ArticleFrontiers in surgery2026
Independent predictors of clinical outcomes after surgical correction of degenerative lumbar scoliosis: a retrospective cohort study.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To identify the independent risk factors and predictive parameters for clinical outcomes in patients undergoing surgical intervention for degenerative lumbar scoliosis (DLS). Methods: A retrospective analysis was conducted on 134 patients with DLS who underwent posterior decompression and fusion. Clinical prognosis was evaluated using the Oswestry Disability Index (ODI). Patients were categorized into "better prognosis" and "poor prognosis" groups based on postoperative functional recovery. Potential risk factors-including patient demographics, surgical data, and radiographic/imaging parameters-were analyzed using multivariate analysis. Receiver operating characteristic (ROC) curves were utilized to determine optimal threshold values for predicting surgical efficacy. Results: One hundred and thirty-four patients with degenerative lumbar scoliosis who underwent posterior surgery were included in this study. The analysis showed that the subcutaneous fat tissue thickness (SFTT) Conclusions: Posterior decompression and fixed fusion significantly alleviate pain and enhance quality of life in patients with DLS. Adequate correction of kyphosis and sagittal balance is paramount for achieving optimal functional outcomes. Furthermore, our findings that SFTT, VBQ, and QCT are significantly associated with prognosis suggest that aggressive anti-osteoporosis treatment and early paraspinal muscle exercises may be beneficial for improving long-term surgical success. Future interventional studies are warranted to confirm this potential causal relationship.
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