退行性腰椎侧凸患者脊柱矢状位形态与骨盆形态相关性研究
摘要
目的：
探讨退行性脊柱侧凸病例骨盆形态对脊柱矢状面形态的影响。
方法：
对110例退行性脊柱侧凸患者和70例脊柱形态正常志愿者(年龄大于40岁)摄站立位脊柱全长正侧位片,并测量下列参数：T2～T5Cobb角、T5～T12Cobb角、T10～L2Cobb角、T12～S1Cobb角、骨盆投射角(PI)、骶骨倾斜角(SS)和骨盆倾斜角(PT)。根据SRS分型标准中矢状面退行性变修正参数,将退行性脊柱侧凸患者脊柱矢状面形态分成三组,Ⅰ组：各脊柱节段Cobb角均在SRS正常标准范围之内；Ⅱ组：T12～S1Cobb角前凸小于等于40°,其余脊柱节段Cobb角位于正常范围；Ⅲ组：T12～S1Cobb角前凸小于等于40°,T10～L2Cobb角后凸大于等于20°,其余脊柱节段Cobb角位于正常范围。比较正常对照组与各退变侧凸组间的骨盆参数,并分析不同组的骨盆参数与脊柱矢状面参数相关性。
结果：
(1)、正常对照组与Ⅰ组、Ⅱ组的PI值存在显著性差异,退变侧凸病例中Ⅰ组分别与Ⅱ组、Ⅲ组的PI值存在显著性差异；
(2)、正常对照组与Ⅰ组、Ⅱ组、Ⅲ组的SS值均存在显著性差异；Ⅰ组分别与Ⅱ组、Ⅲ组的SS值存在显著差异性；PT值在四组间无显著性差异；
(3)、正常对照组、Ⅰ组中骨盆参数与脊柱矢状面参数存在明显的相关性；
(4)、Ⅱ组中骨盆参数间有相关性,但骨盆参数与脊柱矢状面参数无显著性相关；
(5)、Ⅲ组中骨盆各参数间的相关性和其余脊柱矢状面参数间均无显著性相关。
结论：
退行性脊柱侧凸患者有2种类型的PI；且原有的脊柱矢状面力线与PT和SS关系被破坏。
Objective:
To investigate the cases of degenerative scoliosis of the spine sagittal pelvic morphology
Methods:
110 patients with degenerative scoliosis and spine were normal volunteers,70 patients (age> 40 years) are taken standing full spine radiographs and to measure the following parameters:T2～T5Cobb angle, T5～T12Cobb angle, T10～L2Cobb angle, T12～S1Cobb angle, pelvic angle of projection (PI), sacral inclination angle (SS) and pelvic tilt (PT). Classification criteria under the SRS degenerative sagittal correction parameters, patients with degenerative scoliosis spinal sagittal split into three groups,Ⅰgroup:Cobb angle of all spinal segments were within the normal standard SRS;Ⅱgroup:T12-S1Cobb lordosis angle of less than or equal 40°, the remaining segments of the spine in the normal range of Cobb angle;ⅢGroup:T12-S1Cobb lordosis angle of less than or equal 40°, T10～L2Cobb kyphosis angle greater than or equal 20°, Cobb angle of the remaining segments of the spine in the normal range. The control group compared with the group of degenerative scoliosis between pelvic parameters, and analysis of different groups of pelvic parameters and sagittal spinal parameters of relevance.
Results:
(1)、the normal control group andⅠgroup,Ⅱgroup, PI values showed significant differences in degenerative scoliosis cases in I group were compared withⅡgroup,Ⅲgroup PI values were significantly different;
(2)、the normal control group andⅠgroup,Ⅱgroup,Ⅲgroup SS values were significantly different;Ⅰgroup were compared withⅡgroup,Ⅲgroup of the SS value of significant differences; PT value in the four groups showed no difference;
(3)、normal control group, I set parameters in the pelvis and spine sagittal obvious correlation between parameters;
(4)、Ⅱgroup correlation between the pelvic parameters, but the pelvis and spine sagittal parameters were no significant correlation;
(5)、Ⅲgroup, the pelvis the correlation between parameters and the parameters of the sagittal plane with the spine showed no significant correlation.
Conclusion:
degenerative scoliosis There are 2 types of PI; and the original lines of force of spinal sagittal relationship with the PT and SS were destroyed.
