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Wheeless' Textbook of Orthopaedics

Cervical Kyphosis



- See:
      - Kyphosis Menu:
      - Post Traumatic Kyphosis:

- Treatment:
      - anterior corpectomy and strut-grafting;
              - preferred technique;
              - lateral borders of the vertebral body must   be preserved;
              - for two disc levels, iliac-crest strut graft is adequate;
              - for more than two levels, fibular strut graft is superior;
              - for defects longer than seven cm, vascularized fibular strut
                    graft may be advantageous;
      - kyphosis w/ spondylosis (posterior compression)
              - combined anterior and posterior decompression are indicated;
              - anterior corpectomy w/ fibular strut-grafting are recommended;
              - to decompress the cord adequately, trough should be at least 16 mm;
      - posterior decompression;
              - mentioned only to be condemned;
              - posterior decompression will not allow spinal cord migrate away
                    from anterior compressing structures in kyphotic position;
      - postoperative treatment:
              - postoperative use of halo immobilization will help prevent
                    - graft dislodgment;
                    - spinal malalignment;
                    - pseudarthrosis;



Cervical kyphosis and myelopathy. Treatment by anterior corpectomy and strut-grafting.

Cervical Kyphosis in patients who have Larsen syndrome.
      CE Johnson et al.   Vol 78-A. 1996. p 538-545.

The surgical treatment of congenital kyphosis: A review of 94 patients age 5 years or older with 2 years or more follow up in 77 patients.
      RB Winter et al.   Spine. Vol 10. 1985. p 224-231.

Cervical kyphosis and instability following multiple laminectomies in children.
      H. Cattel and G Clark Jr.   JBJS. Vol 49-A. 1967. p 713-720.




















Original Text by Clifford R. Wheeless, III, MD.