PURPOSE: Surgery of @entity1635 was based upon coronal plane radiographical analysis using Cobb angle measurements, but recently it has been demonstrated that sagittal spinopelvic alignment plays a critical role in determining the final outcome. The aim of this paper is to compare the clinical and radiological results of 81 @entity1 affected by @entity1635 , treated with short or long fusions, and followed for 2-5  year follow-up. MATERIALS AND METHODS: 81 @entity1 affected by @entity179 managed by posterior-only surgery were retrospectively evaluated. Fifty-seven @entity1 underwent to a short fusion procedure, while 24 had a long fusion. Clinical and radiographic coronal and sagittal spinopelvic parameters were compared between the two groups. RESULTS: Coronal Cobb angle was 24   preoperatively and passed to 12   in the short fusion group, while changed from 45   to 10   in the long fusion group. Lumbar @entity1515 was 45   preoperatively and 60   at final follow-up in the short fusion group passed from 24   to 55   in the long fusion group. Sacral slope passed from 25   to 45   in the short fusion group, while from 10   to 40   in the long fusion group. Pelvic tilt passed from 24   to 13   in the short fusion group, and from 28   to 23   in the long fusion group. CONCLUSION: Surgical treatment of @entity179 improved balance and alignment of the spine, and also the coronal plane in terms of Cobb angle. These results were associated to a consistent clinical improvement and an acceptable rate of complications.

Long vs. short fusions for adult lumbar degenerative XXXX : does balance matters?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1515 :: ('MESH:D008141', 'Disease') :: ['lordosis'] @entity179 :: ('MESH:D019636', 'Disease') :: ['degenerative lumbar scoliosis'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['adult scoliosis']
@entity1635 :: (MESH:D012600,Disease) :: ['scoliosis']
