Revista de la Asociación Argentina de Ortopedia y Traumatología
versión On-line ISSN 1852-7434
VALACCO, Marcelo; GRUENBERG, Marcelo y SOLA, Carlos. Surgical treatment for adult scoliosis: Five-year follow-up. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2011, vol.76, n.4, pp. 281-287. ISSN 1852-7434.
Background: To assess patient outcomes after surgery for adult scoliosis using traditional radiographic parameters along with SRS outcomes' questionnaire. Methods: We conducted a prospective cohort study on a consecutive series of 88 patients older than 21, surgically treated for scoliosis at the Hospital Italiano de Buenos Aires. Records and radiographs were reviewed for all patients undergoing surgery for adult scoliosis between September 1993 and January 2007. Additionally, an SRS 22 questionnaire was administered to these patients at a minimum 2-year follow up assesment. Results:Of the 88 patients, 77 completed the clinical follow up. Eighty one percent were women, average age was 58, and average follow-up was five years. In 85% of the patients, surgery was indicated because of pain. The average preoperative major curve was 45°; and the average postoperative measurement was 20° for a correction of 57%. While 100% of the cases were treated through a posterior approach, 29% were anteroposterior. There were 54% complications. The SRS questionnaire was administered to 87.5% of the patients with an average rating of 3.8. Satisfaction with the results of surgery was reported at 83%. Conclusions: Surgery for adult scoliosis provides significant clinical and radiographic improvement and patient satisfaction, even after long term evaluation.
Palabras llave : Adults; Outcomes; Scoliosis; Surgery.