Clinical assessment of rigid cervical kyphosis and surgical approach selection / 中国矫形外科杂志

ABSTRACT

[Objective] To analyze clinical assessment and surgical treatment of rigid cervical kyphosis. [Methods]Thirty-nine cases of rigid kyphosis were retrospectively analyzed (13 cases of idiopathic kyphosis, 8 cases of kyphosis caused by laminectomy, 11 cases caused by old fractures, and 7 cases associated with cervical degenerative kyphosis). The preoperative JOA score was 9.71 ? 2.25, and kyphosis Cobb angles were 9 ?~72 ? (average 22.4 ?). All clinical evaluation had been done to patients and different surgical methods had been implied according to their different clinical manifestations and imaging features, including simple anterior surgery, the one-step anterior-posterior combined surgery, and the two-step of anterior-posterior combined surgery.[Results]The patients were followed up from12 to 36 months (average, 27 months).In the periods of intra-operation or post-operation,no major complication occurred. Neck pain disappeared and neural functions partially recovered postoperatively. Bone graft fusion was achieved.Postoperative JOA score was 14 ? 2.73 (and compared with preoperative t =-9.68 P