Selection of Optimal Level of Distal Fixation for Correction of Scheuermann’s Hyperkyphosis

Distal Fusion Level Selection in Scheuermann’s Kyphosis: A Comparison of Lordotic Disc Segment Versus the Sagittal Stable Vertebrae

“… 1 Additionally, fusion at or below the SSV resulted in the maintenance of a greater lordotic disc angle at an average follow-up of more than 3 years. Previous studies on distal fusion levels for SK patients have reported rates of DJK as high as 50% 1 , 4 – 7 ; however, other studies have included anterior-posterior approaches, 4 – 7 , 9 non-pedicle screw instrumentation techniques, 4 – 6 , 9 postoperative cast immobilization, 5 LIVs proximal to the FLD, 6 mixed etiologies of hyperkyphosis, 4 , 7 and patients with less than 2 years of follow-up. 2 , 7 Our study reflects a homogeneous sample of SK patients who underwent posterior-only surgery, all-pedicle screw instrumentation at the LIV, fusion to the FLD or distally, and a minimum follow-up of 2 years.…”

“…Limitations of our study include small patient sample and retrospective design. Although only 44 patients were included, this is more than 4 , 7 , 9 or similar to 8 prior studies. Another weakness is our average follow-up of only 3.1 years.…”

Transverse Fracture of the Sacrum: A Rare Complication of Surgical Treatment for Spondylolisthesis

“…Другой, и не менее важный, принцип заключается в защите переходного сегмента, которая может быть осуществлена выбором оптимальных краниальной и каудальной точек фиксации [4,12], применением цементной аугментации концевых и смежных позвонков, использованием динамических и полуригидных фиксаторов на концах конструкции и в смежных сегментах [2,13].…”