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Systematic Review of Reciprocal Changes after Spinal Reconstruction Surgery : Do Not Miss the Forest for the Trees
- Source :
- Journal of Korean Neurosurgical Society
- Publication Year :
- 2021
- Publisher :
- Korean Neurosurgical Society, 2021.
-
Abstract
- The purpose of this review was to synthesize the research on global spinal alignment and reciprocal changes following cervical or thoracolumbar reconstruction surgery. We carried out a search of PubMed, EMBASE, and Cochrane Library for studies through May 2020, and ultimately included 11 articles. The optimal goal of a truly balanced spine is to maintain the head over the femoral heads. When spinal imbalance occurs, the human body reacts through various compensatory mechanisms to maintain the head over the pelvis and to retain a horizontal gaze. Historically, deformity correction has focused on correcting scoliosis and preventing scoliotic curve progression. Following substantial correction of a spinal deformity, reciprocal changes take place in the flexible segments proximal and distal to the area of correction. Restoration of lumbar lordosis following surgery to correct a thoracolumbar deformity induces reciprocal changes in T1 slope, cervical lordosis, pelvic shift, and lower extremity parameters. Patients with cervical kyphosis exhibit different patterns of reciprocal changes depending on whether they have head-balanced or trunk-balanced kyphosis. These reciprocal changes should be considered to in order to prevent secondary spine disorders. We emphasize the importance of evaluating the global spinal alignment to assess postoperative changes.
- Subjects :
- Quality of life
medicine.medical_specialty
Cervical vertebrae
Kyphosis
Review Article
Scoliosis
Physical medicine and rehabilitation
Global spinal alignment
Deformity
medicine
Pelvis
Cervical kyphosis
business.industry
General Neuroscience
medicine.disease
Reciprocal change
Spine
medicine.anatomical_structure
Systematic review
Surgery
sense organs
Neurology (clinical)
Neurosurgery
medicine.symptom
business
Reciprocal
Subjects
Details
- ISSN :
- 15987876 and 20053711
- Volume :
- 64
- Database :
- OpenAIRE
- Journal :
- Journal of Korean Neurosurgical Society
- Accession number :
- edsair.doi.dedup.....4853626965a3afd09ed93fb78fec7985