Document Detail


Cervicothoracic kyphosis.
MedLine Citation:
PMID:  16876028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cervicothoracic kyphotic deformity may inhibit horizontal gaze function, impede activities of daily living, and induce disabling pain. Eventually, some patients develop a chin-on-chest deformity that limits their ability to eat and drink; in the end stage, a few patients also may have difficulty breathing. Progressive kyphosis can stretch the spinal cord leading to myelopathy with progressive lower extremity spasticity and weakness. Indications for surgery include myelopathy, pain, dysphagia or dyspnea owing to kyphosis, and difficulty maintaining a functional horizontal gaze. Patients with unstable cervicothoracic fractures also require surgical fixation. For these patients, surgical goals include deformity correction with restoration of an acceptable forward gaze, re-establishment of sagittal balance, decompression of the spinal cord (if myelopathic), and stable fixation.
Authors:
Praveen V Mummaneni; Harel Deutsch; Valli P Mummaneni
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgery clinics of North America     Volume:  17     ISSN:  1042-3680     ISO Abbreviation:  Neurosurg. Clin. N. Am.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-31     Completed Date:  2007-01-12     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9008004     Medline TA:  Neurosurg Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  277-87, vi     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University of California San Francisco, 513 Parnassus avenue, San Francisco, CA 94143-0410, USA. vmum@aol.com
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MeSH Terms
Descriptor/Qualifier:
Cervical Vertebrae*
Humans
Kyphosis / diagnosis,  etiology,  surgery*
Orthopedic Procedures / instrumentation*,  methods*
Osteotomy
Thoracic Vertebrae*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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