探讨退行性脊柱侧凸病例骨盆形态对脊柱矢状面形态的影响。
方法：
对110例退行性脊柱侧凸患者和70例脊柱形态正常志愿者(年龄大于40岁)摄站立位脊柱全长正侧位片,并测量下列参数：T2～T5Cobb角、T5～T12Cobb角、T10～L2Cobb角、T12～S1Cobb角、骨盆投射角(PI)、骶骨倾斜角(SS)和骨盆倾斜角(PT)。根据SRS分型标准中矢状面退行性变修正参数,将退行性脊柱侧凸患者脊柱矢状面形态分成三组,Ⅰ组：各脊柱节段Cobb角均在SRS正常标准范围之内；Ⅱ组：T12～S1Cobb角前凸小于等于40°,其余脊柱节段Cobb角位于正常范围；Ⅲ组：T12～S1Cobb角前凸小于等于40°,T10～L2Cobb角后凸大于等于20°,其余脊柱节段Cobb角位于正常范围。比较正常对照组与各退变侧凸组间的骨盆参数,并分析不同组的骨盆参数与脊柱矢状面参数相关性。
结果：
(1)、正常对照组与Ⅰ组、Ⅱ组的PI值存在显著性差异,退变侧凸病例中Ⅰ组分别与Ⅱ组、Ⅲ组的PI值存在显著性差异；
(2)、正常对照组与Ⅰ组、Ⅱ组、Ⅲ组的SS值均存在显著性差异；Ⅰ组分别与Ⅱ组、Ⅲ组的SS值存在显著差异性；PT值在四组间无显著性差异；
(3)、正常对照组、Ⅰ组中骨盆参数与脊柱矢状面参数存在明显的相关性；
(4)、Ⅱ组中骨盆参数间有相关性,但骨盆参数与脊柱矢状面参数无显著性相关；
(5)、Ⅲ组中骨盆各参数间的相关性和其余脊柱矢状面参数间均无显著性相关。
结论：
退行性脊柱侧凸患者有2种类型的PI；且原有的脊柱矢状面力线与PT和SS关系被破坏。
Objective:
To investigate the cases of degenerative scoliosis of the spine sagittal pelvic morphology
Methods:
110 patients with degenerative scoliosis and spine were normal volunteers,70 patients (age> 40 years) are taken standing full spine radiographs and to measure the following parameters:T2～T5Cobb angle, T5～T12Cobb angle, T10～L2Cobb angle, T12～S1Cobb angle, pelvic angle of projection (PI), sacral inclination angle (SS) and pelvic tilt (PT). Classification criteria under the SRS degenerative sagittal correction parameters, patients with degenerative scoliosis spinal sagittal split into three groups,Ⅰgroup:Cobb angle of all spinal segments were within the normal standard SRS;Ⅱgroup:T12-S1Cobb lordosis angle of less than or equal 40°, the remaining segments of the spine in the normal range of Cobb angle;ⅢGroup:T12-S1Cobb lordosis angle of less than or equal 40°, T10～L2Cobb kyphosis angle greater than or equal 20°, Cobb angle of the remaining segments of the spine in the normal range. The control group compared with the group of degenerative scoliosis between pelvic parameters, and analysis of different groups of pelvic parameters and sagittal spinal parameters of relevance.
Results:
(1)、the normal control group andⅠgroup,Ⅱgroup, PI values showed significant differences in degenerative scoliosis cases in I group were compared withⅡgroup,Ⅲgroup PI values were significantly different;
(2)、the normal control group andⅠgroup,Ⅱgroup,Ⅲgroup SS values were significantly different;Ⅰgroup were compared withⅡgroup,Ⅲgroup of the SS value of significant differences; PT value in the four groups showed no difference;
(3)、normal control group, I set parameters in the pelvis and spine sagittal obvious correlation between parameters;
(4)、Ⅱgroup correlation between the pelvic parameters, but the pelvis and spine sagittal parameters were no significant correlation;
(5)、Ⅲgroup, the pelvis the correlation between parameters and the parameters of the sagittal plane with the spine showed no significant correlation.
Conclusion:
degenerative scoliosis There are 2 types of PI; and the original lines of force of spinal sagittal relationship with the PT and SS were destroyed.
引文
[1]Thomas Lowe, MD, Sigurd H. Berven, MD, Frank J. Schwab, MD,and Keith H. Bridwell, MD The SRS Classification for Adult Spinal Deformity. Building on the King/Moe and Lenke Classification Systems. SPINE Volume 31, Number 19 Suppl, pp S119-S125 (?)2006, Lippincott Williams & Wilkins, Inc.
[2]Charles Kuntz IV et al. Spinal deformity:a new classification derived from neutral upright spinal alignment measurements in asymptomatic juvenile, adolescent,adult,and geriatric individuals. Neurosurgery 2008 63:A25-A39
[3]Legaye J, Duval-Beaupere G, Hecquet J, et al. Pelvic incidence:a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves.Eur Spine J 7:99-103
[4]Legaye J, Duval-Beaupere G, Hecquet J, et al. Pelvic incidence:a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves.Eur Spine J 7:99-103
[5]Duval-Beaupere G,Legaye J (2004) Composante sagittale de la statique rachidienne.Rev Rhum 71:105-119.
[6]Duval-Beaupere G,Schmidt C,Cosson P (1992) A Barycentremetric study of the sagittal shape of spine and pelvis:the conditions required for an economic standing position.Ann Biomed Eng 20:451-462.
[7]Roussouly P. The vertical projection of the sum of the ground reactive forces of a standing patient is not the same as the C7 plumb line:a radiographic study of the sagittal alignment of 153 asymptomatic volunteers. Spine (Phila Pa 1976). 2006 May 15;31(11):E320-5.
