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Which Is More Predictive Value for Mechanical Complications: Fixed Thoracolumbar Alignment (T1 Pelvic Angle) Versus Dynamic Global Balance Parameter (Odontoid-Hip Axis Angle)

Kim KR, Le Huec JC, Jang HJ, Noh SH, Park JY, Ha Y, Kuh SU, Chin DK, Kim KS, Jin BH, Cho YE, Kim KH

Objective: In this study, we investigate about relationship between postoperative global sagittal imbalance and occurrence of mechanical complications after adult spinal deformity (ASD) surgery. In global sagittal balance parameters, odontoid-hip...
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Prioritization of Realignment Associated With Superior Clinical Outcomes for Cervical Deformity Patients

Pierce KE, Passias PG, Brown AE, Bortz CA, Alas H, Passfall L, Krol O, Kummer N, Lafage R, Chou D, Burton DC, Line B, Klineberg E, Hart R, Gum J, Daniels A, Hamilton K, Bess S, Protopsaltis T, Shaffrey C, Schwab FA, Smith JS, Lafage V, Ames C, on behalf of the International Spine Study Group (ISSG)

Objective: To prioritize the cervical parameter targets for alignment. Methods: Included: cervical deformity (CD) patients (C2–7 Cobb angle > 10°, cervical lordosis > 10°, cervical sagittal vertical axis [cSVA] > 4...
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Association of Spinal Alignment Correction With Patient-Reported Outcomes in Adult Cervical Deformity: Review of the Literature

Massaad E, Hadzipasic M, Kiapour A, Lak AM, Shankar G, Zaidi HA, Hershman SH, Shin JH

Objective: Adult cervical deformity (ACD) is a debilitating spinal condition that causes significant pain, neurologic dysfunction, and functional impairment. Surgery is often performed to correct cervical alignment, but the optimal...
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Cervical Deformity: Evaluation, Classification, and Surgical Planning

Sivaganesan A, Smith JS, Kim HJ

Cervical deformity is a challenging condition to treat and requires complex decision-making. Apart from a thorough history and physical examination, a thoughtful and quantitative analysis of multiple imaging modalities is...
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Vertebral Body Sliding Osteotomy for Cervical Myelopathy With Rigid Kyphosis

Lee DH, Park S, Lee WS, Byun CW, Seok SY, Cho JH, Hwang CJ, Lee CS, Lee HR

Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy...
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Cervical Deformity Arising From Upper Thoracic Malalignment

Obeid I, Boissiere L, Bourghli A

This study aims to describe the surgical management of cervical deformity arising from outside the cervical spine because of upper thoracic malalignment, using pedicle subtraction osteotomy (PSO). Cervical spine deformity...
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Complex Revision Surgery for Cervical Deformity or Implant Failure

Shimokawa N, Sato H, Matsumoto H, Takami T

Postoperative cervical deformity sometimes occurs in the short or long term after primary surgery for cervical disorders related to the degenerative aging spine, neoplastic etiologies, hemodialysis, infection, inflammation, trauma, etc....
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Three-Column Osteotomy for the Treatment of Rigid Cervical Deformity

Lau D, Ames CP

Adult cervical deformity (ACD) has been shown to have a substantial impact on quality of life and overall health, with moderate to severe deformities resulting in significant disability and dysfunction....
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Surgical Strategies for Cervical Deformities Associated With Neuromuscular Disorders

Lee JJ, Oh SH, Jeong YH, Park SM, Jeon HS, Kim HC, An SB, Shin DA, Yi S, Kim KN, Yoon DH, Shin JJ, Ha Y

Neuromuscular disorders (NMDs) are diseases involving the upper and lower motor neurons and muscles. In patients with NMDs, cervical spinal deformities are a very common issue; however, unlike thoracolumbar spinal...
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Cervical Sagittal Alignment: Literature Review and Future Directions

Lee SH, Hyun SJ, Jain A

Cervical alignment as a concept has come to the forefront for spine deformity research in the last decade. Studies on cervical sagittal alignment started from normative data, and expanded into...
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Analysis and Temporal Evolution of Extubation Parameters for Patients Undergoing Single-Stage Circumferential Cervical Spine Surgery

Fontes RB, Kerolus MG, Kochanski RB, Garg RK, DelaCruz A, Traynelis VC

Objective: Airway obstruction after postoperative extubation is a dreaded but uncommon complication in patients undergoing circumferential cervical spine surgery (CCSS). The cuff leak test (CLT) has been utilized to assess...
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Cervical Spine Deformity Correction Techniques

Dru AB, Lockney DT, Vaziri S, Decker M, Polifka AJ, Fox WC, Hoh DJ

Cervical kyphotic deformity can be a debilitating condition with symptoms ranging from mechanical neck pain, radiculopathy, and myelopathy to impaired swallowing and horizontal gaze. Surgical correction of cervical kyphosis has...
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Difference in Spinal Sagittal Alignment and Health-Related Quality of Life between Males and Females with Cervical Deformity

Oe S, Togawa D, Yoshida G, Hasegawa T, Yamato Y, Kobayashi , Yasuda T, Banno T, Mihara Y, Matsuyama

STUDY DESIGN: Large cohort study. PURPOSE: To clarify spinal sagittal alignment and health-related quality of life (HRQOL) according to sex in volunteers aged >50 years with cervical deformity (CD). OVERVIEW OF LITERATURE:...
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