Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis
Abstract Background Osteotomies in the cervical spine are technically challenging. The purpose of this study was to evaluate the feasibility of the modified pedicle subtraction osteotomy (PSO) technique at C7 to be used for the treatment of cervicothoracic kyphosis secondary to ankylosing spondyliti...
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BMC
2020-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-020-3053-7 |
| _version_ | 1831523587216900096 |
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| author | Yichen Meng Jun Ma Lun Shu Jia Yin Rui Gao Ce Wang Xuhui Zhou |
| author_facet | Yichen Meng Jun Ma Lun Shu Jia Yin Rui Gao Ce Wang Xuhui Zhou |
| author_sort | Yichen Meng |
| collection | DOAJ |
| description | Abstract Background Osteotomies in the cervical spine are technically challenging. The purpose of this study was to evaluate the feasibility of the modified pedicle subtraction osteotomy (PSO) technique at C7 to be used for the treatment of cervicothoracic kyphosis secondary to ankylosing spondylitis. Methods A total of 120 cervical spine computed tomography (CT) scans (of 82 male and 38 female patients) were evaluated. The scans were taken parallel to the middle sagittal plane and the sagittal plane intersecting the pedicles. Simulated osteotomy was performed by setting the apex of the wedge osteotomy at different points, and morphologic measurements were obtained. Seven patients with cervicothoracic kyphosis who underwent a modified PSO at C7 between May 2009 and June 2015 were retrospectively evaluated. The mean follow up was 32.9 months (range 21–54 months). Preoperative and postoperative chin-brow vertical angle (CBVA), sagittal vertical axis (SVA) and sagittal Cobb angle of the cervical region were reviewed. The outcomes were analyzed through various measures, which included the 36-Item Short Form Health Survey (SF-36) and a visual analog scale for neck pain. Results In this morphometric study, a modified PSO was performed on 87 patients (59 male and 28 female) with a reasonable ratio of 72.5%. In the case series, radiographic parameters and health-related quality-of-life measures were found to show significant postoperative improvement in all patients. No major complications occurred, and no implant failures were noted until the latest follow up. Conclusions The modified PSO is a safe and valid alternative to the classic PSO, allowing for excellent correction of cervical kyphosis and improvement in health-related quality-of-life measures. |
| first_indexed | 2024-12-14T15:37:25Z |
| format | Article |
| id | doaj.art-08b86aecc7c941af95e93ef272028a99 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-14T15:37:25Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-08b86aecc7c941af95e93ef272028a992022-12-21T22:55:41ZengBMCBMC Musculoskeletal Disorders1471-24742020-01-012111810.1186/s12891-020-3053-7Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosisYichen Meng0Jun Ma1Lun Shu2Jia Yin3Rui Gao4Ce Wang5Xuhui Zhou6Department of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityDepartment of Orthopedics, Changzheng Hospital, Second Military Medical UniversityAbstract Background Osteotomies in the cervical spine are technically challenging. The purpose of this study was to evaluate the feasibility of the modified pedicle subtraction osteotomy (PSO) technique at C7 to be used for the treatment of cervicothoracic kyphosis secondary to ankylosing spondylitis. Methods A total of 120 cervical spine computed tomography (CT) scans (of 82 male and 38 female patients) were evaluated. The scans were taken parallel to the middle sagittal plane and the sagittal plane intersecting the pedicles. Simulated osteotomy was performed by setting the apex of the wedge osteotomy at different points, and morphologic measurements were obtained. Seven patients with cervicothoracic kyphosis who underwent a modified PSO at C7 between May 2009 and June 2015 were retrospectively evaluated. The mean follow up was 32.9 months (range 21–54 months). Preoperative and postoperative chin-brow vertical angle (CBVA), sagittal vertical axis (SVA) and sagittal Cobb angle of the cervical region were reviewed. The outcomes were analyzed through various measures, which included the 36-Item Short Form Health Survey (SF-36) and a visual analog scale for neck pain. Results In this morphometric study, a modified PSO was performed on 87 patients (59 male and 28 female) with a reasonable ratio of 72.5%. In the case series, radiographic parameters and health-related quality-of-life measures were found to show significant postoperative improvement in all patients. No major complications occurred, and no implant failures were noted until the latest follow up. Conclusions The modified PSO is a safe and valid alternative to the classic PSO, allowing for excellent correction of cervical kyphosis and improvement in health-related quality-of-life measures.https://doi.org/10.1186/s12891-020-3053-7Pedicle subtraction osteotomyCervicothoracic kyphosisMorphometric studyCase seriesAnkylosing spondylitis |
| spellingShingle | Yichen Meng Jun Ma Lun Shu Jia Yin Rui Gao Ce Wang Xuhui Zhou Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis BMC Musculoskeletal Disorders Pedicle subtraction osteotomy Cervicothoracic kyphosis Morphometric study Case series Ankylosing spondylitis |
| title | Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| title_full | Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| title_fullStr | Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| title_full_unstemmed | Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| title_short | Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| title_sort | modified c7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis |
| topic | Pedicle subtraction osteotomy Cervicothoracic kyphosis Morphometric study Case series Ankylosing spondylitis |
| url | https://doi.org/10.1186/s12891-020-3053-7 |
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