[8]Michael T. Hresko, MD, Hubert Labelle, MD, Pierre Roussouly, MD,and Eric Berthonnaud, PhD§ Classification of High-Grade Spondylolistheses Based on Pelvic Version and Spine Balance Possible Rationale for Reduction.SPINE Volume 32, Number 20, pp 2208-2213 (?)2007, Lippincott Williams & Wilkins, Inc.
[1]Abraham M, Sakhuja N, Sinha S, Rastogi S:Unilateral visual loss after cervical spine surgery. J Neurosurg Anesthesiol 15:319-322,2003.
[2]Auerbach AD, Goldman L:Beta-Blockers and reduction of cardiac events in noncardiac surgery:Clinical applications. JAMA 287:1445-1447,2002.
[3]Baron EM, Albert TJ:Medical complications of surgical treatment of adult spinal deformity and how to avoid them. Spine 31:S106-S118,2006.
[4]Benzel EC:Deformity prevention and correction:complex clinical strategies, in Biomechanics of Spine Stabilization. New York, American Association of Neurological Surgeons,2001, pp 375-410.
[5]Berven S, Bradford DS:Neuromuscular scoliosis:Causes of deformity and principles for evaluation and management. Semin Neurol 22:167-178,2002.
[6]Betz RR, Petrizzo AM, Kerner PJ, Falatyn SP, Clements DH, Huss GK:Allograft versus no graft with a posterior multisegmented hook system for the treatment of idiopathic scoliosis. Spine 31:121-127,2006.
[7]Bilsky M, Boachie-Adjei O, Shields CB, Baldwin NG:Thoracic and Lumbar Deformities, in Benzel EC (ed):Spine Surgery:Techniques, Complication Avoidance and Management. Philadelphia, Elsevier,2005, pp 796-823.
[8]Bridwell KH:Adult Deformity:Scoliosis and Sagittal Plane Deformities, in Vaccaro B, Zeidman (eds):Principles and Practice of Spine Surgery, St. Louis,Mosby,2003, pp 539-547.
[9]Bridwell KH:Selection of instrumentation and fusion levels for scoliosis:Where to start and where to stop. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:1-8,2004.
[10]Bridwell KH, Edwards CC 2nd, Lenke LG:The pros and cons to saving the L5-S1 motion segment in a long scoliosis fusion construct. Spine 28:S234-S242, 2003.
[11]Bridwell KH, Lenke LG, Baldus C, Blanke K:Major intraoperative neurological deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution. Spine 23:324-331,1998.
[12]Cheng MA, Sigurdson W, Tempelhoff R, Lauryssen C:Visual loss after spine surgery:A survey. Neurosurgery 46:625-631,2000.
[13]Clarke DM, Russell PA, Polglase AL, McKenzie DP:Psychiatric disturbance and acute stress responses in surgical patients. Aust N Z J Surg 67:115-118,1997.
[14]Coe JD, Warden KE, Herzig MA, McAfee PC:Influence of bone mineral density on the fixation of thoracolumbar implants. A comparative study of transpedicular screws, laminar hooks, and spinous process wires. Spine 15:902-907,1990.
[15]. Cook SD, Salkeld SL, Stanley T, Faciane A, Miller SD:Biomechanical study of pedicle screw fixation in severely osteoporotic bone. Spine J 4:402-408,2004.
[16]Deviren V, Berven S, Kleinstueck F, Antinnes J, Smith JA, Hu SS:Predictors of flexibility and pain patterns in thoracolumbar and lumbar idiopathic scoliosis.Spine 27:2346-2349,2002.
[17]DeWald CJ, Stanley T:Instrumentation-related complications of multilevel fusions for adult spinal deformity patients over age 65:Surgical considerations and treatment options in patients with poor bone quality. Spine 31:S144-S151, 2006.
[18]Dick J, Boachie-Adjei O, Wilson M:One-stage versus two-stage anterior and posterior spinal reconstruction in adults. Comparison of outcomes including nutritional status, complications rates, hospital costs, and other factors. Spine 17:S310-S316,1992.
[19]Dick JC, Zdeblick TA, Bartel BD, Kunz DN:Mechanical evaluation of crosslink designs in rigid pedicle screw systems. Spine 22:370-375,1997.
[20]. Dilger JA, Tetzlaff JE, Bell GR, Kosmorsky GS, Agnor RC, O'Hara JF Jr: Ischemic optic neuropathy after spinal fusion. Can J Anaesth 45:63-66,1998.
[21]Eck KR, Bridwell KH, Ungacta FF, Riew KD, Lapp MA, Lenke LG, Baldus C, Blanke K:Complications and results of long adult deformity fusions down to 14, 15, and the sacrum. Spine 26:E182-E192,2001.
[22]Edwards CC 2nd, Bridwell KH, Patel A, Rinella AS, Jung Kim Y, Berra AB,Della Rocca GJ, Lenke LG:Thoracolumbar deformity arthrodesis to L5 in adults:The fate of the L5-S1 disc. Spine 28:2122-2131,2003.
