Sagittal Plane Correction in Fixed Cervical Deformity

Background Data: Fixed cervical deformities are devastating pathological entities that interfere with normal daily activities and may progress to leave patients bedbound. Purpose: To present early experience and outcome of managing fixed cervical deformities, and to explore the safety and efficacy...

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Autores principales:	Hazem Alkosha, Basem Awad, Nabil Ali
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	sagittal balance cervical deformity cervical kyphosis Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/358a4b6e0c8b4378a7344f3b09f78833
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spelling	oai:doaj.org-article:358a4b6e0c8b4378a7344f3b09f788332021-12-02T11:31:24ZSagittal Plane Correction in Fixed Cervical DeformityDOI:10.21608/ESJ.2016.40092314-89502314-8969https://doaj.org/article/358a4b6e0c8b4378a7344f3b09f788332016-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_4009.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Fixed cervical deformities are devastating pathological entities that interfere with normal daily activities and may progress to leave patients bedbound. Purpose: To present early experience and outcome of managing fixed cervical deformities, and to explore the safety and efficacy of the methods used. Study Design: A retrospective clinical case series that tracks subjects with fixed cervical deformities as regard presentation, treatment and outcome. Patients and Methods: Patient sample included those presented with kyphotic segmental deformities causing regional angular and translational deformities with presenting clinical picture related to the deformity. The patients were corrected by either anterior-only or combined approached, with assessment of outcome using radiological sagittal plane profile, neurological improvement (Nurick classification) and overall work capacity (Odom’s criteria). Results: Eleven patients (78.6%) underwent anterior-only, while 3 patients underwent combined approaches in posterior-anterior-posterior fashion. Perioperative complications were minor and managed conservatively. The mean correction in segmental kyphosis was 27.3±6.7 degrees, that of regional kyphosis was 29±12 degrees, while mean correction in cervical SVA was 22±12 mm. Lordotic curves were achieved in 68.5% of patients (the overall mean of postoperative C2-C7 angle=9±6.4o). The mean improvement in Nurick grades was 1.5 and the good (Odom grade 2) to excellent (Odom grade 3) outcome was reported by 10 (71%) of our patients. Conclusion: Sagittal plane-based correction of cervical fixed kyphosis is a safe and effective strategy that spinal surgeons should bear in mind in addition to the usual neural decompression target.Angular and translational should be both used in assessment as they may be no closely correlated. (2016ESJ114)Hazem AlkoshaBasem Awad Nabil AliEgyptian Spine Associationarticlesagittal balancecervical deformitycervical kyphosisNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 19, Iss 1, Pp 6-17 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	sagittal balance cervical deformity cervical kyphosis Neurology. Diseases of the nervous system RC346-429
spellingShingle	sagittal balance cervical deformity cervical kyphosis Neurology. Diseases of the nervous system RC346-429 Hazem Alkosha Basem Awad Nabil Ali Sagittal Plane Correction in Fixed Cervical Deformity
description	Background Data: Fixed cervical deformities are devastating pathological entities that interfere with normal daily activities and may progress to leave patients bedbound. Purpose: To present early experience and outcome of managing fixed cervical deformities, and to explore the safety and efficacy of the methods used. Study Design: A retrospective clinical case series that tracks subjects with fixed cervical deformities as regard presentation, treatment and outcome. Patients and Methods: Patient sample included those presented with kyphotic segmental deformities causing regional angular and translational deformities with presenting clinical picture related to the deformity. The patients were corrected by either anterior-only or combined approached, with assessment of outcome using radiological sagittal plane profile, neurological improvement (Nurick classification) and overall work capacity (Odom’s criteria). Results: Eleven patients (78.6%) underwent anterior-only, while 3 patients underwent combined approaches in posterior-anterior-posterior fashion. Perioperative complications were minor and managed conservatively. The mean correction in segmental kyphosis was 27.3±6.7 degrees, that of regional kyphosis was 29±12 degrees, while mean correction in cervical SVA was 22±12 mm. Lordotic curves were achieved in 68.5% of patients (the overall mean of postoperative C2-C7 angle=9±6.4o). The mean improvement in Nurick grades was 1.5 and the good (Odom grade 2) to excellent (Odom grade 3) outcome was reported by 10 (71%) of our patients. Conclusion: Sagittal plane-based correction of cervical fixed kyphosis is a safe and effective strategy that spinal surgeons should bear in mind in addition to the usual neural decompression target.Angular and translational should be both used in assessment as they may be no closely correlated. (2016ESJ114)
format	article
author	Hazem Alkosha Basem Awad Nabil Ali
author_facet	Hazem Alkosha Basem Awad Nabil Ali
author_sort	Hazem Alkosha
title	Sagittal Plane Correction in Fixed Cervical Deformity
title_short	Sagittal Plane Correction in Fixed Cervical Deformity
title_full	Sagittal Plane Correction in Fixed Cervical Deformity
title_fullStr	Sagittal Plane Correction in Fixed Cervical Deformity
title_full_unstemmed	Sagittal Plane Correction in Fixed Cervical Deformity
title_sort	sagittal plane correction in fixed cervical deformity
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/358a4b6e0c8b4378a7344f3b09f78833
work_keys_str_mv	AT hazemalkosha sagittalplanecorrectioninfixedcervicaldeformity AT basemawad sagittalplanecorrectioninfixedcervicaldeformity AT nabilali sagittalplanecorrectioninfixedcervicaldeformity
_version_	1718395869972135936

Sagittal Plane Correction in Fixed Cervical Deformity

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