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Correction of sagittal imbalance in treatment for adult degenerative scoliosis with thoracic lordosis and lumbar kyphosis: A case report.

Abstract Lumbar degenerative scoliosis (LDS) is a common spinal disease for senior citizens. However, LDS accompanied with thoracic lordosis and lumbar kyphosis (LK) is rare in clinic. No reports have reported LDS with thoracic lordosis and LK.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28422833
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - Correction of sagittal imbalance in treatment for adult degenerative scoliosis
      with thoracic lordosis and lumbar kyphosis: A case report.
PG  - e6416
LID - 10.1097/MD.0000000000006416 [doi]
AB  - RATIONALE: Lumbar degenerative scoliosis (LDS) is a common spinal disease for
      senior citizens. However, LDS accompanied with thoracic lordosis and lumbar
      kyphosis (LK) is rare in clinic. No reports have reported LDS with thoracic
      lordosis and LK. PATIENT CONCERNS: A 54-year-old woman just complained about
      sever back pain without any radiculopathy and neurodeficit of low limb for 2
      years, Visual Analogue Scale (VAS) for back pain was 9 points and x-ray showed
      adult LDS with lordosis angle of 10 degrees from 5th thoracic to 12th thoracic
      (T5-T12) and LK angle of 20 degrees . DIAGNOSES: She was diagnosed with adult
      degeneration scoliosis (ADS). INTERVENTIONS: The patient underwent posterior
      pedicle screw implantation from L1 to S1 levels. OUTCOMES: Two weeks after
      surgery, VAS for back pain was 2 points and x-ray showed thoracic lordosis angle 
      of 6 degrees , lumbar lordosis (LL) of 6 degrees and sagittal vertical axis from 
      C7 plumb line (SVA) of 77 mm. One year after surgery, VAS for back pain was 1
      points and the x-ray showed thoracic lordosis angle of 6 degrees , LL of 20
      degrees , and SVA of 36 mm, implying globe spine for this patient tends to
      balance. LESSONS: Adult degenerative scoliosis accompanied with thoracic lordosis
      and LK is rare. Correcting sagittal imbalance is an effective treatment. The
      surgical outcome is satisfactory. Attention should be paid in sagittal balance
      for treatment of ADS. We still need further follow-up to observe change of
      sagittal parameters.
FAU - Wang, Tao
AU  - Wang T
AD  - aDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University
      bHebei Provincial Key Laboratory of Orthopedic Biomechanics, Shijiazhuang, China.
FAU - Wang, Hui
AU  - Wang H
FAU - Ma, Lei
AU  - Ma L
FAU - Zhang, Di
AU  - Zhang D
FAU - Ding, Wen-Yuan
AU  - Ding WY
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006416 [doi]
AID - 00005792-201704210-00014 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6416. doi: 10.1097/MD.0000000000006416.

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