[23]Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR:Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682-688,2005.
[24]Grubb SA, Lipscomb HJ, Suh PB:Results of surgical treatment of painful adult scoliosis. Spine 19:1619-1627,1994.
[25]Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS 3rd, Cook SD:Effects of bone mineral density on pedicle screw fixation. Spine 19:2415-2420,1994.
[26]Heinemann DF:Osteoporosis. An overview of the National Osteoporosis Foundation clinical practice guide. Geriatrics 55:31-36; quiz 39,2000.
[27]Herkowitz HN, Kurz LT:Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. J Bone Joint Surg Am 73:802-808,1991.
[28]Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH:Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am 81:519-528,1999.
[29]. Hilibrand AS, Moore DC, Graziano GP:The role of pediculolaminar fixation in compromised pedicle bone. Spine 21:445-451,1996.
[30]Hu SS, Berven SH, Bradford DS:Adult Spinal Deformity, in Frymoyer JW,Wiesel SW (eds):The Adult and Pediatric Spine. Philadelphia, Lippincott Williams & Wilkins,2004, pp 465-477.
[31]Jackson RP, Simmons EH, Stripinis D:Coronal and sagittal plane spinal deformities correlating with back pain and pulmonary function in adult idiopathic scoliosis. Spine 14:1391-1397,1989.
[32]Kim YJ, Bridwell KH, Lenke LG, Rhim S, Cheh G:Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum:Prevalence and risk factor analysis of 144 cases. Spine 31:2329-2336,2006.
[33]Klein JD, Hey LA, Yu CS, Klein BB, Coufal FJ, Young EP, Marshall LF, Garfin SR:Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine 21:2676-2682,1996.
[34]Kostuik JP:Treatment of scoliosis in the adult thoracolumbar spine with special reference to fusion to the sacrum. Orthop Clin North Am 19:371-381,1988.
[35]Kostuik JP, Bentivoglio J:The incidence of low-back pain in adult scoliosis.Spine 6:268-273,1981.
[36]Kostuik JP, Hall BB:Spinal fusions to the sacrum in adults with scoliosis.Spine 8:489-500,1983.
[37]Kostuik JP, Israel J, Hall JE:Scoliosis surgery in adults. Clin Orthop Relat Res 93:225-234,1973.
[38]Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, Lenke LG:Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine 26:1976-1983,2001.
[39]Lane JM, Riley EH, Wirganowicz PZ:Osteoporosis:Diagnosis and treatment. Instr Course Lect 46:445-458,1997.
[40]Law M, Tencer AF, Anderson PA:Caudo-cephalad loading of pedicle screws:Mechanisms of loosening and methods of augmentation. Spine 18:2438-2443,1993.
[41]Lee AG:Ischemic optic neuropathy following lumbar spine surgery. Case report. J Neurosurg 83:348-349,1995.
[42]Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, Blanke K: Adolescent idiopathic scoliosis:Anew classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 83-A:1169-1181,2001.
[43]Lenke LG, Bridwell KH, Blanke K, Baldus C:Prospective analysis of nutritional status normalization after spinal reconstructive surgery. Spine 20:1359-1367, 1995.
[44]Lin JT, Lane JM:Osteoporosis:Areview. Clin Orthop Relat Res 425:126-134,2004.
[45]Luhmann SJ, Bridwell KH, Cheng I, Imamura T, Lenke LG, Schootman M:Use of bone morphogenetic protein-2 for adult spinal deformity. Spine 30:S110-S117, 2005.
[46]Mangano DT, Layug EL, Wallace A, Tateo I:Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. Multicenter Study of Perioperative Ischemia Research Group. N Engl J Med 335:1713-1720,1996.
[47]McDonnell MF, Glassman SD, Dimar JR 2nd, Puno RM, Johnson JR: Perioperative complications of anterior procedures on the spine. J Bone Joint Surg Am 78:839-847,1996.
[48]McKay B, Sandhu HS:Use of recombinant human bone morphogenetic protein-2 in spinal fusion applications. Spine 27:S66-S85,2002.
[49]Moitra VK, Meiler SE:The diabetic surgical patient. Curr Opin Anaesthesiol 19:339-345,2006.
[50]Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, Morgenstein-Wagner TB, Kellum JM Jr, Welling RE, Moore EE:Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg 216:172-183,1992.
[51]Murphy MA:Bilateral posterior ischemic optic neuropathy after lumbar spine surgery. Ophthalmology 110:1454-1457,2003.
[52]Myers MA, Hamilton SR, Bogosian AJ, Smith CH, Wagner TA:Visual loss as a complication of spine surgery. Areview of 37 cases. Spine 22:1325-1329,1997.
[53]Nachemson A:A long term follow-up study of non-treated scoliosis. Acta Orthop Scand 39:466-476,1968.
[54]Ozgur BM, Aryan HE, Pimenta L, Taylor WR:Extreme lateral interbody fusion (XLIF):A novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435-443,2006.
