High rate of both scoliotic deformities in patients with syringomyelia (up to 74.4%) and syringomyelia in patients with scoliosis (up to 9.7%) explains the interest of specialists to the patients with combination of such diseases. The literature review covers the modern approaches to the diagnosis and treatment, the problems in determination of treatment tactics, particularly the priority of neurosurgical intervention and intervention for scoliosis correction.
High rate of both scoliotic deformities in patients with syringomyelia (up to 74.4%) and syringomyelia in patients with scoliosis (up to 9.7%) explains the interest of specialists to the patients with combination of such diseases. The literature review covers the modern approaches to the diagnosis and treatment, the problems in determination of treatment tactics, particularly the priority of neurosurgical intervention and intervention for scoliosis correction.
The purpose of the publication. Analysis of literature data concerning the state of the cervical spine in patients with Sheuerman's disease in the pre- and postoperative periods.
Literature data. The literature data do not make it possible to clearly delineate the boundaries of the norm when quantifying cervical lordosis. The only thing that all researchers agree on is that cervical lordosis should be considered discretely, namely, at levels C1-2 and C2-7. The most commonly used parameters of the cervical-thoracic junction are the slope of the Th1 vertebra, the thoracic inlet angle (TIA) and the position of the sagittal vertical axis (SVA).
The magnitude of cervical lordosis in Sheuermann's disease varies from 4 to 35 , i.e., an increase in thoracic kyphosis is not always accompanied by the development of compensatory cervical hyperlordosis. In thoracic deformities (the apex is at the level of T10 and cranial), the magnitude of cervical lordosis significantly exceeds that of thoracolumbar deformities (the apex is at the level of T11 and caudal). In the first case, cervical lordosis (C2-7) is 19.4-26.2, in the second 4.7-8.5.
Conclusion. The condition of the cervical spine in patients with severe forms of Sheuermann's disease, subject to surgical correction, has not been studied enough. This concerns the magnitude of cervical lordosis, its dynamics in the postoperative period, the relationship with the vertebral-pelvic parameters, as well as the interdependence of the parameters of the transitional cervical-thoracic region with the development of proximal transitional kyphoses. New research is needed.
Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.
Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.