link
Bookmarks
Scoliosis Instrumentation
Jeffrey S. Ross, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
3
8
0

KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Scoliosis instrumentation (SI)
        • Synonyms

          • Scoliosis surgery, long spinal fusion surgery (more than 4 vertebral segments)
        • Definitions

          • Spinal fusion surgery recommended when curve magnitude > 40-45° for adolescent idiopathic scoliosis
          • Adult scoliosis patient presents with lumbar back, ± leg pain, L3–L4 rotatory subluxation, L4–L5 tilt, and L5–S1 disc degeneration on radiographs
            • Goals: Prevent progression, restore acceptability of clinical deformity, reduce curvature

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    CLINICAL ISSUES

                    • Presentation

                      • Natural History & Prognosis

                        • Treatment

                          Selected References

                          1. Canavese F et al: Surgical advances in the treatment of neuromuscular scoliosis. World J Orthop. 5(2):124-33, 2014
                          2. Cho KJ et al: Surgical treatment of adult degenerative scoliosis. Asian Spine J. 8(3):371-81, 2014
                          3. El-Hawary R et al: Update on evaluation and treatment of scoliosis. Pediatr Clin North Am. 61(6):1223-41, 2014
                          4. Sturm PF et al: Recent advances in the management of early onset scoliosis. Orthop Clin North Am. 45(4):501-14, 2014
                          5. Weiss HR et al: Rate of complications in scoliosis surgery - a systematic review of the Pub Med literature. Scoliosis. 3:9, 2008
                          6. Kim YJ et al: Pseudarthrosis in adult spinal deformity following multisegmental instrumentation and arthrodesis. J Bone Joint Surg Am. 88(4):721-8, 2006
                          7. Kuklo TR: Principles for selecting fusion levels in adult spinal deformity with particular attention to lumbar curves and double major curves. Spine (Phila Pa 1976). 31(19 Suppl):S132-8, 2006
                          8. Glassman SD et al: The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 30(18):2024-9, 2005
                          9. Glattes RC et al: Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine (Phila Pa 1976). 30(14):1643-9, 2005
                          10. Kim YJ et al: Pseudarthrosis in primary fusions for adult idiopathic scoliosis: incidence, risk factors, and outcome analysis. Spine (Phila Pa 1976). 2005 Feb 15;30(4):468-74. Erratum in: Spine. 30(8):994, 2005
                          11. Rinella A et al: Late complications of adult idiopathic scoliosis primary fusions to L4 and above: the effect of age and distal fusion level. Spine (Phila Pa 1976). 29(3):318-25, 2004
                          12. Andersson DI: Persistence of antibiotic resistant bacteria. Curr Opin Microbiol. 6(5):452-6, 2003
                          13. Lippman CR et al: Correction of adult scoliosis via a posterior-only approach. Neurosurg Focus. 14(1):e5, 2003
                          14. Gaine WJ et al: Late operative site pain with isola posterior instrumentation requiring implant removal: infection or metal reaction? Spine (Phila Pa 1976). 26(5):583-7, 2001
                          15. Richards BR et al: Delayed infections after posterior TSRH spinal instrumentation for idiopathic scoliosis: revisited. Spine (Phila Pa 1976). 26(18):1990-6, 2001
                          16. Winter RB et al: A study of functional spinal motion in women after instrumentation and fusion for deformity or trauma. Spine (Phila Pa 1976). 22(15):1760-4, 1997
                          17. Swank S et al: Surgical treatment of adult scoliosis. A review of two hundred and twenty-two cases. J Bone Joint Surg Am. 63(2):268-87, 1981
                          Related Anatomy
                          Loading...
                          Related Differential Diagnoses
                          Loading...
                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Clinical Issues

                                TERMINOLOGY

                                • Abbreviations

                                  • Scoliosis instrumentation (SI)
                                • Synonyms

                                  • Scoliosis surgery, long spinal fusion surgery (more than 4 vertebral segments)
                                • Definitions

                                  • Spinal fusion surgery recommended when curve magnitude > 40-45° for adolescent idiopathic scoliosis
                                  • Adult scoliosis patient presents with lumbar back, ± leg pain, L3–L4 rotatory subluxation, L4–L5 tilt, and L5–S1 disc degeneration on radiographs
                                    • Goals: Prevent progression, restore acceptability of clinical deformity, reduce curvature

                                IMAGING

                                • General Features

                                  • Radiographic Findings

                                    • CT Findings

                                      • MR Findings

                                        • Imaging Recommendations

                                          DIFFERENTIAL DIAGNOSIS

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Natural History & Prognosis

                                                • Treatment

                                                  Selected References

                                                  1. Canavese F et al: Surgical advances in the treatment of neuromuscular scoliosis. World J Orthop. 5(2):124-33, 2014
                                                  2. Cho KJ et al: Surgical treatment of adult degenerative scoliosis. Asian Spine J. 8(3):371-81, 2014
                                                  3. El-Hawary R et al: Update on evaluation and treatment of scoliosis. Pediatr Clin North Am. 61(6):1223-41, 2014
                                                  4. Sturm PF et al: Recent advances in the management of early onset scoliosis. Orthop Clin North Am. 45(4):501-14, 2014
                                                  5. Weiss HR et al: Rate of complications in scoliosis surgery - a systematic review of the Pub Med literature. Scoliosis. 3:9, 2008
                                                  6. Kim YJ et al: Pseudarthrosis in adult spinal deformity following multisegmental instrumentation and arthrodesis. J Bone Joint Surg Am. 88(4):721-8, 2006
                                                  7. Kuklo TR: Principles for selecting fusion levels in adult spinal deformity with particular attention to lumbar curves and double major curves. Spine (Phila Pa 1976). 31(19 Suppl):S132-8, 2006
                                                  8. Glassman SD et al: The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 30(18):2024-9, 2005
                                                  9. Glattes RC et al: Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine (Phila Pa 1976). 30(14):1643-9, 2005
                                                  10. Kim YJ et al: Pseudarthrosis in primary fusions for adult idiopathic scoliosis: incidence, risk factors, and outcome analysis. Spine (Phila Pa 1976). 2005 Feb 15;30(4):468-74. Erratum in: Spine. 30(8):994, 2005
                                                  11. Rinella A et al: Late complications of adult idiopathic scoliosis primary fusions to L4 and above: the effect of age and distal fusion level. Spine (Phila Pa 1976). 29(3):318-25, 2004
                                                  12. Andersson DI: Persistence of antibiotic resistant bacteria. Curr Opin Microbiol. 6(5):452-6, 2003
                                                  13. Lippman CR et al: Correction of adult scoliosis via a posterior-only approach. Neurosurg Focus. 14(1):e5, 2003
                                                  14. Gaine WJ et al: Late operative site pain with isola posterior instrumentation requiring implant removal: infection or metal reaction? Spine (Phila Pa 1976). 26(5):583-7, 2001
                                                  15. Richards BR et al: Delayed infections after posterior TSRH spinal instrumentation for idiopathic scoliosis: revisited. Spine (Phila Pa 1976). 26(18):1990-6, 2001
                                                  16. Winter RB et al: A study of functional spinal motion in women after instrumentation and fusion for deformity or trauma. Spine (Phila Pa 1976). 22(15):1760-4, 1997
                                                  17. Swank S et al: Surgical treatment of adult scoliosis. A review of two hundred and twenty-two cases. J Bone Joint Surg Am. 63(2):268-87, 1981