[55]Parker LM, Murrell SE, Boden SD, Horton WC:The outcome of posterolateral fusion in highly selected patients with discogenic low back pain. Spine 21:1909-1917,1996.
[56]Polly DW Jr, Klemme WR, Cunningham BW, Burnette JB, Haggerty CJ, Oda I: The biomechanical significance of anterior column support in a simulated single-level spinal fusion. J Spinal Disord 13:58-62,2000.
[57]Pradhan BB, Bae HW, Dawson EG, Patel VV, Delamarter RB:Graft resorption with the use of bone morphogenetic protein:Lessons from anterior lumbar interbody fusion using femoral ring allografts and recombinant human bone morphogenetic protein-2. Spine 31:E277-E284,2006.
[58]Rohmiller MT, Schwalm D, Glattes RC, Elalayli TG, Spengler DM:Evaluation of calcium sulfate paste for augmentation of lumbar pedicle screw pullout strength. Spine J 2:255-260,2002.
[59]Rosenberger PH, Jokl P, Ickovics J:Psychosocial factors and surgical outcomes:An evidence-based literature review. J Am Acad Orthop Surg 14:397-405,2006.
[60]Sarzier JS, Evans AJ, Cahill DW:Increased pedicle screw pullout strength with vertebroplasty augmentation in osteoporotic spines. J Neurosurg 96:309-312, 2002.
[61]Schwab F, Dubey A, Pagala M, Gamez L, Farcy JP:Adult scoliosis:A health assessment analysis by SF-36. Spine 28:602-606,2003.
[62]Schwab F, el-Fegoun AB, Gamez L, Goodman H, Farcy JP:A lumbar classification of scoliosis in the adult patient:Preliminary approach. Spine 30:1670-1673,2005.
[63]Schwab F, Farcy JP, Bridwell K, Berven S, Glassman S, Harrast J, Horton W:A clinical impact classification of scoliosis in the adult. Spine 31:2109-2114,2006.
[64]Schwab F, Lafage V, Farcy JP, Bridwell K, Glassman S, Ondra S, Lowe T,Shainline M:Surgical rates and operative outcome analysis in thoracolumbar and lumbar major adult scoliosis:Application of the new adult deformity classification. Spine 32:2723-2730,2007.
[65]Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy JP, Pagala M:Adult scoliosis: Aquantitative radiographic and clinical analysis. Spine 27:387-392,2002.
[66]Shen FH, Samartzis D, Khanna AJ, Anderson DG:Minimally invasive techniques for lumbar interbody fusions. Orthop Clin N Am 38:373-386; abstract ⅵ,2007.
[67]Simmons ED:Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis. Clin Orthop Relat Res 384:45-53,2001.
[68]Smetana GW:Preoperative pulmonary evaluation. N Engl J Med 340:937-944, 1999.
[69]Takahashi S, Delecrin J, Passuti N:Surgical treatment of idiopathic scoliosis in adults:An age-related analysis of outcome. Spine 27:1742-1748,2002.
[70]Tan JS, Kwon BK, Dvorak MF, Fisher CG, Oxland TR:Pedicle screw motion in the osteoporotic spine after augmentation with laminar hooks, sublaminar wires, or calcium phosphate cement:A comparative analysis. Spine 29:1723-1730, 2004.
[71]Taylor BA, Webb PJ, Hetreed M, Mulukutla RD, Farrell J:Delayed postoperative paraplegia with hypotension in adult revision scoliosis surgery. Spine 19:470-474,1994.
[72]Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C:Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine 31:303-308,2006.
[73]van Dam BE:Nonoperative treatment of adult scoliosis. Orthop Clin North Am 19:347-351,1988.
[74]Warner MA, Offord KP, Warner ME, Lennon RL, Conover MA, Jansson-Schumacher U:Role of preoperative cessation of smoking and other factorsin postoperative pulmonary complications:A blinded prospective study of coronary artery bypass patients. Mayo Clin Proc 64:609-616,1989.
[75]Weiss LE, Vaccaro AR, Scuderi G, McGuire M, Garfin SR:Pseudarthrosis after postoperative wound infection in the lumbar spine. J Spinal Disord 10:482-487, 1997.
[76]Deleted in proof.
[77]Williams EL:Postoperative blindness. Anesthesiol Clin North America 20:605-622,2002.
[78]Winter RB, Lonstein JE, Denis F:Pain patterns in adult scoliosis. Orthop Clin North Am 19:339-345,1988.
[79]Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, Spencer CW:Abiomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res 203:99-112,1986.
[2]Charles Kuntz IV et al. Spinal deformity:a new classification derived from neutral upright spinal alignment measurements in asymptomatic juvenile, adolescent,adult,and geriatric individuals. Neurosurgery 2008 63:A25-A39
[3]Legaye J, Duval-Beaupere G, Hecquet J, et al. Pelvic incidence:a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves.Eur Spine J 7:99-103
[4]Legaye J, Duval-Beaupere G, Hecquet J, et al. Pelvic incidence:a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves.Eur Spine J 7:99-103
[5]Duval-Beaupere G,Legaye J (2004) Composante sagittale de la statique rachidienne.Rev Rhum 71:105-119.
