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Cervical Spine Deformity

Indications, Considerations, and Surgical Outcomes

Cho, Samuel K., MD; Safir, Scott, MD; Lombardi, Joseph M., MD; Kim, Jun S., MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: June 15, 2019 - Volume 27 - Issue 12 - p e555–e567
doi: 10.5435/JAAOS-D-17-00546
Review Article
CME

Cervical spinal deformity (CSD) in adult patients is a relatively uncommon yet debilitating condition with diverse etiologies and clinical manifestations. Similar to thoracolumbar deformity, CSD can be broadly divided into scoliosis and kyphosis. Severe forms of CSD can lead to pain; neurologic deterioration, including myelopathy; and cervical spine–specific symptoms such as difficulty with horizontal gaze, dysphagia, and dyspnea. Recently, an increased interest is shown in systematically studying CSD with introduction of classification schemes and treatment algorithms. Both major and minor complications after surgical intervention have been analyzed and juxtaposed to patient-reported outcomes. An ongoing effort exists to better understand the relationship between cervical and thoracolumbar spinal alignment, most importantly in the sagittal plane.

From the Department of Orthopaedic Surgery (Dr. Cho and Dr. Kim), the Department of Vascular Surgery (Dr. Safir), Icahn School of Medicine at Mount Sinai, and the Department of Orthopaedic Surgery (Dr. Lombardi), Columbia University Medical Center, New York, NY.

Dr. Cho or an immediate family member serves as a paid consultant to Corentec, Globus Medical, Medtronic, and Zimmer Biomet; has received research or institutional support from Zimmer Biomet; and serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Association, the AOSpine North America, the Cervical Spine Research Society, the North American Spine Society, and the Scoliosis Research Society. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Safir, Dr. Lombardi, and Dr. Kim.

© 2019 by American Academy of Orthopaedic Surgeons
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