Cervical Spine Deformity-Part 1: Biomechanics, Radiographic Parameters, and Classification

Neurosurgery. 2017 Aug 1;81(2):197-203. doi: 10.1093/neuros/nyx249.

Abstract

Cervical spine deformities can have a significant negative impact on the quality of life by causing pain, myelopathy, radiculopathy, sensorimotor deficits, as well as inability to maintain horizontal gaze in severe cases. Many different surgical options exist for operative management of cervical spine deformities. However, selecting the correct approach that ensures the optimal clinical outcome can be challenging and is often controversial. We aim to provide an overview of cervical spine deformity in a 3-part series covering topics including the biomechanics, radiographic parameters, classification, treatment algorithms, surgical techniques, clinical outcome, and complication avoidance with a review of pertinent literature.

Keywords: Anterior osteotomy; Cervical kyphosis; Cervical lordosis; Cervical spine deformity; Osteotomies; Pedicle subtraction osteotomy; SVA; Smith-Petersen osteotomy; T1 slope; Total subaxial reconstruction.

Publication types

  • Review

MeSH terms

  • Cervical Vertebrae* / diagnostic imaging
  • Cervical Vertebrae* / pathology
  • Cervical Vertebrae* / physiopathology
  • Humans
  • Radiculopathy
  • Spinal Cord Diseases
  • Spinal Diseases*