Case Report
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World J Clin Cases. Jul 16, 2014; 2(7): 289-292
Published online Jul 16, 2014. doi: 10.12998/wjcc.v2.i7.289
360° fusion for realignment of high grade cervical kyphosis by one step surgery: Case report
Alessandro Landi, Nicola Marotta, Cristina Mancarella, Demo Eugenio Dugoni, Roberto Tarantino, Roberto Delfini
Alessandro Landi, Nicola Marotta, Cristina Mancarella, Demo Eugenio Dugoni, Roberto Tarantino, Roberto Delfini, Department of Neurology and Psychiatry, Division of Neurosurgery, University of Rome, Sapienza, 00100 Rome, Italy
Author contributions: All authors contributed to this work.
Correspondence to: Alessandro Landi, MD, PhD, Department of Neurology and Psychiatry, Division of Neurosurgery, University of Rome, Sapienza, Viale del Policlinico 155, 00100 Rome, Italy. dott.alessandro.landi@gmail.com
Telephone: +39-06-49979105 Fax: +39-06-49979113
Received: November 26, 2013
Revised: April 17, 2014
Accepted: May 16, 2014
Published online: July 16, 2014
Processing time: 236 Days and 4.3 Hours
Abstract

Surgical treatment for cervical kyphotic deformity is still controversial. Circumferential approach has been well described in the literature but long terms outcomes are not well reported. Important to decide the correct treatment option is the preoperative radiological exams to value the type of deformity (flexible or fixed). We report the case of a 67-year-old woman affected by a severe cervical kyphotic deformity who underwent combined anterior/posterior surgical approach, getting a good reduction of the deformity and an optimal stability in a long term follow up.

Keywords: Cervical deformity; High grade kyphosis; Circumferential fusion; Surgical technique; Degenerative cervical spine

Core tip: The choice of the treatment for cervical kyphotic deformity takes into account preoperative radiological exams which allow the classification of the deformity in flexible or fixed.