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Cervical Kyphosis (Neuromuscular) Surgery Complication

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Spinal Deformity

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Abstract

Neuromuscular degenerative diseases such as Parkinson’s, cerebral palsy, and spinal muscular atrophy are often marked with progressive spinal deformities. The bent-forward or stooped posture seen in Parkinson’s disease is predominantly from increased thoracic kyphosis but can often be accompanied by cervical kyphosis. Management of spinal deformity is a challenge for all complex spine surgeons. Proper management begins with optimization of the primary neuromuscular disorder. Careful selection of surgical candidates is needed given the higher postoperative complications after spine surgery. The progressive nature of Parkinson’s is associated with the development of pseudarthrosis and recapitulation of the spinal deformity. Pseudarthrosis with progressive deformity is managed with revision of spinal hardware, often with extension of fusion to obtain a more rigid construct. Adjuncts to bony fusion in the way of bone morphogenetic protein, recombinant parathyroid hormone, or bone stimulators may be considered.

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Authors and Affiliations

  1. Department of Neurosurgery, University of Maryland, 22 S Greene St, S12D, Baltimore, MD, 21201, USA

    Salazar Jones & Charles Sansur

Authors
  1. Salazar Jones
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  2. Charles Sansur
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Correspondence to Charles Sansur .

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Editors and Affiliations

  1. Joan O’Reilly Endowed Professor in Spinal Surgery, Vice Chairman, Department of Neurosurgery, University of California, San Francisco, California, USA

    Praveen V. Mummaneni

  2. Professor, Director of Spinal Surgery, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA

    Paul Park

  3. University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Charles H. Crawford III

  4. Chief, Division of Spine Surgery, Associate Professor of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Adam S. Kanter

  5. Department of Orthopedic Surgery, University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Steven D. Glassman

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Jones, S., Sansur, C. (2018). Cervical Kyphosis (Neuromuscular) Surgery Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-60083-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60082-6

  • Online ISBN: 978-3-319-60083-3

  • eBook Packages: MedicineMedicine (R0)

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