The prevalence and radiological findings in 1347 elderly patients with scoliosis

J. Y. Hong, S. W. Suh, H. N. Modi, C. Y. Hur, H. R. Song, J. H. Park

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38 Citations (Scopus)

Abstract

In order to determine the epidemiology of adult scoliosis in the elderly and to analyse the radiological parameters and symptoms related to adult scoliosis, we carried out a prospective cross-sectional radiological study on 1347 adult volunteers. There were 615 men and 732 women with a mean age of 73.3 years (60 to 94), and a mean Cobb angle of 7.55° (SD 5.95). In our study, 478 subjects met the definition of scoliosis (Cobb angle ≥ 10° ) showing a prevalence of 35.5%. There was a significant difference in the epidemiological distribution and prevalence between the age and gender groups. The older adults showed a larger prevalence and more severe scoliosis, more prominent in women (p = 0.004). Women were more affected by adult scoliosis and showed more linear correlation with age (p < 0.001). Symptoms were more severe in those with scoliosis than in the normal group, but were similar between the mild, moderate and severe scoliosis groups (p = 0.224) and between men and women (p = 0.231). Adult scoliosis showed a significant relationship with lateral listhesis, vertebral rotation, lumbar hypolordosis, sagittal imbalance and a high level of the L4-5 disc (p < 0.0001, p < 0.0001, p = 0.002, p = 0.002, p < 0.0001 respectively). Lateral listhesis, lumbar hypolordosis and sagittal imbalance were related to symptoms (p < 0.0001, p = 0.001, p < 0.0001 respectively).

Original languageEnglish
Pages (from-to)980-983
Number of pages4
JournalJournal of Bone and Joint Surgery - Series B
Volume92
Issue number7
DOIs
Publication statusPublished - 2010 Jul

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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