Abstract
Surgical strategies for degenerative thoracolumbar/lumbar spinal deformity in patients over 60 years of age were discussed in this article. Clinical outcomes of posterior spinal fusion (PSF) in 27 consecutive patients over 60 years of age were reviewed. The correction rate of scoliosis was significantly higher in PSF with intervertebral release (IVR) than in non-IVR. Whereas, bending correction index of kyphosis was significantly better in 3-column spinal osteotomy (3CO) than in non-3CO. Although PSF with IVR or 3CO is a major invasive procedure, rigid and imbalanced deformities in the elderly were effectively corrected without severe complications. Degenerative thoracolumbar/lumbar deformities can be classified into 4 particular patterns according to global balance and rigidity of the curve. Our recommended surgical strategies for each pattern of the deformity are demonstrated.
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