Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Introduction Scheuermann's Kyphosis (SK), first described by Horgel Welfer Scheuermann in 1920, is a rigid spinal kyphosis usually involving the thoracic or thoracolumbar area ( 1 ). Albeit several theories, its etiology is still unknown ( 2
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-ray criteria CT/MRI criteria 1. Nene A, Bhojraj S 2005 4 2. Bhojraj S, Nene A 2002 5 Severe back pain, paraspinal muscle spasm, painfully restricted movements of the thoracolumbar spine and an ‘instability catch’ Kyphosis in dorsal > 40
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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( Fig. 2A ) concerning the treatment of vertebral fractures, there is sometimes loss of vertebral body height, instrumentation failure and local and posttraumatic segmental kyphosis, leading to functional and clinical consequences ( 7 , 8 , 9 , 10
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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neurological deficit is still controversial. 9 Unstable (> 50% loss of anterior vertebral height, > 20° angular deformity and contiguous fractures) thoracic compression and burst fractures could collapse into further kyphosis. 6 , 10 There is some
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scoliotic curve or when the fracture is at the apex of a kyphosis. Fig. 2 Positioning of the patient with two fluoroscopy machines for anteroposterior and lateral imaging. Fig. 3 Anteroposterior (AP) and lateral radiographs of a normal
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described a very similar technique in Scheuermann’s kyphosis cases. 2 Fig. 1 Smith-Petersen osteotomy. a) Spine from posterior view. The spinous process and facets of the upper vertebra are removed in addition to the superior facets of the inferior
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
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Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
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kyphosis, neuromuscular scoliosis, neurofibroma, mesenchymal disease, malnutrition, and metabolic disorders combined with spinal malformations ( 4 ). Non-structural misalignment of the spine is mainly caused by poor posture, uneven muscle distribution
Hospital del Trabajador, Santiago, Chile
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Hospital del Trabajador, Santiago, Chile
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Hospital Roberto del Río, Santiago, Chile
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regional (cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic incidence, pelvic tilt and sacral slope) and global (SVA [sacral vertical axis] and T1-pelvis angle), the relationship between them, the implication of physiological ageing of the VC on
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angles and by which technique. The manoeuvres usually used for scoliosis correction are rod de-rotation, vertebra-to-rod, and three-rod techniques, depending on the pathology of the patient. 1 If we talk about kyphosis, the cantilever manoeuvre is
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(due to vertebral fragility), which increases thoracic kyphosis (TK). 9 This shifts the gravity line forward, pushing the body anteriorly, 7 , 13 and a variety of compensatory mechanisms react gradually to maintain proper balance ( Fig. 1