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2015 ; 55
(7
): 599-604
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Single-stage Anterior and Posterior Fusion Surgery for Correction of Cervical
Kyphotic Deformity Using Intervertebral Cages and Cervical Lateral Mass Screws:
Postoperative Changes in Total Spine Sagittal Alignment in Three Cases with a
Minimum Follow-up of Five Years
#MMPMID26119893
Ogihara S
; Kunogi J
Neurol Med Chir (Tokyo)
2015[]; 55
(7
): 599-604
PMID26119893
show ga
The surgical treatment of cervical kyphotic deformity remains challenging. As a
surgical method that is safer and avoids major complications, the authors present
a procedure of single-stage anterior and posterior fusion to correct cervical
kyphosis using anterior interbody fusion cages without plating, as illustrated by
three consecutive cases. Case 1 was a 78-year-old woman who presented with a
dropped head caused by degeneration of her cervical spine. Case 2 was a
54-year-old woman with athetoid cerebral palsy. She presented with cervical
myelopathy and cervical kyphosis. Case 3 was a 71-year-old woman with cervical
kyphotic deformity following a laminectomy. All three patients underwent anterior
release and interbody fusion with cages and posterior fusion with cervical
lateral mass screw (LMS) fixation. Postoperative radiographs showed that
correction of kyphosis was 39° in case 1, 43° in case 2, and 39° in case 3. In
all three cases, improvement of symptoms was established without major
perioperative complications, solid fusion was achieved, and no loss of correction
was observed at a minimum follow-up of 61 months. We also report that
preoperative total spine sagittal malalignment was improved after corrective
surgery for cervical kyphosis and was maintained at the latest follow-up in all
three cases. The combination of anterior fusion cages and LMS is considered a
safe and effective procedure in cases of severe cervical kyphotic deformity.
Preoperative total spine sagittal malalignment improved, accompanied by
correction of cervical kyphosis, and was maintained at last follow-up in all
three cases.