Neurospine.  2019 Sep;16(3):470-482. 10.14245/ns.1938288.144.

Cervical Spine Deformity Correction Techniques

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

• KMID: 2463566
• DOI: http://doi.org/10.14245/ns.1938288.144

Abstract

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 the potential to halt progression of neurological and clinical deterioration and even restore function. There are various operative approaches and deformity correction techniques. Choosing the optimal strategy is predicated on a fundamental understanding of spine biomechanics. Preoperative characterization of cervical malalignment, assessment of deformity rigidity, and defining postoperative clinical and radiographic objectives are paramount to formulating a surgical plan that balances clinical benefit with morbidity. This review of cervical deformity treatment provides an overview of the biomechanics of cervical kyphosis, radiographic classification, algorithm-based management, surgical techniques, and current surgical outcome studies.

Keyword

Kyphosis; Osteotomy; Spinal fusion; Cervical spine; Cervical deformity; Corpectomy

MeSH Terms

Classification
Congenital Abnormalities*
Deglutition
Kyphosis
Neck Pain
Osteotomy
Outcome Assessment (Health Care)
Radiculopathy
Spinal Cord Diseases
Spinal Fusion
Spine*