Adult Spinal Deformity

Spinal deformity can have a major impact on patient quality of life, and is characterized by a deviation of greater than 10 degrees from norm. Patients presenting with this condition usually fall into one of five categories.

CONDITIONS EXPLAINEDAdult Spinal Deformity

CONDITIONS EXPLAINEDAdult Spinal Deformity

Spinal deformity can have a major impact on patient quality of life, and is characterized by a deviation of greater than 10 degrees from norm.

Patients presenting with this condition usually fall into one of five categories:

  • Existing deformities from childhood or adolescence that may have progressed.
  • Deformities resulting from trauma or wear and tear, as in patients with arthritis.
  • Poor bone quality, such as in osteoporosis.
  • A focal problem, like that of a single intervertebral disc, which over time can progress to much greater dysfunction of the vertebral column.
  • Past spine surgery and accelerated wear and tear.

Pain and disability are typically the primary issues on presentation, and are important to differentiate to reach a satisfactory level of therapy. Disability due to pain may be managed with medications to improve patient quality of life. Disabilities not related to pain but misalignment, however, may need to be specifically addressed to achieve patient care objectives.

https://mdashishpatel.com/wp-content/uploads/2021/02/adult-spinal-deformity.jpg

Spinal deformity can have a major impact on patient quality of life, and is characterized by a deviation of greater than 10 degrees from norm.

Patients presenting with this condition usually fall into one of five categories:

  • Existing deformities from childhood or adolescence that may have progressed.
  • Deformities resulting from trauma or wear and tear, as in patients with arthritis.
  • Poor bone quality, such as in osteoporosis.
  • A focal problem, like that of a single intervertebral disc, which over time can progress to much greater dysfunction of the vertebral column.
  • Past spine surgery and accelerated wear and tear.

Pain and disability are typically the primary issues on presentation, and are important to differentiate to reach a satisfactory level of therapy. Disability due to pain may be managed with medications to improve patient quality of life. Disabilities not related to pain but misalignment, however, may need to be specifically addressed to achieve patient care objectives.

https://mdashishpatel.com/wp-content/uploads/2021/02/adult-spinal-deformity.jpg

Experiencing Symptoms of Adult Spinal Deformity?

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Detection & Diagnosis

Adult spinal deformity is a complex condition that usually involves multiple points of failure over an extended period of time. As such, diagnosis may require multiple modes of imaging to provide a complete picture of the problem and its course of development. Many pathologies may be involved in the development of spinal deformities, making the diagnostic process much more involved than in other conditions of the spine. Imaging modalities may include:

X-Ray
Quick, safe, and effective, x-rays are routinely used for imaging bone anatomy.
MRI
Magnetic Resonance Imaging is a more sensitive imaging modality allowing for the evaluation of softer tissues such as the vertebral discs and ligaments.
CT Scan
Computed Tomography is related to x-ray, but computes a three-dimensional image from x-rays taken in rotary fashion.

OUTCOMESRelated
Treatments & Procedures

The goals of treatment in spinal deformity are a reduction of pain and restoration of function. The exact modalities will vary depending on the specific nature of a deformity. A combination of approaches may be necessary to achieve satisfactory results. These may include the use of specialized instrumentation, fusion procedures, as well as the adjustment or removal of spinal structures. Perhaps the most important prognostic factor for surgical success and patient recovery relates to the patient frailty index, which evaluates a patient’s physiological tolerance for the stresses of surgery. Even so, advances in technology and the developments of newer strategies is consistently improving outcomes as a whole.

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Anterior Lumbar Interbody Fusion

Anterior Lumbar Interbody Fusion (ALIF) is a procedure performed from the anterior to fuse vertebrae into a single structure. This technique is usually favored when..

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Artificial Disc Replacement

Artificial disc replacement is a procedure with the goal of removing a painful intervertebral disc and replacing it with a prosthetic one. Spinal fusion is much more commonly performed..

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Decompression (Laminectomy)

Decompression Lumbar Laminectomy is the most common surgical procedure performed for the correction of stenosis in the back. The surgeon will remove or trim the bony lamina and a thick ligament..

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