[6]Duval-Beaupere G,Schmidt C,Cosson P (1992) A Barycentremetric study of the sagittal shape of spine and pelvis:the conditions required for an economic standing position.Ann Biomed Eng 20:451-462.
[7]Roussouly P. The vertical projection of the sum of the ground reactive forces of a standing patient is not the same as the C7 plumb line:a radiographic study of the sagittal alignment of 153 asymptomatic volunteers. Spine (Phila Pa 1976). 2006 May 15;31(11):E320-5.
[8]Michael T. Hresko, MD, Hubert Labelle, MD, Pierre Roussouly, MD,and Eric Berthonnaud, PhD§ Classification of High-Grade Spondylolistheses Based on Pelvic Version and Spine Balance Possible Rationale for Reduction.SPINE Volume 32, Number 20, pp 2208-2213 (?)2007, Lippincott Williams & Wilkins, Inc.
[1]Abraham M, Sakhuja N, Sinha S, Rastogi S:Unilateral visual loss after cervical spine surgery. J Neurosurg Anesthesiol 15:319-322,2003.
[2]Auerbach AD, Goldman L:Beta-Blockers and reduction of cardiac events in noncardiac surgery:Clinical applications. JAMA 287:1445-1447,2002.
[3]Baron EM, Albert TJ:Medical complications of surgical treatment of adult spinal deformity and how to avoid them. Spine 31:S106-S118,2006.
[4]Benzel EC:Deformity prevention and correction:complex clinical strategies, in Biomechanics of Spine Stabilization. New York, American Association of Neurological Surgeons,2001, pp 375-410.
[5]Berven S, Bradford DS:Neuromuscular scoliosis:Causes of deformity and principles for evaluation and management. Semin Neurol 22:167-178,2002.
[6]Betz RR, Petrizzo AM, Kerner PJ, Falatyn SP, Clements DH, Huss GK:Allograft versus no graft with a posterior multisegmented hook system for the treatment of idiopathic scoliosis. Spine 31:121-127,2006.
[7]Bilsky M, Boachie-Adjei O, Shields CB, Baldwin NG:Thoracic and Lumbar Deformities, in Benzel EC (ed):Spine Surgery:Techniques, Complication Avoidance and Management. Philadelphia, Elsevier,2005, pp 796-823.
[8]Bridwell KH:Adult Deformity:Scoliosis and Sagittal Plane Deformities, in Vaccaro B, Zeidman (eds):Principles and Practice of Spine Surgery, St. Louis,Mosby,2003, pp 539-547.
[9]Bridwell KH:Selection of instrumentation and fusion levels for scoliosis:Where to start and where to stop. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:1-8,2004.
[10]Bridwell KH, Edwards CC 2nd, Lenke LG:The pros and cons to saving the L5-S1 motion segment in a long scoliosis fusion construct. Spine 28:S234-S242, 2003.
[11]Bridwell KH, Lenke LG, Baldus C, Blanke K:Major intraoperative neurological deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution. Spine 23:324-331,1998.
[12]Cheng MA, Sigurdson W, Tempelhoff R, Lauryssen C:Visual loss after spine surgery:A survey. Neurosurgery 46:625-631,2000.
[13]Clarke DM, Russell PA, Polglase AL, McKenzie DP:Psychiatric disturbance and acute stress responses in surgical patients. Aust N Z J Surg 67:115-118,1997.
[14]Coe JD, Warden KE, Herzig MA, McAfee PC:Influence of bone mineral density on the fixation of thoracolumbar implants. A comparative study of transpedicular screws, laminar hooks, and spinous process wires. Spine 15:902-907,1990.
[15]. Cook SD, Salkeld SL, Stanley T, Faciane A, Miller SD:Biomechanical study of pedicle screw fixation in severely osteoporotic bone. Spine J 4:402-408,2004.
[16]Deviren V, Berven S, Kleinstueck F, Antinnes J, Smith JA, Hu SS:Predictors of flexibility and pain patterns in thoracolumbar and lumbar idiopathic scoliosis.Spine 27:2346-2349,2002.
[17]DeWald CJ, Stanley T:Instrumentation-related complications of multilevel fusions for adult spinal deformity patients over age 65:Surgical considerations and treatment options in patients with poor bone quality. Spine 31:S144-S151, 2006.
[18]Dick J, Boachie-Adjei O, Wilson M:One-stage versus two-stage anterior and posterior spinal reconstruction in adults. Comparison of outcomes including nutritional status, complications rates, hospital costs, and other factors. Spine 17:S310-S316,1992.
[19]Dick JC, Zdeblick TA, Bartel BD, Kunz DN:Mechanical evaluation of crosslink designs in rigid pedicle screw systems. Spine 22:370-375,1997.
[20]. Dilger JA, Tetzlaff JE, Bell GR, Kosmorsky GS, Agnor RC, O'Hara JF Jr: Ischemic optic neuropathy after spinal fusion. Can J Anaesth 45:63-66,1998.
