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

@article{Etame2010OutcomesAS,
  title={Outcomes after surgery for cervical spine deformity: review of the literature.},
  author={Arnold B. Etame and Anthony C Wang and Khoi D. Than and Frank La Marca and Paul Park},
  journal={Neurosurgical focus},
  year={2010},
  volume={28 3},
  pages={
          E14
        }
}
  • A. Etame, Anthony C Wang, +2 authors P. Park
  • Published 2010
  • Medicine
  • Neurosurgical focus
OBJECT 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. METHODS The authors review the long-term functional and radiographic outcomes following surgery for symptomatic cervical kyphosis by performing a PubMed database literature search. RESULTS Fourteen retrospective studies involving a total of 399 patients were identified. Surgical intervention included ventral… 
Complications and Outcomes for Surgical Approaches to Cervical Kyphosis
TLDR
It is found that the ventral approach has reduced complications, similar degree of correction capability, and potentially higher improved neurological outcomes compared to the combined approach.
Prospective Multicenter Assessment of Early Complication Rates Associated With Adult Cervical Deformity Surgery in 78 Patients.
TLDR
Although the surgical approach(es) used were likely driven by the type and complexity of deformity, there were significantly higher complication rates associated with combined and posterior- only approaches compared with anterior-only approaches.
Outcomes of Operative Treatment for Adult Cervical Deformity: A Prospective Multicenter Assessment With 1-Year Follow-up
TLDR
Based on a prospective multicenter series of ACD patients, surgical treatment provided significant improvement in multiple measures of pain and function, including Neck Disability Index, neck pain numeric rating scale score, and EQ-5D one year following surgery.
Prospective Multicenter Assessment of All-Cause Mortality Following Surgery for Adult Cervical Deformity
TLDR
All-cause mortality at a mean of 1.2 yr following surgery for ACSD was 9.2% in this prospective multicenter series, and causes of death were reflective of the overall high level of comorbidities.
Association between preoperative cervical sagittal deformity and inferior outcomes at 2-year follow-up in patients with adult thoracolumbar deformity: analysis of 182 patients.
TLDR
This was the first study to assess the impact of concomitant preoperative cervical malalignment in adult patients with thoracolumbar deformity and results can help surgeons educate patients at risk for inferior outcomes and direct future research to identify an etiology and improve patient outcomes.
Does kyphosis in healed subaxial cervical spine tuberculosis equate to a poor functional outcome?
TLDR
Healing of subaxial cervical TB in kyphosis does not necessitate a poor clinical outcome as most patients remain asymptomatic.
Anterior osteotomy for rigid cervical deformity correction.
TLDR
The technical nuances of the anterior osteotomy will be summarized including patient selection, preoperative planning, and surgical technique to correct deformities in the coronal plane.
Iatrogenic Spinal Cord Injury Resulting From Cervical Spine Surgery
TLDR
Emergent imaging with magnetic resonance imaging or computed tomography myelography to evaluate for compressive etiology or malpositioned instrumentation and avoidance of hypotension should be performed in cases of intraoperative and postoperative spinal cord injury.
Sagittal alignment of the cervical spine: do we know enough for successful surgery?
TLDR
This review synthesises currently available evidence relating to the sagittal alignment of the cervical spine and concludes that further work is required to uncover the extent to which cervical spine alignment correction should be attempted toward improved patient outcomes, in order to plan and deliver patient-specific surgical realignment targets.
How Cervical Reconstruction Surgery Affects Global Spinal Alignment
TLDR
The primary goal of cervical reconstruction surgery is to achieve occiput-trunk concordance, and subsequent thoracolumbar alignment changes occur as needed to harmonize GSA.
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