Spine Surgery pp 473-479 | Cite as

Degenerative Lumbar Scoliosis

  • Sebastian HartmannEmail author
  • Anja Tschugg
  • Claudius Thomé


Treatment strategies for degenerative lumbar scoliosis (DLS) range from simple decompression of neural structures or decompression with limited fusion to invasive curve correction manoeuvres with extended fusion procedures. In general, the literature demonstrates that the surgical treatment of DLS patients seems to be superior to conservative care. Nevertheless, a high rate of complications based on some neurological and predominately mechanical failures has been reported.


  1. 1.
    Auerbach JD, Lenke LG, Bridwell KH, Sehn JK, Milby AH, Bumpass D, et al. Major complications and comparison between 3-column osteotomy techniques in 105 consecutive spinal deformity procedures. Spine (Phila Pa 1976). 2012;37(14):1198–210. Scholar
  2. 2.
    Berjano P, Lamartina C. Classification of degenerative segment disease in adults with deformity of the lumbar or thoracolumbar spine. Eur Spine J. 2014;23(9):1815–24. Scholar
  3. 3.
    Carter OD, Haynes SG. Prevalence rates for scoliosis in US adults: results from the first national health and nutrition examination survey. Int J Epidemiol. 1987;16(4):537–44.CrossRefGoogle Scholar
  4. 4.
    Charosky S, Guigui P, Blamoutier A, Roussouly P, Chopin D. Complications and risk factors of primary adult scoliosis surgery: a multicenter study of 306 patients. Spine (Phila Pa 1976). 2012;37(8):693–700. Scholar
  5. 5.
    Chin KR, Furey C, Bohlman HH. Risk of progression in de novo low-magnitude degenerative lumbar curves: natural history and literature review. Am J Orthop (Belle Mead NJ). 2009;38(8):404–9.Google Scholar
  6. 6.
    Faraj SSA, Haanstra TM, Martijn H, de Kleuver M, van Royen BJ. Functional outcome of non-surgical and surgical management for de novo degenerative lumbar scoliosis: a mean follow-up of 10 years. Scoliosis Spinal Disord. 2017;12:35. Scholar
  7. 7.
    Kebaish KM, Neubauer PR, Voros GD, Khoshnevisan MA, Skolasky RL. Scoliosis in adults aged forty years and older: prevalence and relationship to age, race, and gender. Spine (Phila Pa 1976). 2011;36(9):731–6. Scholar
  8. 8.
    Kobayashi T, Atsuta Y, Takemitsu M, Matsuno T, Takeda N. A prospective study of de novo scoliosis in a community based cohort. Spine (Phila Pa 1976). 2006;31(2):178–82.CrossRefGoogle Scholar
  9. 9.
    Le Huec JC, Leijssen P, Duarte M, Aunoble S. Thoracolumbar imbalance analysis for osteotomy planification using a new method: FBI technique. Eur Spine J. 2011;20(Suppl 5):669–80. Scholar
  10. 10.
    Rose PS, Bridwell KH, Lenke LG, Cronen GA, Mulconrey DS, Buchowski JM, et al. Role of pelvic incidence, thoracic kyphosis, and patient factors on sagittal plane correction following pedicle subtraction osteotomy. Spine (Phila Pa 1976). 2009;34(8):785–91. Scholar
  11. 11.
    Schwab F, Patel A, Ungar B, Farcy JP, Lafage V. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa 1976). 2010;35(25):2224–31. Scholar
  12. 12.
    Simon MJK, Halm HFH, Quante M. Perioperative complications after surgical treatment in degenerative adult de novo scoliosis. BMC Musculoskelet Disord. 2018;19(1):10. Scholar
  13. 13.
    Smith JS, Lafage V, Shaffrey CI, Schwab F, Lafage R, Hostin R, et al. Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensity-matched cohort assessment with minimum 2-year follow-up. Neurosurgery. 2016;78(6):851–61. Scholar
  14. 14.
    Transfeldt EE, Topp R, Mehbod AA, Winter RB. Surgical outcomes of decompression, decompression with limited fusion, and decompression with full curve fusion for degenerative scoliosis with radiculopathy. Spine (Phila Pa 1976). 2010;35(20):1872–5. Scholar
  15. 15.
    Wang G, Hu J, Liu X, Cao Y. Surgical treatments for degenerative lumbar scoliosis: a meta analysis. Eur Spine J. 2015;24(8):1792–9. Scholar
  16. 16.
    Watanuki A, Yamada H, Tsutsui S, En-Yo Y, Yoshida M, Yoshimura N. Radiographic features and risk of curve progression of de-novo degenerative lumbar scoliosis in the elderly: a 15-year follow-up study in a community-based cohort. J Orthop Sci. 2012;17(5):526–31. Scholar
  17. 17.
    Xu L, Sun X, Huang S, Zhu Z, Qiao J, Zhu F, et al. Degenerative lumbar scoliosis in chinese han population: prevalence and relationship to age, gender, bone mineral density, and body mass index. Eur Spine J. 2013;22(6):1326–31. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sebastian Hartmann
    • 1
    Email author
  • Anja Tschugg
    • 1
  • Claudius Thomé
    • 1
  1. 1.Department of NeurosurgeryMedical University InnsbruckInnsbruckAustria

Personalised recommendations