[21]Eck KR, Bridwell KH, Ungacta FF, Riew KD, Lapp MA, Lenke LG, Baldus C, Blanke K:Complications and results of long adult deformity fusions down to 14, 15, and the sacrum. Spine 26:E182-E192,2001.
[22]Edwards CC 2nd, Bridwell KH, Patel A, Rinella AS, Jung Kim Y, Berra AB,Della Rocca GJ, Lenke LG:Thoracolumbar deformity arthrodesis to L5 in adults:The fate of the L5-S1 disc. Spine 28:2122-2131,2003.
[23]Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR:Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682-688,2005.
[24]Grubb SA, Lipscomb HJ, Suh PB:Results of surgical treatment of painful adult scoliosis. Spine 19:1619-1627,1994.
[25]Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS 3rd, Cook SD:Effects of bone mineral density on pedicle screw fixation. Spine 19:2415-2420,1994.
[26]Heinemann DF:Osteoporosis. An overview of the National Osteoporosis Foundation clinical practice guide. Geriatrics 55:31-36; quiz 39,2000.
[27]Herkowitz HN, Kurz LT:Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. J Bone Joint Surg Am 73:802-808,1991.
[28]Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH:Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am 81:519-528,1999.
[29]. Hilibrand AS, Moore DC, Graziano GP:The role of pediculolaminar fixation in compromised pedicle bone. Spine 21:445-451,1996.
[30]Hu SS, Berven SH, Bradford DS:Adult Spinal Deformity, in Frymoyer JW,Wiesel SW (eds):The Adult and Pediatric Spine. Philadelphia, Lippincott Williams & Wilkins,2004, pp 465-477.
[31]Jackson RP, Simmons EH, Stripinis D:Coronal and sagittal plane spinal deformities correlating with back pain and pulmonary function in adult idiopathic scoliosis. Spine 14:1391-1397,1989.
[32]Kim YJ, Bridwell KH, Lenke LG, Rhim S, Cheh G:Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum:Prevalence and risk factor analysis of 144 cases. Spine 31:2329-2336,2006.
[33]Klein JD, Hey LA, Yu CS, Klein BB, Coufal FJ, Young EP, Marshall LF, Garfin SR:Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine 21:2676-2682,1996.
[34]Kostuik JP:Treatment of scoliosis in the adult thoracolumbar spine with special reference to fusion to the sacrum. Orthop Clin North Am 19:371-381,1988.
[35]Kostuik JP, Bentivoglio J:The incidence of low-back pain in adult scoliosis.Spine 6:268-273,1981.
[36]Kostuik JP, Hall BB:Spinal fusions to the sacrum in adults with scoliosis.Spine 8:489-500,1983.
[37]Kostuik JP, Israel J, Hall JE:Scoliosis surgery in adults. Clin Orthop Relat Res 93:225-234,1973.
[38]Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, Lenke LG:Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine 26:1976-1983,2001.
[39]Lane JM, Riley EH, Wirganowicz PZ:Osteoporosis:Diagnosis and treatment. Instr Course Lect 46:445-458,1997.
[40]Law M, Tencer AF, Anderson PA:Caudo-cephalad loading of pedicle screws:Mechanisms of loosening and methods of augmentation. Spine 18:2438-2443,1993.
[41]Lee AG:Ischemic optic neuropathy following lumbar spine surgery. Case report. J Neurosurg 83:348-349,1995.
[42]Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, Blanke K: Adolescent idiopathic scoliosis:Anew classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 83-A:1169-1181,2001.
[43]Lenke LG, Bridwell KH, Blanke K, Baldus C:Prospective analysis of nutritional status normalization after spinal reconstructive surgery. Spine 20:1359-1367, 1995.
[44]Lin JT, Lane JM:Osteoporosis:Areview. Clin Orthop Relat Res 425:126-134,2004.
[45]Luhmann SJ, Bridwell KH, Cheng I, Imamura T, Lenke LG, Schootman M:Use of bone morphogenetic protein-2 for adult spinal deformity. Spine 30:S110-S117, 2005.
[46]Mangano DT, Layug EL, Wallace A, Tateo I:Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. Multicenter Study of Perioperative Ischemia Research Group. N Engl J Med 335:1713-1720,1996.
[47]McDonnell MF, Glassman SD, Dimar JR 2nd, Puno RM, Johnson JR: Perioperative complications of anterior procedures on the spine. J Bone Joint Surg Am 78:839-847,1996.
[48]McKay B, Sandhu HS:Use of recombinant human bone morphogenetic protein-2 in spinal fusion applications. Spine 27:S66-S85,2002.
[49]Moitra VK, Meiler SE:The diabetic surgical patient. Curr Opin Anaesthesiol 19:339-345,2006.
[50]Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, Morgenstein-Wagner TB, Kellum JM Jr, Welling RE, Moore EE:Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg 216:172-183,1992.
[51]Murphy MA:Bilateral posterior ischemic optic neuropathy after lumbar spine surgery. Ophthalmology 110:1454-1457,2003.
