• Francesc Malagelada, Joseph S Butler, Lylah Rajput, Alexios Iliadis, Reza Mansouri, Asif Saifuddin, and Alexander Gibson.
• Spinal Deformity Unit, Department of Spinal Surgery, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK. fmalagelada@gmail.com.
• Eur Spine J. 2016 Mar 1; 25 (3): 919-27.

PurposeOur purpose was to analyse the presentation, management and clinical outcome of patients treated operatively and non-operatively for Copenhagen Disease (CD).MethodsWe performed a retrospective analysis of 10 patients (n = 10) with CD, with a mean follow-up time of 14.7 years. Seven patients underwent non-operative treatment and three patients were treated operatively. Clinical presentation and radiological findings were analysed. Health-related quality of life (HRQOL) outcome measures utilized included Oswestry Disability Index (ODI), Short Form 12 Health Survey (SF-12) and visual analogue scale (VAS).ResultsPatients tended to present with back pain. No significant difference was detected in functional scores at time of diagnosis and when compared to last follow-up. ODI improved from 20.0 to 18.4 (p = 0.839), PCS component of SF-12 from 44.5 to 45.9 (p = 0.719), MCS component of SF-12 from 45.7 to 46.9 (p = 0.840) and VAS score remained at 2.8 (p = 1.000). There was no significant difference in functional scores when comparing operative and non-operative treatment groups.ConclusionCD is likely to remain stable with time or slightly improve after treatment according to functional outcomes tests. Progression of the kyphosis can be halted at different degrees with operative and non-operative treatments although it does not correlate with changes in symptomatology.

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