13,658 results match your criteria Kyphosis


Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review.

Medicina (Kaunas) 2022 May 24;58(6). Epub 2022 May 24.

Faculty of Sports Sciences, Department of Physiotherapy, Universidad Europea de Madrid, 28670 Madrid, Spain.

Osteoporotic hyperkyphosis is associated with adverse outcomes, such as fatigue, back pain, or reduced back extensor strength, with a negative impact on functionality and quality of life. The purpose of this review is to assess the effectiveness of spinal orthosis on these adverse effects. A systematic review following the PRISMA guidelines was performed. Read More

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Effects of manual therapy on body posture: Systematic review and meta-analysis.

Gait Posture 2022 Jun 18;96:280-294. Epub 2022 Jun 18.

Federal University of Espírito Santo, Brazil. Electronic address:

Background: Several clinical trials investigated the effectiveness of MT on body posture, but a systematic review grouping the results of these studies was not found in the literature.

Research Question: Does manual therapy (MT) cause postural changes?

Methods: Inclusion criteria were: randomized controlled trials in any population; studies in which the primary intervention was the use of any MT technique; studies that evaluated the immediate, short, medium, or long-term effects of interventions on body posture; and studies published in peer-reviewed scientific journals in any year and language. In March 2022, we conducted a search in the PUBMED, Cinahl, Embase, PEDro, and Cochrane Central databases that yielded 6627 articles, of which 38 including 1597 participants were eligible; of these, 35 could be grouped into 12 meta-analyses. Read More

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Systematic review and meta-analysis for the impact of rod materials and sizes in the surgical treatment of adolescent idiopathic scoliosis.

Spine Deform 2022 Jun 23. Epub 2022 Jun 23.

DePuy Synthes Spine, Johnson & Johnson Medical Devices, 325 Paramount Drive, Raynham, MA, 02767, USA.

Purpose: To assess surgical and safety outcomes associated with different rod materials and diameters in adolescent idiopathic scoliosis (AIS) surgery.

Methods: A systematic literature review and meta-analysis evaluated the surgical management of AIS patients using pedicle screw fixation systems (i.e. Read More

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Loss to long-term follow-up in children with spinal tuberculosis: a retrospective cohort study at a tertiary hospital in the Western Cape, South Africa.

Pan Afr Med J 2022 23;41:241. Epub 2022 Mar 23.

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Tygerberg, Cape Town, 7505, South Africa.

Introduction: children with spinal tuberculosis (TB) are at risk of kyphotic deformity both during and after the active phase of the disease. Management guidelines include follow-up until skeletal maturity. Little is known about adherence to this recommendation. Read More

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Distal adding-on after surgery in Lenke 5C adolescent idiopathic scoliosis: clinical and radiological outcomes.

BMC Musculoskelet Disord 2022 Jun 22;23(1):602. Epub 2022 Jun 22.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: To evaluate the incidence and risk factors of postoperative distal adding-on in patients with Lenke 5C adolescent idiopathic scoliosis (AIS). More accurate selection criteria for the lower instrumented vertebra (LIV) should be confirmed to prevent distal adding-on.

Methods: Forty-six patients with Lenke 5C AIS who underwent posterior fusion were enrolled in the study. Read More

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Comprehensive literature review on the prevalence of comorbid conditions in patients with achondroplasia.

Bone 2022 Jun 18:116472. Epub 2022 Jun 18.

BioMarin (UK) Limited, London, UK.

Background: Achondroplasia (ACH) is a rare, genetic condition and is the most common skeletal dysplasia resulting in disproportionate short stature and numerous multi-systemic comorbidities. As we enter an era of new treatment options which may impact comorbidities, it is important to understand the background rates of these events to aid evaluation of potential treatment effects. Thus, the aim of this literature review was to provide a comprehensive quantification of prevalence estimates of comorbidities in achondroplasia by age for use as a compiled reference to assist in quantifying the risk/benefit of new treatment options and informing timely management of ACH. Read More

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Two-Level Pedicle Subtraction Osteotomy in Lateral Position for an Ankylosing Spondylitis Patient With Severe Thoracolumbar Kyphosis and Hip Flexion Contracture: A Case Report.

