Der Orthopäde

, Volume 47, Issue 6, pp 496–504 | Cite as

Adult cervical deformity: radiographic and osteotomy classifications

  • Bassel G. Diebo
  • Neil V. Shah
  • Maximillian Solow
  • Vincent Challier
  • Carl B. Paulino
  • Peter G. Passias
  • Renaud Lafage
  • Frank J. Schwab
  • Han Jo Kim
  • Virginie Lafage
Leitthema

Abstract

Cervical spine deformity represents a broad spectrum of pathologies that are both complex in etiology and debilitating towards quality of life for patients. Despite advances in the understanding of drivers and outcomes of cervical spine deformity, only one classification system and one system of nomenclature for osteotomy techniques currently exist. Moreover, there is a lack of standardization regarding the indications for each technique. This article reviews the adult cervical deformity (ACD) and current classification and nomenclature for osteotomy techniques, highlighting the need for further work to develop a unified approach for each case and improve communication amongst the spine community with respect to ACD.

Keywords

Cervical spine Review article Lordosis Classification Kyphosis 

Abbreviations

ACD

Adult cervical deformity

AS

Ankylosing spondylitis

CBVA

Chin-brow-to-vertical angle

CK

Cervical kyphosis

CL

Cervical lordosis

EQ-5D

EuroQuol-5Dimension questionnaire

mJOA

Modified Japanese Orthopaedic Association score

NDI

Neck disability index

PJK

Proximal junctional kyphosis

PRO

Patient-reported outcome

PSO

Pedicle subtraction osteotomy

ROM

Range of motion

SVA

Sagittal vertical axis

TK

Thoracic kyphosis

Deformitäten der Halswirbelsäule – Nomenklatur für den Release von Weichgewebe und Osteotomieverfahren

Zusammenfassung

Deformitäten der Halswirbelsäule (HWS) umfassen ein breites Spektrum an Pathologien, die sowohl komplex in ihrer Ätiologie sind als auch die Lebensqualität der Patienten belasten. Trotz der verbesserten Kenntnisse von Einflussfaktoren und Ergebnissen der HWS-Deformitäten existieren bisher nur ein einziges Klassifikationssystem und eine Nomenklatur für Osteotomieverfahren. Zudem fehlt eine Standardisierung bezüglich der Indikationsstellung zu den einzelnen Verfahren. Dieser Beitrag gibt eine Übersicht über die Deformitäten der Halswirbelsäule bei Erwachsenen („adult cervical deformity“, ACD) sowie die aktuellen Klassifikationen und Nomenklaturen für Osteotomieverfahren. Hierbei soll betont werden, dass es weiterer Arbeiten zur Entwicklung eines einheitlichen Verfahrens für einzelne Fälle sowie einer Verbesserung der Kommunikation in der Spine Community in Bezug auf ACD bedarf.

Schlüsselwörter

Halswirbelsäule Übersichtsartikel Lordose Klassifikation Kyphose 

Notes

Compliance with ethical guidelines

Conflict of interest

B.G. Diebo, N.V. Shah, M. Solow, V. Challier, C.B. Paulino, P.G. Passias, R. Lafage, V. Lafage, F.J. Schwab, and H.J. Kim declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Bassel G. Diebo
    • 1
  • Neil V. Shah
    • 1
  • Maximillian Solow
    • 2
  • Vincent Challier
    • 3
  • Carl B. Paulino
    • 1
  • Peter G. Passias
    • 4
  • Renaud Lafage
    • 5
  • Frank J. Schwab
    • 5
  • Han Jo Kim
    • 5
  • Virginie Lafage
    • 5
  1. 1.Department of Orthopaedic Surgery and Rehabilitation MedicineState University of New York (SUNY), Downstate Medical CenterBrooklynUSA
  2. 2.St. George’s University School of MedicineSt. George’sGrenada
  3. 3.Department of Orthopaedic SurgeryBordeaux Hospital University Center (CHU)BordeauxFrance
  4. 4.Department of Orthopaedic SurgeryNYU Medical Center-NYU Langone Orthopedic HospitalNew YorkUSA
  5. 5.Spine ServiceHospital for Special SurgeryNew YorkUSA

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