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Three Column Osteotomy for the Treatment of Rigid Cervical Deformity

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. Fortunately, surgical management and correction of cervical sagittal imbalance can offer signific...

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Autores principales: Lau, Darryl, Ames, Christopher P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Spinal Neurosurgery Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538345/
https://www.ncbi.nlm.nih.gov/pubmed/33022157
http://dx.doi.org/10.14245/ns.2040466.233
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author Lau, Darryl
Ames, Christopher P.
author_facet Lau, Darryl
Ames, Christopher P.
author_sort Lau, Darryl
collection PubMed
description 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. Fortunately, surgical management and correction of cervical sagittal imbalance can offer significant benefits and improvement in pain and disability. ACD is a heterogenous disease and specific surgical correction strategies should reflect deformity type (driver of deformity) and patient-related factors. Spinal rigidity is one of the most important considerations as soft tissue releases and osteotomies play a crucial role in cervical deformity correction. For ankylosed, fixed, and severe deformity, 3-column osteotomy (3CO) is often warranted. A 3CO can be done through combined anteriorposterior (vertebral body resection) and posterior-only approaches (open or closed wedge pedicle subtraction osteotomies [PSOs]). This article reviews the literature for currently published studies that report results on the use of 3CO for ACD, with a special concentration on posterior based 3CO (open and closed wedge PSO). More specifically, this review discusses the indications, radiographic corrective ability, and associated complications.
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spelling pubmed-75383452020-10-19 Three Column Osteotomy for the Treatment of Rigid Cervical Deformity Lau, Darryl Ames, Christopher P. Neurospine Review Article 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. Fortunately, surgical management and correction of cervical sagittal imbalance can offer significant benefits and improvement in pain and disability. ACD is a heterogenous disease and specific surgical correction strategies should reflect deformity type (driver of deformity) and patient-related factors. Spinal rigidity is one of the most important considerations as soft tissue releases and osteotomies play a crucial role in cervical deformity correction. For ankylosed, fixed, and severe deformity, 3-column osteotomy (3CO) is often warranted. A 3CO can be done through combined anteriorposterior (vertebral body resection) and posterior-only approaches (open or closed wedge pedicle subtraction osteotomies [PSOs]). This article reviews the literature for currently published studies that report results on the use of 3CO for ACD, with a special concentration on posterior based 3CO (open and closed wedge PSO). More specifically, this review discusses the indications, radiographic corrective ability, and associated complications. Korean Spinal Neurosurgery Society 2020-09 2020-09-30 /pmc/articles/PMC7538345/ /pubmed/33022157 http://dx.doi.org/10.14245/ns.2040466.233 Text en Copyright © 2020 by the Korean Spinal Neurosurgery Society This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Lau, Darryl
Ames, Christopher P.
Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title_full Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title_fullStr Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title_full_unstemmed Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title_short Three Column Osteotomy for the Treatment of Rigid Cervical Deformity
title_sort three column osteotomy for the treatment of rigid cervical deformity
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538345/
https://www.ncbi.nlm.nih.gov/pubmed/33022157
http://dx.doi.org/10.14245/ns.2040466.233
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