Management of iatrogenic flat-back syndrome.

Journal Article (Journal Article;Review)

Iatrogenic loss of lordosis is now frequently recognized as a complication following placement of thoracolumbar instrumentation, especially with distraction instrumentation. Flat-back syndrome is characterized by forward inclination of the trunk, inability to stand upright, and back pain. Evaluation of the deformity should include a full-length lateral radiograph obtained with the patient's knees and hips fully extended. The most common cause of the deformity includes the use of distraction instrumentation in the lumbar spine and pseudarthrosis. Surgical treatment described in the literature includes opening (Smith-Petersen) osteotomy, polysegmental osteotomy, and closing wedge osteotomy. The authors will review the literature, cause, clinical presentation, prevention, and surgical management of flat-back syndrome.

Full Text

Duke Authors

Cited Authors

  • Wiggins, GC; Ondra, SL; Shaffrey, CI

Published Date

  • September 15, 2003

Published In

Volume / Issue

  • 15 / 3

Start / End Page

  • E8 -

PubMed ID

  • 15347226

Electronic International Standard Serial Number (EISSN)

  • 1092-0684

Digital Object Identifier (DOI)

  • 10.3171/foc.2003.15.3.8


  • eng

Conference Location

  • United States