients with acute low-back pain: diagnosis with MR, CT myelography, and plain CT. Radiology. 186(3):731-8, 1993
                                                                                  18. Ogilvie JW: Adult scoliosis: evaluation and nonsurgical treatment. Instr Course Lect. 41:251-5, 1992
                                                                                  19. Grubb SA et al: Degenerative adult onset scoliosis. Spine. 13(3):241-5, 1988
                                                                                  20. Robin GC et al: Scoliosis in the elderly: a follow-up study. Spine. 7(4):355-9, 1982