Iatrogenic spinal deformity.

Published

Journal Article (Review)

Patients with postoperative spinal deformities are being identified with increasing frequency as the number of instrumented spinal operations increases. Thus, it is important for the neurosurgeon to understand ways to minimize postoperative deformity and to understand its operative and nonoperative management. A variety of intra- and postoperative risk factors have been associated with postoperative deformity, including patient age, operative positioning, preoperative medical condition, and the use of prior radiation therapy. The evaluation of all patients who have been suspected of iatrogenic deformity should include a detailed physical examination, plain x-rays, and computed tomographic or magnetic resonance imaging, depending on the condition. Conservative therapy includes physical therapy and pain control, which may be effective in some patients. However, patients with flat-back syndrome typically require reoperation. A wide variety of reoperative procedures may be performed, depending on the area of the pathological deformity, extent of disease, and patient condition.

Full Text

Duke Authors

Cited Authors

  • Jagannathan, J; Sansur, CA; Shaffrey, CI

Published Date

  • September 2008

Published In

Volume / Issue

  • 63 / 3 Suppl

Start / End Page

  • 104 - 116

PubMed ID

  • 18812912

Pubmed Central ID

  • 18812912

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/01.NEU.0000320386.08993.BE

Language

  • eng

Conference Location

  • United States