Cervical spine balance: postoperative radiologic changes in adult scoliosis surgery

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Louis BoissièreIbrahim Obeid

Abstract

Cervical spine alignment interests appeared recently and relationships between the pelvis and the cervical spine have been reported but remain unclear. In this study, postoperative changes for cranial, cervical, lumbar and sagittal balance parameters have been measured in adult scoliosis surgery without major sagittal malalignment to appreciate the adaptation of the cervical spine. Twenty-nine consecutive patients with a surgical adult degenerative scoliosis treated with a T8-T11 to iliac fusion without PSO or multiple Ponte's osteotomies had preoperative and postoperative full spine EOS radiographies to measure spino-pelvic parameters. Correlation analysis between the different parameters was performed. Lower cervical, lordosis, lumbar lordosis and thoracic kyphosis were increased in postoperative as no changes were observed for upper cervical lordosis. C1-C7 CL highly correlated (0.85 in preoperative and 0.87 in postoperative) with C7 slope, which highly correlated itself with global balance parameters (0.74 in preoperative and 0.71 in postoperative for CAM-PL) underlining the relationship between cervical spine alignment and global malalignment. Modifications of lower CL are observed, as upper CL remains constant. If no corr...Continue Reading

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Citations

Jan 27, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Dong-Ho LeeJae Hwan Cho
Nov 7, 2016·The Spine Journal : Official Journal of the North American Spine Society·Louis BoissièreUNKNOWN European Spine Study Group (ESSG)
Feb 6, 2018·Clinical Spine Surgery : a Spine Publication·Koji TamaiHiroaki Nakamura
Feb 13, 2020·British Journal of Neurosurgery·Il-Soo EunJung Sub Lee
Mar 25, 2020·Global Spine Journal·Ivan B YeSamuel K Cho
Nov 28, 2019·Journal of Craniovertebral Junction and Spine·Katherine E PiercePeter G Passias
Oct 7, 2020·Neurospine·Ibrahim ObeidAnouar Bourghli
Mar 31, 2021·Journal of Pediatric Orthopedics·Yonggang FanLei Xia

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European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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