caa a22 4500 445833742 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00586-010-1602-8 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1602-8 Surgical treatment of cervical kyphosis [Elektronische Daten] [Ke Han, Chang Lu, Jing Li, Guang-Zhong Xiong, Bing Wang, Guo-Hua Lv, You-Wen Deng] Cervical kyphosis is an uncommon but potentially debilitating and challenging condition. We reviewed the etiology, presentation, clinical and radiological evaluation, and treatment of cervical kyphosis. Based on the current controversy as to the ideal mode of surgical management, we paid particular attention to the available surgical strategies. There are three approaches for cervical kyphosis: the anterior, posterior or combined procedures. The principal indication for the posterior strategy is a flexible kyphosis or kyphosis caused by ankylosing spondylitis. The main point of debate is between the choice of the anterior or the combined strategy. The two strategies were compared with regard to clinical outcome, correction of deformity, rate of fusion, complications, revision surgery, and mortality. The combined strategy appears to result in a greater degree of correction than the anterior-alone strategy, and it is more likely to improve the cervical alignment to achieve a lordosis. However, the procedure carries a higher rate of postoperative neurological deterioration, complications, revision surgery, and mortality. Although the anterior-alone strategy achieves a smaller reduction of cervical kyphosis, it has a lower rate of postoperative neurological deterioration, complications, revision surgery, and mortality. We recommend that the surgical treatment of cervical kyphosis should be planned on an individual basis. A multicenter, prospective, randomized controlled study would be necessary to determine the ideal mode of treatment for complex cervical kyphosis. Springer-Verlag, 2010 Cervical kyphosis nationallicence Kyphotic deformity nationallicence Surgical treatment nationallicence Correction nationallicence Cervical spine nationallicence VB : Vertebral body nationallicence VBs : Vertebral bodies nationallicence PLK : Postlaminectomy kyphosis nationallicence CK : Cervical kyphosis nationallicence CKD : Cervical kyphotic deformity nationallicence Han Ke Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Lu Chang Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Li Jing Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Xiong Guang-Zhong Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Wang Bing Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Lv Guo-Hua Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut Deng You-Wen Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut European Spine Journal Springer-Verlag 20/4(2011-04-01), 523-536 0940-6719 20:4<523 2011 20 586 https://doi.org/10.1007/s00586-010-1602-8 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1602-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Han Ke Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Lu Chang Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Li Jing Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Xiong Guang-Zhong Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Wang Bing Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Lv Guo-Hua Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 700 1- Deng You-Wen Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Renmin Road 139#, 410011, Changsha, Hunan Province, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/4(2011-04-01), 523-536 0940-6719 20:4<523 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer