Can patients with sagittally well-compensated lumbar degenerative kyphosis benefit from surgical treatment for intractable back pain?

Neurosurgery

Volumn 64, Issue 1, 2009, Pages 115-121

  Jang, Jee Soo ^a   Lee, Sang Ho ^a   Kim, Jung Mok ^a   Min, Jun Hong ^a   Han, Kyung Mi ^a   Maeng, Dae Hyeon ^a  

^a Gimpo Airport Wooridul Spine Hospital   (South Korea)

Author keywords

Compensatory mechanism; Lumbar degenerative kyphosis; Sagittal balance

Indexed keywords

ADULT; AGED; ARTHRODESIS; ARTICLE; BACKACHE; CLINICAL ARTICLE; CLINICAL ASSESSMENT; CLINICAL FEATURE; CONTROLLED STUDY; FEMALE; FOLLOW UP; HUMAN; INTRACTABLE PAIN; KYPHOSIS; LEG PAIN; LORDOSIS; OUTCOME VARIABLE; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATION; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RATING SCALE; RETROSPECTIVE STUDY; SCORING SYSTEM; SPINE SURGERY; TREATMENT OUTCOME; X RAY ANALYSIS; BACK; BODY POSTURE; MIDDLE AGED; ORTHOPEDIC SURGERY; RADIOGRAPHY; X RAY;

AGED; BACK PAIN; FEMALE; HUMANS; KYPHOSIS; LUMBOSACRAL REGION; MIDDLE AGED; ORTHOPEDIC PROCEDURES; PAIN, INTRACTABLE; POSTURE; RETROSPECTIVE STUDIES; X-RAYS;

EID: 62449336272     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.NEU.0000335642.14527.26     Document Type: Article

References (31)

1. Bernhardt M, Bridwell KH: Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine 14:717-721, 1989.
2. Berven SH, Deviren V, Smith JA, Emami A, Hu SS, Bradford DS: Management of fixed sagittal plane deformity: Results of the transpedicular wedge resection osteotomy. Spine 26:2036-2043, 2001.
3. Booth KC, Bridwell KH, Lenke LG, Baldus CR, Blanke KM: Complications and predictive factors for the successful treatment of flat back deformity (fixed sagittal imbalance). Spine 24:1712-1720, 1999.
4. Cobb JR: Outline for the study of scoliosis. Am Acad Orthop Surg Instruct Course Lect 5:261-275, 1948.
5. Daltroy LH, Cats-Baril WL, Katz JN, Fossel AH, Liang MH: The North American spine society lumbar spine outcomes assessment: Reliability and validity tests. Spine 21:741-749, 1996.
6. de Jonge T, Illés T, Bellyei A: Surgical correction of Scheuermann's kyphosis. Int Orthop 25:70-73, 2001.
7. During J, Goudfrooij H, Keessen W, Beeker TW, Crowe A: Toward standards for posture: Postural characteristics of the lower back system in normal and pathologic conditions. Spine 10:83-87, 1985.
8. Fairbank J, Couper J, Davies J, O'Brien JP: The Oswestry low back pain disability questionnaire. Physiotherapy 66:271-273, 1980.
9. Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW: An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine 20:1351-1358, 1995.
10. Heinig CG: Eggshell procedure, in Luque ER (ed): Segmental Spinal Instrumentation. Thorofare, Slack, 1984, pp 221-234.
11. Hellsing E, Reigo T, McWilliam J, Spangfort E: Cervical and lumbar lordosis and thoracic kyphosis in 8, 11, and 15-year-old children. Eur J Orthod 9:129-138, 1987.
12. Hosman AJ, Langeloo DD, de Kleuver M, Anderson PG, Veth RP, Slot GH: Analysis of the sagittal plane after surgical management for Scheuermann's disease: A view on overcorrection and the use of an anterior release. Spine 27:167-175, 2002.
13. Jackson R P, McManus AC: Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex and size. A prospective controlled clinical study. Spine 19:1611-1618, 1994.
14. Jang JS, Lee SH, Min JH, Maeng DH: Changes in sagittal alignment after restoration of lower lumbar lordosis in patients with degenerative flat back syndrome. J Neurosurg Spine 7:387-392, 2007.
15. Jensen M P, Karoly P, O'Riordan EF, Bland F Jr, Burns RS: The subjective experience of actual pain. An assessment of the utility of 10 indices. Clin J Pain 5:153-159, 1989.
16. Kim YJ, Bridwell KH, Lenke LG, Rhim S, Cheh G: An analysis of sagittal spinal alignment following long adult lumbar instrumentation and fusion to L5 or S1: Can we predict ideal lumbar lordosis? Spine 31:2343-2352, 2006.
17. Kostuik JP, Maurais GR, Richardson WJ, Okajima Y: Combined single stage anterior and posterior osteotomy for correction of iatrogenic lumbar kyphosis. Spine 13:257-266, 1988.
18. Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, Ogilvie JW: Treatment of symptomatic flatback after spinal fusion. J Bone Joint Surg Am 70:569-580, 1988.
19. Lee CS, Lee CK, Kim YT, Hong YM, Yoo JH: Dynamic sagittal imbalance of the spine in degenerative flat back: Significance of pelvic tilt in surgical treatment. Spine 26:2029-2035, 2001.
20. Legaye J, Duval-Beaupère G, Hecquet J, Marty C: Pelvic incidence: A fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7:99-103, 1998.
21. Lowe TG, Kasten MD: An analysis of sagittal curves and balance after Cotrel-Dubousset instrumentation for kyphosis secondary to Scheuermann's disease. A review of 32 patients. Spine 19:1680-1685, 1994.
22. Marty C, Boisaubert B, Descamps H, Montigny J P, Hecquet J, Legaye J, Duval-Beaupère G: The sagittal anatomy of the sacrum among young adults, infants and spondylolisthesis patients. Eur Spine J 11:119-125, 2002.
23. Poolman RW, Been HD, Ubags LH: Clinical outcome and radiographic results after operative treatment of Scheuermann's disease. Eur Spine J 11:561-569, 2002.
24. Propst-Proctor SL, Bleck EE: Radiographic determination of lordosis and kyphosis in normal and scoliotic children. J Pediatr Orthop 3:344-346, 1983.
25. Shufflebarger HL, Clark CE: Effect of wide posterior release on correction in adolescent idiopathic scoliosis. J Pediatr Orthop B 7:117-123, 1998.
26. Shufflebarger HL, Grimm JO, Bui V, Thomson JD: Anterior and posterior spinal fusion. Staged versus same-day surgery. Spine 16:930-933, 1991.
27. Smith-Peterson MN, Larson CB, Aufranc OE: Osteotomy of the spine for the correction of deformity in rheumatoid arthritis. Clin Orthop Relat Res 66:6-9, 1969.
28. Takemitsu Y, Harada Y, Iwahara T, Miyamoto M, Miyatake Y: Lumbar degenerative kyphosis. Clinical, radiological and epidemiological studies. Spine 13:1317-1326, 1988.
29. Thomasen E: Vertebral osteotomy for correction of kyphosis in ankylosing spondylitis. Clin Orthop 194:142-152, 1985.
30. Vaz G, Roussouly P, Berthonnaud E, Dimnet J: Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J 11:80-87, 2002.
31. Voutsinas SA, MacEwen GD: Sagittal profiles of the spine. Clin Orthop Relat Res 210:235-242, 1986.