Work

Percutaneous endoscopic interlaminar decompression for degenerative scoliosis in the elderly: a safe and effective minimally invasive alternative

Year: 2025

Type: article

Abstract: Background: Elderly patients with degenerative scoliosis combined with spinal stenosis present significant treatment challenges. Traditional open fusion surgery carries high risks and complications in this population. This study investigates the clinical efficacy and safety of Percutaneous Endoscopic Interlaminar Decompression (PEID) as a potential minimally invasive alternative. Methods: A retrospective case series of 32 elderly patients (≥60 years) with degenerative lumbar scoliosis (Cobb angle 10°-30°) undergo PEID between January 2022 and December 2023. All procedures are performed under general anesthesia without internal fixation. Clinical outcomes are assessed using Visual Analog Scale (VAS) for pain and Oswestry Disability Index (ODI) for functional status. Radiographic evaluation includes measurement of scoliosis Cobb angles and adjacent intervertebral height. Follow-up is conducted at 1 week, 1 month, and 1 year postoperatively. Results: > 0.05) and no evidence of adjacent segment degeneration. Conclusions: PEID provides effective symptom relief and functional improvement for elderly patients with degenerative scoliosis, while maintaining spine stability. This minimally invasive approach offers a safe alternative to traditional open surgery in carefully selected patients with moderate scoliosis and primarily compressive symptoms.

Source: Frontiers in Surgery

DOI: 10.3389/fsurg.2025.1667811

Authors: Bin Zheng, Panfeng Yu, Tiepeng Han, Haiying Liu, Yan Liang

Institution: Peking University People's Hospital

Language: English

Topic: Scoliosis diagnosis and treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801