![](/images/graphics-bg.png)
Acute Reciprocal Changes Distant from the Site of Spinal Osteotomies Affect Global Postoperative Alignment
Joint Authors
Smith, Justin S.
Hart, Robert A.
Akbarnia, Behrooz A.
Boachie, Oheneba
Lafage, Virginie
Schwab, Frank
Klineberg, Eric O.
Ames, Christopher
Hostin, Richard
Gupta, Munish C.
Burton, Douglas C.
Bess, Shay
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Three-column vertebral resections are frequently applied to correct sagittal malalignment; their effects on distant unfused levels need to be understood.
Methods.
134 consecutive adult PSO patients were included (29 thoracic, 105 lumbar).
Radiographic analysis included pre- and postoperative regional curvatures and pelvic parameters, with paired independent t-tests to evaluate changes.
Results.
A thoracic osteotomy with limited fusion leads to a correction of the kyphosis and to a spontaneous decrease of the unfused lumbar lordosis (−8°).
When the fusion was extended, the lumbar lordosis increased (+8°).
A lumbar osteotomy with limited fusion leads to a correction of the lumbar lordosis and to a spontaneous increase of the unfused thoracic kyphosis (+13°).
When the fusion was extended, the thoracic kyphosis increased by 6°.
Conclusion.
Data from this study suggest that lumbar and thoracic resection leads to reciprocal changes in unfused segments and requires consideration beyond focal corrections.
American Psychological Association (APA)
Klineberg, Eric O.& Schwab, Frank& Ames, Christopher& Hostin, Richard& Bess, Shay& Smith, Justin S.…[et al.]. 2011. Acute Reciprocal Changes Distant from the Site of Spinal Osteotomies Affect Global Postoperative Alignment. Advances in Orthopedics،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-470405
Modern Language Association (MLA)
Klineberg, Eric O.…[et al.]. Acute Reciprocal Changes Distant from the Site of Spinal Osteotomies Affect Global Postoperative Alignment. Advances in Orthopedics No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-470405
American Medical Association (AMA)
Klineberg, Eric O.& Schwab, Frank& Ames, Christopher& Hostin, Richard& Bess, Shay& Smith, Justin S.…[et al.]. Acute Reciprocal Changes Distant from the Site of Spinal Osteotomies Affect Global Postoperative Alignment. Advances in Orthopedics. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-470405
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470405