Proximal kyphosis after short posterior fusion for thoracolumbar scoliosis

Clinical Orthopaedics and Related Research
Shu-Hua Yang, Po-Quang Chen

Abstract

Thoracolumbar idiopathic scoliosis usually is treated by anterior spinal fusion. However, short posterior spinal fusion that includes only the structural curve has been tried in a limited number of patients. The fusion may end cranially in the lower thoracic region and cause an increase in sagittal decompensation at the proximal junction. From July 1989 to July 1998, 14 patients were treated with thoracolumbar idiopathic scoliosis by short posterior spinal fusion. The lateral radiographs were evaluated preoperatively, immediately postoperative, and during followup. The focal kyphotic angle was used to examine the changes in focal sagittal alignment. A 10 degrees progression was defined as the radiographic criterion for the development of junctional kyphosis. Proximal junctional kyphosis occurred in six of the 14 patients, in which one patient needed revision surgery. In all six patients, the average preoperative lumbar lordosis was greater than 35 degrees, and decreased more than 10 degrees during surgery. In the five patients with a focal kyphotic angle larger than 10 degrees, four had proximal junctional kyphosis develop. According to the current findings, short posterior spinal fusion can be done only if the focal kyphotic a...Continue Reading

References

Jul 23, 1999·Clinical Orthopaedics and Related Research·G Monney, A J Kaelin
Jul 25, 2000·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·H HalmU Liljenqvist

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Citations

May 31, 2012·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·Bergoin Maurice
Oct 16, 2012·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·Kyu-Jung ChoJae-Hoon Jung
Jan 5, 2013·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·Shaishav BhagatA S Rai
Feb 19, 2010·Indian Journal of Orthopaedics·Wiwat WajanavisitWichien Laohacharoensombat
Apr 24, 2013·World Journal of Orthopedics·Michael PapadakisFederico P Girardi
Jul 11, 2006·The Spine Journal : Official Journal of the North American Spine Society·Guy R FogelJohn W Brantigan
Oct 2, 2008·Neurosurgery·Jay JagannathanChristopher I Shaffrey
Feb 12, 2005·Spine·Timothy R KukloLawrence G Lenke
Mar 21, 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·Feng-Yu LiuWen-Yuan Ding
Nov 1, 2014·Spine Deformity·Ammar Al KhudairyRon El-Hawary
Nov 23, 2006·Pediatric Rehabilitation·Martha Hawes
Jun 28, 2016·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M YagiT Asazuma
Aug 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Benjamin K PotterTimothy R Kuklo
Nov 11, 2016·Spine·Syed Imraan AhmedUNKNOWN Harms Study Group
Jun 9, 2007·Neurosurgery Clinics of North America·Daniel C Lu, Dean Chou
Jun 9, 2007·Neurosurgery Clinics of North America·Shane Burch

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