Clinical and Radiographic Evaluation of the Adult Spinal Deformity Patient

被引:96
作者
Smith, Justin S. [1 ]
Shaffrey, Christopher I. [1 ]
Fu, Kai-Ming G. [2 ]
Scheer, Justin K. [3 ]
Bess, Shay [4 ]
Lafage, Virginie [5 ]
Schwab, Frank [5 ]
Ames, Christopher P. [6 ]
机构
[1] Univ Virginia, Dept Neurosurg, Charlottesville, VA 22908 USA
[2] Weill Cornell Med Coll, Dept Neurosurg, New York, NY 10065 USA
[3] Univ Calif San Diego, Sch Med, La Jolla, CA 92093 USA
[4] Rocky Mt Hosp Children, Dept Orthoped Surg, Denver, CO 80205 USA
[5] NYU, Hosp Joint Dis, Dept Orthoped Surg, New York, NY 10016 USA
[6] Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USA
关键词
Spine; Deformity; Adult; Imaging; Radiographic; Clinical; SAGITTAL ALIGNMENT; NONOPERATIVE TREATMENT; COBB-ANGLE; BACK-PAIN; SCOLIOSIS; IMPACT; OSTEOTOMY; BALANCE; SURGERY; PELVIS;
D O I
10.1016/j.nec.2012.12.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Among the prevalent forms of adult spinal deformity are residual adolescent idiopathic and degenerative scoliosis, kyphotic deformity, and spondylolisthesis. Clinical evaluation should include a thorough history, discussion of concerns, and a review of comorbidities. Physical examination should include assessment of the deformity and a neurologic examination. Imaging studies should include full-length standing posteroanterior and lateral spine radiographs, and measurement of pelvic parameters. Advanced imaging studies are frequently indicated to assess for neurologic compromise and for surgical planning. This article focuses on clinical and radiographic evaluation of spinal deformity in the adult population, particularly scoliosis and kyphotic deformities.
引用
收藏
页码:143 / +
页数:15
相关论文
共 36 条
[1]
Impact of spinopelvic alignment on decision making in deformity surgery in adults [J].
Ames, Christopher P. ;
Smith, Justin S. ;
Scheer, Justin K. ;
Bess, Shay ;
Bederman, S. Samuel ;
Deviren, Vedat ;
Lafage, Virginie ;
Schwab, Frank ;
Shaffrey, Christopher I. .
JOURNAL OF NEUROSURGERY-SPINE, 2012, 16 (06) :547-564
[2]
Radiographic measurement techniques [J].
Angevine, Peter D. ;
Kaiser, Michael G. .
NEUROSURGERY, 2008, 63 (03) :A40-A45
[3]
Pain and Disability Determine Treatment Modality for Older Patients With Adult Scoliosis, While Deformity Guides Treatment for Younger Patients [J].
Bess, Shay ;
Boachie-Adjei, Oheneba ;
Burton, Doug ;
Cunningham, Matthew ;
Shaffrey, Chris ;
Shelokov, Alexis ;
Hostin, Richard ;
Schwab, Frank ;
Wood, Kirkham ;
Akbarnia, Behrooz .
SPINE, 2009, 34 (20) :2186-2190
[4]
Impact of Magnitude and Percentage of Global Sagittal Plane Correction on Health-Related Quality of Life at 2-Years Follow-Up [J].
Blondel, Benjamin ;
Schwab, Frank ;
Ungar, Benjamin ;
Smith, Justin ;
Bridwell, Keith ;
Glassman, Steven ;
Shaffrey, Christopher ;
Farcy, Jean-Pierre ;
Lafage, Virginie .
NEUROSURGERY, 2012, 71 (02) :341-348
[5]
Sagittal alignment of spine and pelvis regulated by pelvic incidence:: standard values and prediction of lordosis [J].
Boulay, C ;
Tardieu, C ;
Hecquet, J ;
Benaim, C ;
Mouilleseaux, B ;
Marty, C ;
Prat-Pradal, D ;
Legaye, J ;
Duval-Beaupère, G ;
Pélissier, J .
EUROPEAN SPINE JOURNAL, 2006, 15 (04) :415-422
[6]
Standardized Measures of Health Status and Disability and the Decision to Pursue Operative Treatment in Elderly Patients With Degenerative Scoliosis [J].
Fu, Kai-Ming G. ;
Smith, Justin S. ;
Sansur, Charles A. ;
Shaffrey, Christopher I. .
NEUROSURGERY, 2010, 66 (01) :42-47
[7]
The impact of positive sagittal balance in adult spinal deformity [J].
Glassman, SD ;
Bridwell, K ;
Dimar, JR ;
Horton, W ;
Berven, S ;
Schwab, F .
SPINE, 2005, 30 (18) :2024-2029
[8]
Correlation of radiographic parameters and clinical symptoms in adult scoliosis [J].
Glassman, SD ;
Berven, S ;
Bridwell, K ;
Horton, W ;
Dimar, JR .
SPINE, 2005, 30 (06) :682-688
[9]
Inter- and intraobserver reliability assessment of the Cobb angle: manual versus digital measurement tools [J].
Gstoettner, Michaela ;
Sekyra, Katrin ;
Walochnik, Nadja ;
Winter, Peter ;
Wachter, Roland ;
Bach, Christian M. .
EUROPEAN SPINE JOURNAL, 2007, 16 (10) :1587-1592
[10]
RADIOGRAPHIC ANALYSIS OF SAGITTAL PLANE ALIGNMENT AND BALANCE IN STANDING VOLUNTEERS AND PATIENTS WITH LOW-BACK-PAIN MATCHED FOR AGE, SEX, AND SIZE - A PROSPECTIVE CONTROLLED CLINICAL-STUDY [J].
JACKSON, RP ;
MCMANUS, AC .
SPINE, 1994, 19 (14) :1611-1618