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Surgical Impact On Global Sagittal Alignment And Health-Related Quality Of Life Following Cervical Kyphosis Correction Surgery: Systematic Review
C. Kim, Seung-Jae Hyun, K. Kim
Published 2020 · Medicine
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When spinal imbalance occurs, the human body reacts through various compensatory mechanisms to maintain the head over the pelvis and to retain a horizontal gaze. These compensations occur through mobile spine segments as well as pelvic tilt and lower extremities. The purpose of this review was to understand the surgical impact on global sagittal alignment and health-related quality of life (HRQoL) following cervical kyphosis correction surgery. The cervical kyphosis correction surgery induces reciprocal changes in craniocervical and thoracolumbar alignment. Successful cervical deformity correction needs to focus not only on restoring proper cervical lordosis, but also on achieving global balance of the cervical spine with other parts of the spine. The goal of the surgery is to achieve occiputtrunk (OT) concordance (the center of gravity-C7 sagittal vertical axis < 30 mm) and cervical sagittal balance. Once OT-concordance is achieved, subsequent thoracolumbar alignment changes occur as needed to harmonize global spinal alignment. Reciprocal changes after surgery exhibit different patterns depending on whether patients have compensation ability in their thoracolumbar spine or not. C2–7 sagittal vertical axis and sagittal morphotype of the cervical kyphosis are correlated with HRQoL. Changes in cervical lordosis minus T1 slope correlate to HRQoL improvements.
This paper references
Total Deformity Angular Ratio as a Risk Factor for Complications after Posterior Vertebral Column Resection Surgery
B. Lee (2018)
Recovery kinetics following spinal deformity correction: a comparison of isolated cervical, thoracolumbar, and combined deformity morphometries.
P. Passias (2019)
Scoliosis Research Society—Schwab Adult Spinal Deformity Classification: A Validation Study
Frank J. Schwab (2012)
Correlation of radiographic and clinical findings in spinal deformities.
M. Djurasovic (2007)
An algorithmic strategy for selecting a surgical approach in cervical deformity correction.
S. Hann (2014)
A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment
D. Lee (2016)
Correlation of Radiographic Parameters and Clinical Symptoms in Adult Scoliosis
S. Glassman (2005)
Reliability assessment of a novel cervical spine deformity classification system.
C. Ames (2015)
a minimum 5-year follow-up study
YJ Kim (1976)
Sagittal parameters of the spine: biomechanical approach
P. Roussouly (2011)
Cervical laminectomy and dentate ligament section for cervical spondylotic myelopathy.
E. Benzel (1991)
Cervical Spine Deformity Correction Techniques
A. B. Dru (2019)
The normal cervical lordosis.
A. G. Borden (1960)
Restoration of Sagittal Balance in Spinal Deformity Surgery
Melvin C. Makhni (2018)
Reciprocal changes in cervical spine alignment after corrective thoracolumbar deformity surgery
Yoon Ha (2013)
Bicortical Screw Purchase at Upper Instrumented Vertebra (UIV) Can Cause UIV Fracture After Adult Spinal Deformity Surgery: A Finite Element Analysis Study
Seong-Hyun Wui (2019)
Cervical spine alignment, sagittal deformity, and clinical implications: a review.
J. Scheer (2013)
Cervical Alignment Variations in Different Postures and Predictors of Normal Cervical Kyphosis: A New Understanding
H. W. Hey (2017)
CERVICAL DEFORMITY CORRECTION
M. Steinmetz (2007)
The Influence of Thoracic Inlet Alignment on the Craniocervical Sagittal Balance in Asymptomatic Adults
S. Lee (2012)
neurospine . org in the setting of sagittal spinal deformity : validation of chin - brow vertical angle , slope of line of sight , and mcgregor ’ s slope with health - related quality of life
Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery
Seung-Jae Hyun (2018)
Association of Myelopathy Scores With Cervical Sagittal Balance and Normalized Spinal Cord Volume: Analysis of 56 Preoperative Cases From the AOSpine North America Myelopathy Study
J. Smith (2013)
Scoliosis Research Society–Schwab Adult Spinal Deformity Classification: A Validation Study *
M. Bond (2018)
Association of myelopathy scores with cervical sagittal balance and normalized spinal cord volume: analysis of 56 preoperative cases from the AO-Spine North America Myelopathy study. Spine (Phila Pa
J S Smith (1976)
the setting of sagittal spinal deformity: validation of chinbrow vertical angle, slope of line of sight, and mcgregor' s slope with health-related quality of life
R Lafage (2016)
Modeling of the Sagittal Cervical Spine as a Method to Discriminate Hypolordosis: Results of Elliptical and Circular Modeling in 72 Asymptomatic Subjects, 52 Acute Neck Pain Subjects, and 70 Chronic Neck Pain Subjects
D. Harrison (2004)
Spontaneous improvement of cervical alignment after correction of global sagittal balance following pedicle subtraction osteotomy.
