.: DERLEME
Classification of Spinal Deformities: Systematic Review (Without Meta-Analysis)
Spinal Deformitelerin Sınıflandırılması: Sistematik Derlemeler (Metaanaliz İçermeyen)
Turkiye Klinikleri J Med Sci. 2023;43(2):203-12
doi: 10.5336/medsci.2022-91854
Makale Dili: EN
Tam Metin
ABSTRACT
Understandably describe historical and current spinal deformity classifications. Spinal deformities can be divided into three main categories: congenital, idiopathic, and secondary spinal deformities. Secondary is by far the largest group. Congenital spinal deformities are generally seen in very early ages and may be accompanied by neural with systemic organ pathologies. Different classification systems are based on clinical and radiological symptoms since the etiology of adolescent spinal deformities is not known. On the other hand, different classification systems are based on clinical and radiological symptoms since the etiology of adolescent spinal deformities is not known. In addition to these two groups, degenerative spinal deformities in elder patients should be also considered. There is scoliosis, kyphosis, degenerative deformity, iatrogenic deformity and post traumatic deformity. Spondylolisthesis can be considered a deformity. King and Lenke are classifications for adolescent idiopathic scoliosis (AIS) and are designed to guide fusion levels for the treatment of AIS. The Lenke classification arose to address 2 issues. One was sagittal deformity and second was that with newer instrumentation techniques there were more treatment options. Schwab and Scoliosis Research Society classifications are classifications of adult spinal deformity. The key addition in these systems is the introduction of lumbar lordosis and pelvic parameters. This includes adult sequelae of AIS but also degenerative deformity.
Keywords: King classification; Lenke classification; Schwab classification; Scoliosis Research Society classification; spinal deformity
Understandably describe historical and current spinal deformity classifications. Spinal deformities can be divided into three main categories: congenital, idiopathic, and secondary spinal deformities. Secondary is by far the largest group. Congenital spinal deformities are generally seen in very early ages and may be accompanied by neural with systemic organ pathologies. Different classification systems are based on clinical and radiological symptoms since the etiology of adolescent spinal deformities is not known. On the other hand, different classification systems are based on clinical and radiological symptoms since the etiology of adolescent spinal deformities is not known. In addition to these two groups, degenerative spinal deformities in elder patients should be also considered. There is scoliosis, kyphosis, degenerative deformity, iatrogenic deformity and post traumatic deformity. Spondylolisthesis can be considered a deformity. King and Lenke are classifications for adolescent idiopathic scoliosis (AIS) and are designed to guide fusion levels for the treatment of AIS. The Lenke classification arose to address 2 issues. One was sagittal deformity and second was that with newer instrumentation techniques there were more treatment options. Schwab and Scoliosis Research Society classifications are classifications of adult spinal deformity. The key addition in these systems is the introduction of lumbar lordosis and pelvic parameters. This includes adult sequelae of AIS but also degenerative deformity.
Keywords: King classification; Lenke classification; Schwab classification; Scoliosis Research Society classification; spinal deformity
ÖZET
Tarihsel ve güncel omurga deformite sınıflandırmalarını anlaşılabilir şekilde tanımlamak. Omurga deformiteleri 3 ana kategoriye ayrılabilir; konjenital, idiyopatik ve sekonder spinal deformiteler. Sekonder açık farkla en büyük gruptur. Konjenital spinal deformiteler genellikle çok erken yaşlarda görülür ve nöral ile sistemik organ patolojileri eşlik edebilir. Adölesan spinal deformitelerin etiyolojisi bilinmediği için klinik ve radyolojik semptomlara göre farklı sınıflandırma sistemleri oluşturulmuştur. Öte yandan adölesan spinal deformitelerin etiyolojisi bilinmediği için klinik ve radyolojik semptomlara göre farklı sınıflandırma sistemleri oluşturulmuştur. Bu 2 gruba ek olarak yaşlı hastalarda dejeneratif omurga deformiteleri de düşünülmelidir. King ve Lenke, adölesan idiyopatik skolyoz için yaptıkları sınıflandırmayı, tedavide füzyon seviyelerine rehberlik etmek üzere tasarlanmışlardır. Lenke sınıflandırması sagittal deformiteyi ve daha yeni enstrümantasyon teknikleri ile daha fazla tedavi seçeneğini ele aldı. Schwab ve Skolyoz Araştırma Derneği sınıflandırmaları, erişkin omurga deformitesinin sınıflandırılmasıdır. Bu sistemlere anahtar ekleme lomber lordoz ve pelvik parametrelerin tanıtılmasıdır. Bu, AİS'nin erişkin sekellerini ve aynı zamanda dejeneratif deformiteyi içerir. Skolyoz, kifoz, dejeneratif deformite, iyatrojenik deformite ve travma sonrası deformite vardır. Spondilolistezis bir deformite olarak kabul edilebilir.
Anahtar Kelimeler: King sınıflaması; Lenke sınıflaması; Schwab sınıflaması; Skolyoz Araştırma Derneği sınıflaması; spinal deformite
Tarihsel ve güncel omurga deformite sınıflandırmalarını anlaşılabilir şekilde tanımlamak. Omurga deformiteleri 3 ana kategoriye ayrılabilir; konjenital, idiyopatik ve sekonder spinal deformiteler. Sekonder açık farkla en büyük gruptur. Konjenital spinal deformiteler genellikle çok erken yaşlarda görülür ve nöral ile sistemik organ patolojileri eşlik edebilir. Adölesan spinal deformitelerin etiyolojisi bilinmediği için klinik ve radyolojik semptomlara göre farklı sınıflandırma sistemleri oluşturulmuştur. Öte yandan adölesan spinal deformitelerin etiyolojisi bilinmediği için klinik ve radyolojik semptomlara göre farklı sınıflandırma sistemleri oluşturulmuştur. Bu 2 gruba ek olarak yaşlı hastalarda dejeneratif omurga deformiteleri de düşünülmelidir. King ve Lenke, adölesan idiyopatik skolyoz için yaptıkları sınıflandırmayı, tedavide füzyon seviyelerine rehberlik etmek üzere tasarlanmışlardır. Lenke sınıflandırması sagittal deformiteyi ve daha yeni enstrümantasyon teknikleri ile daha fazla tedavi seçeneğini ele aldı. Schwab ve Skolyoz Araştırma Derneği sınıflandırmaları, erişkin omurga deformitesinin sınıflandırılmasıdır. Bu sistemlere anahtar ekleme lomber lordoz ve pelvik parametrelerin tanıtılmasıdır. Bu, AİS'nin erişkin sekellerini ve aynı zamanda dejeneratif deformiteyi içerir. Skolyoz, kifoz, dejeneratif deformite, iyatrojenik deformite ve travma sonrası deformite vardır. Spondilolistezis bir deformite olarak kabul edilebilir.
Anahtar Kelimeler: King sınıflaması; Lenke sınıflaması; Schwab sınıflaması; Skolyoz Araştırma Derneği sınıflaması; spinal deformite
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