Circumferential fusion for severe post surgical cervical kyphosis

Cervical kyphosis-though a common occurrence after surgery and other conditions like trauma, infections, etc., is usually restricted to around 20-40°. It is more common in children. Angulations of more than 70-80° are exceedingly uncommon and present more treatment challenges. We discuss here the management of a 14-year-old child with a severe postoperative cervical kyphotic angulation of 92°. The child presented 10 months after surgery for a C3-C4 intramedullary cyst with neck deformity and near tetraplegic state. He underwent a combined anterior-posterior approach for correction after a trial of skull traction. Six months after the surgery, the child was ambulatory with almost total correction of the deformity. Surgical correction of postoperative cervical kyphosis usually involves a posterior approach for small angles and an anterior approach for larger angulations. The combined anterior-posterior approach is preferred for severe angulations or for those cases not correctable by a single approach. A purely posterior approach may be the only option for those cases where the anterior approach is impossible.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Circumferential fusion for severe post surgical cervical kyphosis ; volume:10 ; number:01 ; year:2015 ; pages:32-34
Asian journal of neurosurgery ; 10, Heft 01 (2015), 32-34

Contributor
Singh, Sunil
Srivastava, Chhitij
Ojha, Bal
Chandra, Anil

DOI
10.4103/1793-5482.151506
URN
urn:nbn:de:101:1-2022120110094688433019
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:30 AM CEST

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Associated

  • Singh, Sunil
  • Srivastava, Chhitij
  • Ojha, Bal
  • Chandra, Anil

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