Matches in SemOpenAlex for { <https://semopenalex.org/work/W2892594590> ?p ?o ?g. }
- W2892594590 endingPage "403" @default.
- W2892594590 startingPage "393" @default.
- W2892594590 abstract "Introduction Incidence of adult degenerative scoliosis (ADS) among individuals over 50 years old reaches 68%. Surgical interventions aimed at correcting the spinal deformity in patients of the older age group are accompanied by a high risk of complications. The use of LLIF is associated with lower complications as compared with open anterior or posterior fusion. Materials and methods Seventy-one patients with ADS (13 men, 58 women) were operated at the Federal Neurosurgical Center. Their average age was 60.4/60 (average/median) [55;64.5] (1: 3 quartile) years. The follow-up was from 12 to 18 months. X-ray study, SCT, MRI of the lumbar spine were used. Questionnaire surveys were conducted using the visual analog pain scale (VAS), Oswestry Disability Index (ODI) and the Short Form-36 (SF-36). Deformity correction was estimated in the frontal plane with Cobb’s method. Scoliosis was classified according to SRS-Schwab classification. Parameters of sagittal balance were estimated: PI (Pelvic incidence), SS (Sacral slope), PT (Pelvic tilt), LL (Lumbar lordosis). SVA, PT and PILL (PI minus LL) were defined adjusted for the age. Results Back pain according to VAS relieved from 6.1/6 [4;8] to 2.2/2 [2;3] points (p less 0.001) and was statistically significant at 12 months after the surgery. Leg pain according to VAS decreased from 5.4/5 [4;8] to 2.1/2 [1;3] points (p less 0.001) and was statistically significant at 12 months after the surgery. Functional adaptation according to ODI improved from 51.2/52.2 [38.6;64.1] to 31.8/33.3 [26.1;35.9] (p less 0.001). According to SF36, PH before the surgery was 25.7/24.3 [21.8;28.9] on average and at 12 months after the surgery - 38.7/38.7 [35.4;41.2] (p less 0.001). SF-36 MH before surgery was 27.1/26.3 [21.8;31.4] on average and 12 months later – 41.3/40.6 [36.5;43.7] (p less 0.001). PT before the surgery was 23.3/22° [17.5;28], 12 months later it was 17.9/17° [15;20] (p less 0.001). PI-LL was 11.5/10 ° [4;17.5], 12 months later – 8.4/8 ° [5.5;11.5] (p = 0.11). Transient paresis of femur flexors on the ipsilateral side was observed in five (7 %) cases; transient hyposthesia on the anterior thigh surface occurred in eight (11.2 %) cases. There were two cases of medial malposition (0.4 %) of pedicle screws (474 screws), pseudoarthrosis at two levels (1.2 %) (Grade 4 Bridwell) out of 166 levels performed, and seven (4.2 %) cases of damage to cortical endplates. Conclusion Restoration of local sagittal balance in ADS patients by short-segment fixation using LLIF technology leads to a statistically significant improvement in the quality of life and increases functional adaptation. Few early and late postoperative complications, less intraoperative blood loss and shorter hospital stay make LLIF in combination with MIS transpedicular fixation a method of choice in determining the surgical tactics for ADS in elderly and old age patients." @default.
- W2892594590 created "2018-10-05" @default.
- W2892594590 creator A5007090754 @default.
- W2892594590 creator A5027456095 @default.
- W2892594590 creator A5044314502 @default.
- W2892594590 creator A5060634798 @default.
- W2892594590 creator A5065252394 @default.
- W2892594590 creator A5067434965 @default.
- W2892594590 creator A5087103690 @default.
- W2892594590 date "2018-09-01" @default.
- W2892594590 modified "2023-10-18" @default.
- W2892594590 title "The use of LLIF technology in adult patients with degenerative scoliosis: retrospective cohort analysis and literature review" @default.
- W2892594590 cites W1521324828 @default.
- W2892594590 cites W1577209660 @default.
- W2892594590 cites W1822769693 @default.
- W2892594590 cites W1965434057 @default.
- W2892594590 cites W1976425635 @default.
- W2892594590 cites W1982900193 @default.
- W2892594590 cites W1999529158 @default.
- W2892594590 cites W2000235333 @default.
- W2892594590 cites W2007072550 @default.
- W2892594590 cites W2016163797 @default.
