Adult lumbar scoliosis : a clinical guide to diagnosis and management

Providing a sound definition and review of the pertinent treatment goals for the management of adult lumbar scoliosis, this practical and comprehensive guide covers everything from pre-operative evaluation and radiography to post-operative management and complications. Both non-operative and operative strategies are presented, including minimally invasive techniques, decompression, anterior release, spinal osteotomy, biologics, and proximal and distal fixation, with an emphasis on clinical guidelines and management outcomes. The impact and prevention of complications following treatment are also discussed, including the prevention of proximal junctional kyphosis. Concluding with an examination of future directions for research and clinical treatment strategies, the comprehensive approach of this book provides the orthopedic surgeon, neurosurgeon and spinal practitioner with the most current evidence and expert thought about the evaluation and management of adult lumbar scoliosis Front Matter....Pages i-xiv Defining Adult Lumbar Scoliosis....Pages 1-9 Imaging Adult Lumbar Scoliosis....Pages 11-21 Radiographic Parameters of Adult Lumbar Scoliosis....Pages 23-30 Patient-Reported Outcome Measures Available for Adult Lumbar Scoliosis....Pages 31-47 Impact of Depression on the Treatment of Adult Lumbar Scoliosis....Pages 49-59 Preoperative Clinical Evaluation of Adult Lumbar Scoliosis....Pages 61-70 Non-operative Management of Adult Lumbar Scoliosis....Pages 71-75 Surgical Alignment Goals for Adult Lumbar Scoliosis....Pages 77-91 Intraoperative Management of Adult Lumbar Scoliosis....Pages 93-106 Biologics for Adult Lumbar Scoliosis....Pages 107-121 Assessing the Need for Decompression for Adult Lumbar Scoliosis....Pages 123-139 Minimally Invasive Techniques for Adult Lumbar Scoliosis....Pages 141-147 Anterior Column Release for Adult Lumbar Scoliosis....Pages 149-156 Anterior Column Support Options for Adult Lumbar Scoliosis....Pages 157-169 Releases and Osteotomies Used for the Correction of Adult Lumbar Scoliosis....Pages 171-180 Distal Fixation for Adult Lumbar Scoliosis: Indications and Techniques....Pages 181-193 Diagnosis and Classification of Proximal Junctional Kyphosis and Proximal Junctional Failure....Pages 195-216 Prevention Strategies for Proximal Junctional Kyphosis....Pages 217-227 Complications Following Surgical Intervention for Adult Lumbar Scoliosis....Pages 229-243 Perioperative Patient Management of Adult Lumbar Scoliosis....Pages 245-253 Patient-Reported Outcomes Following the Treatment of Adult Lumbar Scoliosis....Pages 255-266 Health Economic Issues Related to Adult Lumbar Scoliosis....Pages 267-280 Future Directions for Adult Lumbar Scoliosis....Pages 281-288 Back Matter....Pages 289-295