Yetişkin skolyozu; yaşlı populasyonun önemli kısmını etkilemekte ve prevelansı artmaktadır. Bel ağrısı ve deformite yetişkin skolyozunda cerrahi için major endikasyonlardır. Hastalığın patoanatomisini ve davranışını anlamak tedavi sonuçlarını değiştirebilir. Tedavi yöntemi kararını verirken asıl şikayetin ve altta yatan hastalığın dikkatli olarak değerlendirilmesi sadece sikayetleri ortadan kaldırmayı değil komplikasyonlarıda azaltır. Hastadan hastaya farklılık gösteren, cerrahi seçeneğin ve füzyon seviyelerinin doğru seçilmesi kanıta dayalı yaklaşım gerektirir ve bu istenmeyen sonuçları azaltacaktır.
Adult scoliosis deformity afflicts a significant portion of the elderly and is increasing in prevalence. Back pain and deformity are major indications for surgery in adult scoliosis. Understanding the pathoanatomy and behavior of this disease would change the patient outcome. When selecting a treatment method, major symptoms and underlying medical disease should be carefully evaluated, not only to relieve symptoms but also to minimize complications. True decision of the surgical option and fusion levels that varies to patient needs evidence based approach. And this will decrease the unexpected results.
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Address: Site Mah. Cevahir Cad. Soyak Selale Evleri D-3 Blok Daire:4 Umraniye, Istanbul, Turkey
e-mail: [email protected]
Arrival date: 23th June, 2015.
Acceptance date: 14th September, 2015.