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Sayf S. A. Faraj, Marinus De Kleuver, Alba Vila-Casademunt, Roderick M. Holewijn, Ibrahim Obeid, Emre Acaroğlu, Ahmet Alanay, Frank Kleinstück, Francisco S. Pérez-Grueso and Ferran Pellisé

of the disorder will undoubtedly lead to increased surgical interventions ( https://www.hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2014.jsp ); for this reason, the matter of identifying etiology, manifestations, and treatments is becoming even more urgent. By definition, ASD covers a broad spectrum of spine disorders that can occur during adulthood, including 1) de novo degenerative lumbar scoliosis (DNDLS), 2) an adult form of idiopathic scoliosis, and 3) fixed sagittal imbalance. 1 , 26 Depending on the type and severity of deformity, it may range from

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Christine M. E. Rustenburg, Sayf S. A. Faraj, Roderick M. Holewijn, Idsart Kingma, Barend J. van Royen, Agnita Stadhouder and Kaj S. Emanuel

A dult scoliosis is a 3D deformity of the lumbar spine and is defined by a deviation in the coronal plane of a greater than 10° Cobb angle. 1 Adult patients with scoliosis can be divided into two general groups: those with adult idiopathic scoliosis, originating during childhood, and those with de novo degenerative lumbar scoliosis, which develops de novo in mostly the 6th decade of life as a result of degenerative processes in the lower back, such as lumbar disc degeneration (DD). 1 , 44 , 45 , 52 While adult idiopathic scoliosis can lead to Cobb angles

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Catherine A. Miller, Kai-Ming Fu and Praveen V. Mummaneni

pain and disability of some patients may not be related solely to sagittal plane deformity. Identifying those patients who may not need an extensive reconstruction in the sagittal plane is of great interest in expanding treatment opportunities, including less-invasive options. Faraj et al. 2 present a study that evaluates the correlation between sagittal radiographic parameters and pretreatment patient-reported health-related quality of life (HRQOL) measures in patients with symptomatic de novo degenerative lumbar scoliosis (DNDLS). This is a retrospective analysis

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materials without written permission from JNSPG. 2013 Introduction The value of spine surgery is increasingly being scrutinized, both for Medicare and pre-Medicare patients. Most series of adult scoliosis outcomes focus on younger patients and do not distinguish de novo degenerative lumbar scoliosis (DLS) from adult idiopathic scoliosis (IS). A direct comparison of DLS vs. IS outcomes has not been done, to identify clinical and functional outcome differences over time. Methods: Prospectively collected data was analyzed on 121 consecutive adults age