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- John K Birknes, Andrew P White, Todd J Albert, Christopher I Shaffrey, and James S Harrop.
- Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
- Neurosurgery. 2008 Sep 1; 63 (3 Suppl): 94-103.
ObjectiveTo review and define principles and features of treatment for adult degenerative scoliosis, the most common cause of adult spinal deformities.Study DesignWe conducted a comprehensive review of the literature and our clinical experience.MethodsA systematic review of Medline was conducted, including journal articles published in March 2007 and before. We searched for articles related to adult spinal deformities (scoliosis) and treatments.ConclusionDegenerative scoliosis is a complex disorder. The primary surgical aims are to decompress the neural elements, normalize both sagittal balance and coronal and rotational deformity, fixate to the sacrum/ilium when appropriate, and optimize conditions for osteogenesis and fusion.
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