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Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

Kyphosis


- See:
      - Cervical Kyphosis
      - Congenital Kyphosis:
      - Congenital Scoliosis:
      - Scheuermann's Kyphosis
      - Post Traumatic Kyphosis

- Post Traumatic Kyphosis:
     - kyphosis following burst fractures;
          - is especially common following thoracolumbar burst frx;
     - kyphosis from osteoporotic compression frx
          - treated non operatively;
          - surgical attempts at stabilization and correction deformities are marked by a high complication rate;

- Non Traumatic Adult Kyphosis:
    - may result from Scheurmann's disease, congenital kyphosis or AS, or as result of metabolic bone dz;
    - may be source of back pain in the adult, esp when present in thoracolumbar or lumbar spine;
    - treatment:
          - w/ failure of nonoperative management, posterior instrumentation & fusion of entire kyphoitic segment be indicated;
          - anterior fusion should be included in the procedure in curves not correcting to 55 deg or less on hyperextension lateral x-ray


Aortography in children with myelomeningocele and lumbar kyphosis.

Anterior stabilization, instrumentation, and decompression for post-traumatic kyphosis.

Vascularised rib grafts for stabilisation of kyphosis.

 Anterior strut grafting for the treatment of kyphosis.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, April 13, 2012 2:38 pm