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Management of iatrogenic flat-back syndrome.

Publication ,  Journal Article
Wiggins, GC; Ondra, SL; Shaffrey, CI
Published in: Neurosurg Focus
September 15, 2003

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.

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Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

September 15, 2003

Volume

15

Issue

3

Start / End Page

E8

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Spinal Fusion
  • Spinal Curvatures
  • Reoperation
  • Radiography
  • Pseudarthrosis
  • Posture
  • Postoperative Complications
  • Osteotomy
  • Neurology & Neurosurgery
 

Citation

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Wiggins, G. C., Ondra, S. L., & Shaffrey, C. I. (2003). Management of iatrogenic flat-back syndrome. Neurosurg Focus, 15(3), E8. https://doi.org/10.3171/foc.2003.15.3.8
Wiggins, Gregory C., Stephen L. Ondra, and Christopher I. Shaffrey. “Management of iatrogenic flat-back syndrome.Neurosurg Focus 15, no. 3 (September 15, 2003): E8. https://doi.org/10.3171/foc.2003.15.3.8.
Wiggins GC, Ondra SL, Shaffrey CI. Management of iatrogenic flat-back syndrome. Neurosurg Focus. 2003 Sep 15;15(3):E8.
Wiggins, Gregory C., et al. “Management of iatrogenic flat-back syndrome.Neurosurg Focus, vol. 15, no. 3, Sept. 2003, p. E8. Pubmed, doi:10.3171/foc.2003.15.3.8.
Wiggins GC, Ondra SL, Shaffrey CI. Management of iatrogenic flat-back syndrome. Neurosurg Focus. 2003 Sep 15;15(3):E8.

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

September 15, 2003

Volume

15

Issue

3

Start / End Page

E8

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Spinal Fusion
  • Spinal Curvatures
  • Reoperation
  • Radiography
  • Pseudarthrosis
  • Posture
  • Postoperative Complications
  • Osteotomy
  • Neurology & Neurosurgery