{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:31:05Z","timestamp":1789475465793,"version":"build-2803163510"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective case series of 32 elderly patients (\u226560 years) with degenerative lumbar scoliosis (Cobb angle 10\u00b0\u201330\u00b0) 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study includes 14 males and 18 females with a mean age of 68.5\u2009\u00b1\u20096.1 years. The average operative time is 99.26\u2009\u00b1\u200913.17\u2005min. VAS scores improved significantly from 7.4\u2009\u00b1\u20091.3 to 2.1\u2009\u00b1\u20090.7, and ODI from 55.0%\u2009\u00b1\u200910.2% to 15.8%\u2009\u00b1\u20095.0% at the final follow-up (both <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01).According to modified Macnab criteria, 93% of patients achieve excellent or good outcomes. Minor complications occur in 2 patients (6.25%) with no major neurological complications. Radiographic analysis shows no significant progression of scoliosis (Cobb angle: 15.4\u00b0\u2009\u00b1\u20096.2\u00b0 vs. 15.7\u00b0\u2009\u00b1\u20096.5\u00b0, <jats:italic>P<\/jats:italic>\u2009&amp;gt;\u20090.05) and no evidence of adjacent segment degeneration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1667811","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:37:00Z","timestamp":1761025020000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous endoscopic interlaminar decompression for degenerative scoliosis in the elderly: a safe and effective minimally invasive alternative"],"prefix":"10.3389","volume":"12","author":[{"given":"Bin","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panfeng","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiepeng","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiying","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e930","DOI":"10.3928\/01477447-20170606-02","article-title":"Adult degenerative lumbar scoliosis","volume":"40","author":"Wong","year":"2017","journal-title":"Orthopedics"},{"key":"B2","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1016\/j.spinee.2006.07.015","article-title":"Degenerative lumbar scoliosis associated with spinal stenosis","volume":"7","author":"Ploumis","year":"2007","journal-title":"Spine J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"3197","DOI":"10.1007\/s00264-024-06318-x","article-title":"Clinical outcomes of percutaneous transforaminal endoscopic decompression for the treatment of degenerative lumbar scoliosis associated with spinal stenosis in elderly individuals: a matched comparison study","volume":"48","author":"Fan","year":"2024","journal-title":"Int Orthop"},{"key":"B4","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1177\/21925682221098362","article-title":"Is indirect decompression and fusion more effective than direct decompression and fusion for treating degenerative lumbar spinal stenosis with instability? A systematic review and meta-analysis","author":"Gagliardi","year":"2023","journal-title":"Global Spine J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1186\/s13018-025-05466-z","article-title":"Efficacy and safety of long fusion versus short fusion in degenerative scoliosis: a systematic review and meta-analysis","volume":"20","author":"Zheng","year":"2025","journal-title":"J Orthop Surg Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"371","DOI":"10.4184\/asj.2014.8.3.371","article-title":"Surgical treatment of adult degenerative scoliosis","volume":"8","author":"Cho","year":"2014","journal-title":"Asian Spine J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"837","DOI":"10.7507\/1002-1892.201903114","article-title":"Effect of pre-existing adjacent segment degeneration on short-term effectiveness after lumbar fusion surgery","volume":"33","author":"Sun","year":"2019","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"B8","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.3171\/2010.1.FOCUS09271","article-title":"Adult degenerative scoliosis: evaluation and management","volume":"28","author":"Silva","year":"2010","journal-title":"Neurosurgical Focus FOC"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.1097\/BRS.0b013e318260d8e4","article-title":"Letters","volume":"37","author":"Sengupta","year":"2012","journal-title":"Spine"},{"key":"B10","doi-asserted-by":"publisher","first-page":"S169","DOI":"10.21037\/atm.2019.07.98","article-title":"Current techniques of endoscopic decompression in spine surgery","volume":"7","author":"Ahn","year":"2019","journal-title":"Ann Transl Med"},{"key":"B11","doi-asserted-by":"publisher","first-page":"3390","DOI":"10.3390\/jcm14103390","article-title":"Current trends and future directions in lumbar spine surgery: a review of emerging techniques and evolving management paradigms","volume":"14","author":"Galieri","year":"2025","journal-title":"J Clin Med"},{"key":"B12","doi-asserted-by":"publisher","first-page":"223","DOI":"10.21037\/jss.2019.03.06","article-title":"The prevalence of complications associated with lumbar and thoracic spinal deformity surgery in the elderly population: a meta-analysis","volume":"5","author":"Smith","year":"2019","journal-title":"J Spine Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"667","DOI":"10.3171\/2011.7.SPINE10640","article-title":"Morbidity and mortality after spinal deformity surgery in patients 75 years and older: complications and predictive factors","volume":"15","author":"Acosta","year":"2011","journal-title":"J Neurosurg Spine"},{"key":"B14","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1007\/s00264-018-4241-z","article-title":"Adjacent segment degeneration after fusion spinal surgery-a systematic review","volume":"43","author":"Hashimoto","year":"2019","journal-title":"Int Orthop"},{"key":"B15","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1177\/21925682221127955","article-title":"Decompression alone in the setting of adult degenerative lumbar scoliosis and stenosis: a systematic review and meta-analysis","volume":"13","author":"Echt","year":"2023","journal-title":"Global Spine J"},{"key":"B16","doi-asserted-by":"publisher","first-page":"2601232","DOI":"10.1155\/2018\/2601232","article-title":"Transforaminal percutaneous endoscopic lumbar decompression by using rigid bendable burr for lumbar lateral recess stenosis: technique and clinical outcome","volume":"2018","author":"Tang","year":"2018","journal-title":"Biomed Res Int"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1667811\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:37:01Z","timestamp":1761025021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1667811\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":16,"alternative-id":["10.3389\/fsurg.2025.1667811"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1667811","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]},"article-number":"1667811"}}