Abstract
De novo scoliosis is becoming one of the most prevalent findings in the aging spine, and this condition is associated not only with severe back or leg symptoms but also with complicated surgical outcomes. The most common surgery is a posterior spinal fusion with metal implants and bone graft (from the pelvis or the bone bank), with or without decompression of the nerve roots. Sometimes the surgery may need to be performed anteriorly (from the front of the spine) for better stability, correction, and healing. After 1 years of follow, up we presented a case report of a 74 year old man treated for De Novo Scoliosis with a spinal short posterior stabilization, TLIF and Cages.
Highlights
Scoliosis is a medical condition in which a person’s spinal axis has a three-dimensional deviation
Scoliosis can occur before skeletal maturity and persist over time or it can occur in adulthood
“De novo scoliosis” is due to disc degeneration, osteoporosis, and osteoarthritis of the facet joints.“Idiopathic scoliosis” represents temporal continuity of a spinal deformity, and is already present in prepuberty or adolescence. It normally becomes symptomatic with disc degeneration. The etiology of these conditions is different, they can coexist and overlap [2].The incidence of scoliosis in people over fifty years of age is 6 percent, and in patients over fifty years of age with osteoporosis or osteomalacia, the incidence is six times greater and there is a higher risk of health problems in adult life, decreased quality of life, cosmetic deformity and visible disability, pain and progressive functional limitations [3,20]
Summary
Scoliosis is a medical condition in which a person’s spinal axis has a three-dimensional deviation. “De novo scoliosis” is due to disc degeneration, osteoporosis, and osteoarthritis of the facet joints.“Idiopathic scoliosis” represents temporal continuity of a spinal deformity, and is already present in prepuberty or adolescence. It normally becomes symptomatic with disc degeneration. The etiology of these conditions is different, they can coexist and overlap [2].The incidence of scoliosis in people over fifty years of age is 6 percent, and in patients over fifty years of age with osteoporosis or osteomalacia, the incidence is six times greater and there is a higher risk of health problems in adult life, decreased quality of life, cosmetic deformity and visible disability, pain and progressive functional limitations [3,20]. We reported a case of de novo scoliosis treated with short stabilization technique and TLIF in accord with Harms and Jeszensky [4,5]
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