Article

Outcomes after surgery for cervical spine deformity: review of the literature.

Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan 48109-5338, USA.
Neurosurgical FOCUS (impact factor: 2.87). 03/2010; 28(3):E14. DOI:10.3171/2010.1.FOCUS09272 pp.E14
Source: PubMed

ABSTRACT Symptomatic cervical kyphosis can result from a variety of causes. Symptoms can include pain, neurological deficits, and functional limitation due to loss of horizontal gaze.
The authors review the long-term functional and radiographic outcomes following surgery for symptomatic cervical kyphosis by performing a PubMed database literature search.
Fourteen retrospective studies involving a total of 399 patients were identified. Surgical intervention included ventral, dorsal, or circumferential approaches. Analysis of the degree of deformity correction and functional parameters demonstrated significant postsurgical improvement. Overall, patient satisfaction appeared high. Five studies reported mortality with rates ranging from 3.1 to 6.7%. Major medical complications after surgery were reported in 5 studies with rates ranging from 3.1 to 44.4%. The overall neurological complication rate was 13.5%.
Although complications are not insignificant, surgery appears to be an effective option when conservative measures fail to provide relief.

0 0
 · 
0 Bookmarks
 · 
43 Views
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

5 studies
 
causes
 
circumferential approaches
 
conservative measures
 
deformity correction
 
functional limitation
 
functional parameters
 
horizontal
 
long-term functional
 
neurological complication rate
 
neurological deficits
 
patient satisfaction
 
PubMed database literature search
 
radiographic outcomes
 
rates
 
retrospective studies
 
significant postsurgical improvement
 
Surgical intervention
 
Symptomatic cervical kyphosis