- W2892594590 cites W2027788451 @default.
- W2892594590 cites W2030430403 @default.
- W2892594590 cites W2030594760 @default.
- W2892594590 cites W2032949889 @default.
- W2892594590 cites W2038576776 @default.
- W2892594590 cites W2038827577 @default.
- W2892594590 cites W2040497219 @default.
- W2892594590 cites W2040751962 @default.
- W2892594590 cites W2054485447 @default.
- W2892594590 cites W2066637270 @default.
- W2892594590 cites W2070354308 @default.
- W2892594590 cites W2073391953 @default.
- W2892594590 cites W2075734633 @default.
- W2892594590 cites W2089636295 @default.
- W2892594590 cites W2110116133 @default.
- W2892594590 cites W2118658153 @default.
- W2892594590 cites W2128214535 @default.
- W2892594590 cites W2236297715 @default.
- W2892594590 cites W2294327649 @default.
- W2892594590 cites W2334132636 @default.
- W2892594590 cites W2552162204 @default.
- W2892594590 cites W2566557609 @default.
- W2892594590 cites W2598575620 @default.
- W2892594590 cites W2616585524 @default.
- W2892594590 cites W2757874810 @default.
- W2892594590 cites W2787219563 @default.
- W2892594590 cites W614531583 @default.
- W2892594590 cites W2340128577 @default.
- W2892594590 doi "https://doi.org/10.18019/1028-4427-2018-24-3-393-403" @default.
- W2892594590 hasPublicationYear "2018" @default.
- W2892594590 type Work @default.
- W2892594590 sameAs 2892594590 @default.
- W2892594590 citedByCount "8" @default.
- W2892594590 countsByYear W28925945902021 @default.
- W2892594590 countsByYear W28925945902022 @default.
- W2892594590 countsByYear W28925945902023 @default.
- W2892594590 crossrefType "journal-article" @default.
- W2892594590 hasAuthorship W2892594590A5007090754 @default.
- W2892594590 hasAuthorship W2892594590A5027456095 @default.
- W2892594590 hasAuthorship W2892594590A5044314502 @default.
- W2892594590 hasAuthorship W2892594590A5060634798 @default.
- W2892594590 hasAuthorship W2892594590A5065252394 @default.
- W2892594590 hasAuthorship W2892594590A5067434965 @default.
- W2892594590 hasAuthorship W2892594590A5087103690 @default.
- W2892594590 hasBestOaLocation W28925945901 @default.
- W2892594590 hasConcept C126322002 @default.
- W2892594590 hasConcept C141071460 @default.
- W2892594590 hasConcept C167135981 @default.
- W2892594590 hasConcept C2780955175 @default.
- W2892594590 hasConcept C2993634128 @default.
- W2892594590 hasConcept C71924100 @default.
- W2892594590 hasConcept C72563966 @default.
- W2892594590 hasConceptScore W2892594590C126322002 @default.
- W2892594590 hasConceptScore W2892594590C141071460 @default.
- W2892594590 hasConceptScore W2892594590C167135981 @default.
- W2892594590 hasConceptScore W2892594590C2780955175 @default.
- W2892594590 hasConceptScore W2892594590C2993634128 @default.
- W2892594590 hasConceptScore W2892594590C71924100 @default.
- W2892594590 hasConceptScore W2892594590C72563966 @default.
- W2892594590 hasIssue "3" @default.
- W2892594590 hasLocation W28925945901 @default.
- W2892594590 hasLocation W28925945902 @default.
- W2892594590 hasOpenAccess W2892594590 @default.
- W2892594590 hasPrimaryLocation W28925945901 @default.
- W2892594590 hasRelatedWork W2042503088 @default.
- W2892594590 hasRelatedWork W2312917630 @default.
- W2892594590 hasRelatedWork W2326458760 @default.
- W2892594590 hasRelatedWork W2371706387 @default.
- W2892594590 hasRelatedWork W2552564451 @default.
- W2892594590 hasRelatedWork W2761099397 @default.
- W2892594590 hasRelatedWork W3131607753 @default.
- W2892594590 hasRelatedWork W4322706643 @default.
- W2892594590 hasRelatedWork W4322722608 @default.
- W2892594590 hasRelatedWork W4322725187 @default.
- W2892594590 hasVolume "24" @default.
- W2892594590 isParatext "false" @default.