Clinical Outcome After Surgical Correction of Severe Scoliosis

Rhyu, Kee Won; Ha, Kee Yong

Abstract

PURPOSE
To determine the radiological, functional, and subjective outcome after stabilization in adult patients with severe scoliosis.
MATERIALS AND METHODS
Eighteen adult patients with severe scoliosis underwent surgical correction. The radiological outcome was assessed by coronal and sagittal Cobb's angle, apical vertebral translation, and trunk deviation. The functional outcome was assessed by physical ability, locomotion, activities of daily living, and use of both hands. The subjective outcome was assessed by cosmetic satisfaction and costo-pelvic pain.
RESULTS
Radiologically, mean correction of coronal curves were 28.7% in thoracic curves and 30.2% in lumbar. Average correction of sagittal curves were 29.4% and 16.8%, retrospectively. Mean correction of apical vertebral translation were 35% and 52.3%, retrospectively. Average correction of trunk deviation was 42.8%. In functional outcome, feeding ability and function of both extremities were improved significantly. 94.4% and 88.9% of patients were satisfactory significantly in cosmetic features and pain sensation.
CONCLUSIONS
In this series, the surgical correction and stabilization of adult severe scoliosis resulted in much improvement in balancing of the trunk, improving function of upper extremities, and subjective satisfaction in the aspect of costo-pelvic pain and cosmesis.