Türk Nöroşirürji Dergisi 2018 , Vol 28 , Num 2
Approach to Lumbar Degenerative Scoliosis
Ümit Ali MALÇOK1,Onur YAMAN2
1Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Çanakkale, Türkiye
2Koç Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye
Lumbar degenerative scoliosis occurs in the adult period after 50 years of age. It develops on a background of asymmetric disc degeneration. The patients should be explained that adult scoliotic deformity is a de novo development and can be progressive. To be able to decide on the treatment method in these patients, the complaints, clinical findings, radiological measurements and systemic diseases should be evaluated together. We need all this information to predict the level of healing after surgery. The use of the SRS-Schwab Classification will provide a better understanding of post-surgical expectations. The Berjano and Lamartina classifications can be used to predict what curvatures should be involved in fusion, and what the fusion levels should be. According to the literature, patients who underwent surgical treatment are more likely to have a higher quality of life than patients who are followed conservatively. Anahtar Kelimeler : Surgical treatment, Lumbar degenerative scoliosis