J. Smith (2012)
The Impact of Standing Regional Cervical Sagittal Alignment on Outcomes in Posterior Cervical Fusion Surgery.
Jessica A. Tang (2012)
Role and technique of eggshell osteotomies and vertebral column resections in the treatment of fixed sagittal imbalance.
O. Boachie-adjei (2006)
Results of Lumbar Pedicle Subtraction Osteotomies for Fixed Sagittal Imbalance: A Minimum 5-Year Follow-up Study
Y. Kim (2007)
Assessment of T1 Slope Minus Cervical Lordosis and C2-7 Sagittal Vertical Axis Criteria of a Cervical Spine Deformity Classification System Using Long-Term Follow-up Data After Multilevel Posterior Cervical Fusion Surgery.
Seung-Jae Hyun (2019)
Sagittal parameters of global cervical balance using EOS imaging: normative values from a prospective cohort of asymptomatic volunteers
J. C. L. Huec (2014)
Radiographic and Clinical Outcomes Following Pedicle Subtraction Osteotomy : Minimum 2-Year Follow-Up Data
Ho Yong Choi (2019)
Technique of cervicothoracic junction pedicle subtraction osteotomy for cervical sagittal imbalance: report of 11 cases.
V. Deviren (2011)
Impact of Cervical Sagittal Alignment Parameters on Neck Disability
S. Iyer (2016)
Intraoperative alignment goals for distinctive sagittal morphotypes of severe cervical deformity to achieve optimal improvements in health-related quality of life measures.
S. Virk (2020)
C. Waltz (1988)
How Cervical Reconstruction Surgery Affects Global Spinal Alignment
J. Mizutani (2019)
The Impact of Positive Sagittal Balance in Adult Spinal Deformity
S. Glassman (2005)
A new understanding.
Carrie Bellnoski (2004)
Significance of chin-brow vertical angle in correction of kyphotic deformity of ankylosing spondylitis patients.
K. Suk (2003)
Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms?
C. Barrey (2011)
Review of surgical correction of cervical kyphosis
Theodore J Steelman (2017)
Independent Correlation of the C1–2 Cobb Angle With Patient-Reported Outcomes After Correcting Chronic Atlantoaxial Instability
Zhimin Pan (2019)
Natural Head Posture in the Setting of Sagittal Spinal Deformity: Validation of Chin-Brow Vertical Angle, Slope of Line of Sight, and McGregor's Slope With Health-Related Quality of Life.
R. Lafage (2016)
How the neck affects the back: changes in regional cervical sagittal alignment correlate to HRQOL improvement in adult thoracolumbar deformity patients at 2-year follow-up.
T. Protopsaltis (2015)
Outcomes of surgical intervention for cervical spondylotic myelopathy accompanying local kyphosis (comparison between laminoplasty alone and posterior reconstruction surgery using the screw-rod system)
H. Miyamoto (2013)
The Relationship Between Improvements in Myelopathy and Sagittal Realignment in Cervical Deformity Surgery Outcomes
P. Passias (2018)
Effect of correction surgery for cervical kyphosis on compensatory mechanisms in overall spinopelvic sagittal alignment
H. Miyamoto (2017)
Frailty and Health-Related Quality of Life Improvement Following Adult Spinal Deformity Surgery.
D. Reid (2018)
Characterizing Adult Cervical Deformity and Disability Based on Existing Cervical and Adult Deformity Classification Schemes at Presentation and Following Correction
P. Passias (2018)
T1 Slope as a Predictor of Kyphotic Alignment Change After Laminoplasty in Patients With Cervical Myelopathy
Tae-Hwan Kim (2013)
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