Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management

Hong Jin Kim; Jae Hyuk Yang; Dong Gune Chang; Se Il Suk; Seung Woo Suh; Kwang Sup Song; Jong Beom Park; Woojin Cho

doi:10.31616/ASJ.2020.0568

Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management

Hong Jin Kim
, Jae Hyuk Yang
, Dong Gune Chang^*
, Se Il Suk
, Seung Woo Suh
, Kwang Sup Song
, Jong Beom Park
, Woojin Cho

^*Corresponding author for this work

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

144 Citations (Scopus)

Abstract

Adult spinal deformity (ASD) is characterized by three-dimensional abnormalities of the thoracic or thoracolumbar spine that exerts significant impacts on the health-related quality of life (HRQoL). With the important effects that deformity of the sagittal plane exerts on the HRQoL, there have been paradigm shifts in ASD evaluation and management. Loss of lumbar lordosis is recognized as a key driver of ASD followed by reducing kyphosis, pelvic retroversion, and knee fexion. The Scoliosis Research Society (SRS)– Schwab classifcation refects the sagittal spinopelvic parameters that correlate pain and disability in ASD patients. Although the SRS–Schwab classifcation provides a realignment target framework for surgeons, a structured patient-specifc systemic approach is crucial for the process of decision-making. ASD management should be focused on restoring age-specifc harmonious alignment and should consider the comorbidities and risk factors of each patient to prevent catastrophic complications and enhance the HRQoL.

Original language	English
Pages (from-to)	886-897
Number of pages	12
Journal	Asian Spine Journal
Volume	14
Issue number	6
DOIs	https://doi.org/10.31616/ASJ.2020.0568
Publication status	Published - 2020

Bibliographical note

Publisher Copyright:
© 2020. by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. All Rights Reserved.

Keywords

Adult spinal deformity
Complications
Health-related quality of life
Sagittal imbalance
Surgical treatment

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management",

abstract = "Adult spinal deformity (ASD) is characterized by three-dimensional abnormalities of the thoracic or thoracolumbar spine that exerts significant impacts on the health-related quality of life (HRQoL). With the important effects that deformity of the sagittal plane exerts on the HRQoL, there have been paradigm shifts in ASD evaluation and management. Loss of lumbar lordosis is recognized as a key driver of ASD followed by reducing kyphosis, pelvic retroversion, and knee fexion. The Scoliosis Research Society (SRS)– Schwab classifcation refects the sagittal spinopelvic parameters that correlate pain and disability in ASD patients. Although the SRS–Schwab classifcation provides a realignment target framework for surgeons, a structured patient-specifc systemic approach is crucial for the process of decision-making. ASD management should be focused on restoring age-specifc harmonious alignment and should consider the comorbidities and risk factors of each patient to prevent catastrophic complications and enhance the HRQoL.",

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Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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