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Cervicothoracic kyphosis.

Praveen V Mummaneni1, Harel Deutsch, Valli P Mummaneni

  • 1Department of Neurosurgery, University of California San Francisco, 513 Parnassus avenue, San Francisco, CA 94143-0410, USA. vmum@aol.com

Neurosurgery Clinics of North America
|August 1, 2006
PubMed
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Cervicothoracic kyphotic deformity causes significant disability, including pain and limited function. Surgical intervention aims to correct the deformity, decompress the spinal cord, and restore sagittal balance for improved quality of life.

Area of Science:

  • Spine Surgery
  • Orthopedics
  • Neurology

Background:

  • Cervicothoracic kyphotic deformity significantly impacts daily living, causing pain and functional limitations.
  • Progressive deformity can lead to severe complications like chin-on-chest syndrome, respiratory distress, and spinal cord myelopathy.

Purpose of the Study:

  • To outline the indications for surgical intervention in patients with cervicothoracic kyphotic deformity.
  • To detail the surgical goals for correcting cervicothoracic kyphotic deformity and managing associated complications.

Main Methods:

  • Review of clinical presentations and surgical indications for cervicothoracic kyphotic deformity.
  • Analysis of surgical goals including deformity correction, spinal cord decompression, and stabilization.

Related Experiment Videos

Main Results:

  • Surgical indications encompass myelopathy, intractable pain, dysphagia, dyspnea, and functional gaze impairment.
  • Surgical goals focus on deformity correction, restoring horizontal gaze, achieving sagittal balance, and ensuring spinal stability.

Conclusions:

  • Surgical correction is indicated for cervicothoracic kyphotic deformity causing significant functional deficits and pain.
  • Effective surgical management addresses deformity, neurological compromise, and stability, aiming to improve patient function and quality of life.