GLOBAL BALANCE IN ADULT SPINAL DEFORMITIES. A STUDY OF 60 CASES

ALINHAMENTO GLOBAL EM DEFORMIDADES DA COLUNA VERTEBRAL DO ADULTO. UM ESTUDO DE 60 CASOS

BALANCE GLOBAL EN LAS DEFORMIDADES ESPINALES DEL ADULTO. UN ESTUDIO DE 60 CASOS

ABSTRACT

Objectives:

Determine the most prevalent type of curve in our population, to quantify the radiographic parameters such as PT, IP, SS and compare the physical function according to ODI and SRS-22r.

Methods:

Retrospective, observational, longitudinal, single-center study, carried out from January 2010 to May 2015 at the Centro Médico ISSEMYM Ecatepec, Spine Surgery Service.

Results:

A total of 60 patients were obtained, 60% female, with curvatures according to SRS-Schwab, type T (28%), TL (46.6%), D (15%), N (10%), with a mean preoperative VAS of 7 for all curves and post-surgical 2 after 6 months. The SRS-22r preoperative test was 2.1 and postoperatively was 3.75, with p<0.001.

Conclusions:

Deformities of the adult spine are a growing disease in our country. The surgical management of deformities requires proper clinical and radiographic planning. Patients undergoing surgical treatment in our study showed curvature type TL and demonstrated significant improvement in ODI and SRS-22r.

Keywords:
Scoliosis; Classification SRS-schwab; Sagittal balance; Radiographic criteria.