Combining Minimally Invasive Techniques for Treating Multilevel Disease as Well as Adult Degenerative Scoliosis


With increasing life expectancy and the steadily increasing population of aging adults in the developed world, degenerative diseases are becoming increasingly common to the clinician. Knowing how to manage such conditions with optimal therapeutic benefit, minimal suffering, and minimal costs is necessary for the success of a health-care system. Degenerative disease of the spine in elderly patients is common. In 1.4–12% of the adult population, spinal column degeneration results in a condition known as adult degenerative scoliosis [1–3]. The average age of presentation is in the seventh decade of life, with progressive degeneration.


Pedicle Screw Adolescent Idiopathic Scoliosis Interbody Fusion Anterior Lumbar Interbody Fusion Degenerative Scoliosis 
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  1. 1.
    Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy JP, Pagala M. Adult scoliosis: a quantitative radiographic and clinical analysis. Spine. 2002 February 15;27(4):387–392.CrossRefPubMedGoogle Scholar
  2. 2.
    Aebi M. The adult scoliosis. Eur Spine J. 2005 December; 14(10):925–948.CrossRefPubMedGoogle Scholar
  3. 3.
    Daffner SD, Vaccaro AR. Adult degenerative lumbar scoliosis. Am J Orthop. 2003 February;32(2):77–82.PubMedGoogle Scholar
  4. 4.
    Gupta MC. Degenerative scoliosis. Options for surgical management. Orthop Clin No Am. 2003 April;34(2):269–279.CrossRefGoogle Scholar
  5. 5.
    Simmons ED. Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis. Clin Orthop Relat Res. 2001 March;(384):45–53.Google Scholar
  6. 6.
    Pritchett JW, Bortel DT. Degenerative symptomatic lumbar scoliosis. Spine. 1993 May;18(6):700–703.CrossRefPubMedGoogle Scholar
  7. 7.
    Simotas AC. Nonoperative treatment for lumbar spinal stenosis. Clin Orthop Relat Res. 2001 March;(384):153–161.Google Scholar
  8. 8.
    Papagelopoulos PJ, Petrou HG, Triantafyllidis PG, et al. Treatment of lumbosacral radicular pain with epidural steroid injections. Orthopedics. 2001 February;24(2):145–149.PubMedGoogle Scholar
  9. 9.
    Irwin ZN, Hilibrand A, Gustavel M, et al. Variation in surgical decision making for degenerative spinal disorders. Part I: lumbar spine. Spine. 2005 October 1;30(19):2208–2213.CrossRefPubMedGoogle Scholar
  10. 10.
    Pimenta L. Lateral endoscopic transpsoas retroperitoneal approach for lumbar spine surgery. Paper presented at: VIII Brazilian Spine Society Meeting; May 2001; Belo Horizonte, Minas Gerais, Brazil.Google Scholar
  11. 11.
    Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006 July–August; 6(4):435–443.CrossRefPubMedGoogle Scholar
  12. 12.
    Marotta N, Cosar M, Pimenta L, Khoo LT. A novel minimally invasive presacral approach and instrumentation technique for anterior L5-S1 intervertebral discectomy and fusion: technical description and case presentations. Neurosurg Focus. 2006 January 15;20(1):E9.CrossRefPubMedGoogle Scholar
  13. 13.
    Baker JK, Reardon PR, Reardon MJ, Heggeness MH. Vascular injury in anterior lumbar spine surgery. Spine. 1993;18:2227–2230.CrossRefPubMedGoogle Scholar
  14. 14.
    Regan JJ, McAfee PC, Guyer RD, Aronoff RJ. Laparoscopic fusion of the lumbar spine in a multicenter series of the first 34 consecutive patients. Surg Laparosc Endosc. 1996;6:459–468.CrossRefPubMedGoogle Scholar
  15. 15.
    Flynn JC, Price CT. Sexual complications of anterior fusion of the lumbar spine. Spine. 1984;9:489–492.CrossRefPubMedGoogle Scholar
  16. 16.
    Christensen FB, Bunger CE. Retrograde ejaculation after retroperitoneal lower lumbar interbody fusion. Int Orthop. 1997;21:176–180.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Director of Minimally Invasive Spine Surgery, Assistant Professor of Neurosurgery, Department of NeurosurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Neurosurgery Resident, Division of NeurosurgeryUniversity of California San Diego, UCSD Medical CenterSan DiegoUSA

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