[52]Myers MA, Hamilton SR, Bogosian AJ, Smith CH, Wagner TA:Visual loss as a complication of spine surgery. Areview of 37 cases. Spine 22:1325-1329,1997.
[53]Nachemson A:A long term follow-up study of non-treated scoliosis. Acta Orthop Scand 39:466-476,1968.
[54]Ozgur BM, Aryan HE, Pimenta L, Taylor WR:Extreme lateral interbody fusion (XLIF):A novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435-443,2006.
[55]Parker LM, Murrell SE, Boden SD, Horton WC:The outcome of posterolateral fusion in highly selected patients with discogenic low back pain. Spine 21:1909-1917,1996.
[56]Polly DW Jr, Klemme WR, Cunningham BW, Burnette JB, Haggerty CJ, Oda I: The biomechanical significance of anterior column support in a simulated single-level spinal fusion. J Spinal Disord 13:58-62,2000.
[57]Pradhan BB, Bae HW, Dawson EG, Patel VV, Delamarter RB:Graft resorption with the use of bone morphogenetic protein:Lessons from anterior lumbar interbody fusion using femoral ring allografts and recombinant human bone morphogenetic protein-2. Spine 31:E277-E284,2006.
[58]Rohmiller MT, Schwalm D, Glattes RC, Elalayli TG, Spengler DM:Evaluation of calcium sulfate paste for augmentation of lumbar pedicle screw pullout strength. Spine J 2:255-260,2002.
[59]Rosenberger PH, Jokl P, Ickovics J:Psychosocial factors and surgical outcomes:An evidence-based literature review. J Am Acad Orthop Surg 14:397-405,2006.
[60]Sarzier JS, Evans AJ, Cahill DW:Increased pedicle screw pullout strength with vertebroplasty augmentation in osteoporotic spines. J Neurosurg 96:309-312, 2002.
[61]Schwab F, Dubey A, Pagala M, Gamez L, Farcy JP:Adult scoliosis:A health assessment analysis by SF-36. Spine 28:602-606,2003.
[62]Schwab F, el-Fegoun AB, Gamez L, Goodman H, Farcy JP:A lumbar classification of scoliosis in the adult patient:Preliminary approach. Spine 30:1670-1673,2005.
[63]Schwab F, Farcy JP, Bridwell K, Berven S, Glassman S, Harrast J, Horton W:A clinical impact classification of scoliosis in the adult. Spine 31:2109-2114,2006.
[64]Schwab F, Lafage V, Farcy JP, Bridwell K, Glassman S, Ondra S, Lowe T,Shainline M:Surgical rates and operative outcome analysis in thoracolumbar and lumbar major adult scoliosis:Application of the new adult deformity classification. Spine 32:2723-2730,2007.
[65]Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy JP, Pagala M:Adult scoliosis: Aquantitative radiographic and clinical analysis. Spine 27:387-392,2002.
[66]Shen FH, Samartzis D, Khanna AJ, Anderson DG:Minimally invasive techniques for lumbar interbody fusions. Orthop Clin N Am 38:373-386; abstract ⅵ,2007.
[67]Simmons ED:Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis. Clin Orthop Relat Res 384:45-53,2001.
[68]Smetana GW:Preoperative pulmonary evaluation. N Engl J Med 340:937-944, 1999.
[69]Takahashi S, Delecrin J, Passuti N:Surgical treatment of idiopathic scoliosis in adults:An age-related analysis of outcome. Spine 27:1742-1748,2002.
[70]Tan JS, Kwon BK, Dvorak MF, Fisher CG, Oxland TR:Pedicle screw motion in the osteoporotic spine after augmentation with laminar hooks, sublaminar wires, or calcium phosphate cement:A comparative analysis. Spine 29:1723-1730, 2004.
[71]Taylor BA, Webb PJ, Hetreed M, Mulukutla RD, Farrell J:Delayed postoperative paraplegia with hypotension in adult revision scoliosis surgery. Spine 19:470-474,1994.
[72]Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C:Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine 31:303-308,2006.
[73]van Dam BE:Nonoperative treatment of adult scoliosis. Orthop Clin North Am 19:347-351,1988.
[74]Warner MA, Offord KP, Warner ME, Lennon RL, Conover MA, Jansson-Schumacher U:Role of preoperative cessation of smoking and other factorsin postoperative pulmonary complications:A blinded prospective study of coronary artery bypass patients. Mayo Clin Proc 64:609-616,1989.
[75]Weiss LE, Vaccaro AR, Scuderi G, McGuire M, Garfin SR:Pseudarthrosis after postoperative wound infection in the lumbar spine. J Spinal Disord 10:482-487, 1997.
[76]Deleted in proof.
[77]Williams EL:Postoperative blindness. Anesthesiol Clin North America 20:605-622,2002.
[78]Winter RB, Lonstein JE, Denis F:Pain patterns in adult scoliosis. Orthop Clin North Am 19:339-345,1988.
[79]Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, Spencer CW:Abiomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res 203:99-112,1986.