Oper Neurosurg (Hagerstown) 2022 Jul 20;23(1):e72-e76. Epub 2022 Apr 20.

The Orthopedic Hospital, The First Affiliated Hospital of Nanchang University, Jiangxi, China.

Background And Importance: Spinal osteotomy and total hip replacement (THR) are the most common surgical interventions for ankylosing spondylitis (AS). It is recommended that patients with AS with severe thoracolumbar kyphotic deformity (TLKD) and flexed hips receive spinal osteotomy before THR to reduce the risk of hip prosthesis dislocation after THR. Standardly, spinal osteotomy is performed in the prone position; however, it is impractical to place patients with AS with kyphosis and closed hips in a prone position. Read More

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Failure of Conservatively Managed Traumatic Vertebral Compression Fractures: A Systematic Review.

World Neurosurg 2022 Jun 17. Epub 2022 Jun 17.

Department of Neurological Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, United States of America. (2500 MetroHealth Drive Cleveland, Ohio 44109). Electronic address:

Background: Most vertebral compression fractures (VCFs) are successfully managed conservatively, however, some patients fail conservative management and require further surgical treatment. Here, we identify significant variables that contribute to progressive vertebral collapse in non-operative treatment of traumatic VCFs.

Methods: A systematic review using PRISMA guidelines identified original research articles of conservatively managed VCF secondary to trauma from inception to September 2021. Read More

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Biomechanical analysis of laminectomy, laminoplasty, posterior decompression with instrumented fusion, and anterior decompression with fusion for the kyphotic cervical spine.

Int J Comput Assist Radiol Surg 2022 Jun 20. Epub 2022 Jun 20.

Engineering Center for Orthopaedic Research Excellence (E-CORE), Departments of Bioengineering and Orthopaedics, The University of Toledo, Toledo, OH, USA.

Purpose: Anterior and posterior decompressions for cervical myelopathy and radiculopathy may lead to clinical improvements. However, patients with kyphotic cervical alignment have sometimes shown poor clinical outcomes with posterior decompression. There is a lack on report of mechanical analysis of the decompression procedures for kyphotic cervical alignment. Read More

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Comparative Efficacy of Three Minimally Invasive Procedures for Kümmell's Disease: A Systematic Review and Network Meta-Analysis.

Front Surg 2022 1;9:893404. Epub 2022 Jun 1.

Department of Orthopedics, Linfen People's Hospital, Linfen, China.

Background: Percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and bone-filling mesh containers(BFC) are three viable minimally invasive techniques that have been used to treat Kümmell's disease(KD). However, there is still debate as to which is safer and more effective. This study summarized the pros and cons of the three techniques in the treatment of KD through network meta-analysis(NMA). Read More

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Efficacy and Safety of Posterior Long-Segment Fixation Versus Posterior Short-Segment Fixation for Kummell Disease: A Meta-Analysis.

Geriatr Orthop Surg Rehabil 2022 13;13:21514593221107509. Epub 2022 Jun 13.

Second Clinical Medical School,Zhejiang Chinese Medical University, Hangzhou, China.

Purpose: Posterior short-segment fixation (SSF) and long-segment fixation (LSF) are two methods for the treatment of Kummell disease, but the safety and effectiveness of these two surgical methods still lack adequate medical evidence. This study aimed to evaluate the two methods.

Methods: Database searches for randomized controlled trials, case-control studies, and cohort studies of posterior SSF and posterior LSF in the treatment of Kummell disease were performed. Read More

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Comparative efficacy of traditional conservative treatment and CT-guided local chemotherapy for mild spinal tuberculosis.

BMC Musculoskelet Disord 2022 Jun 18;23(1):589. Epub 2022 Jun 18.

Department of Orthopaedics, Zhoukou Orthopedic Hospital, Eastern Taihao Road, Zhoukou City, Henan Province, China.

Background: There are considerable differences in the treatment strategy for spinal tuberculosis, including conservative or surgical procedures. Conservative treatment is always suitable for most patients. This study aimed to compare the clinical efficacy of traditional conservative treatment with CT-guided local chemotherapy strategy of mild spinal tuberculosis. Read More

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Letter to the editor concerning "Does pelvic incidence tell us the risk of proximal junctional kyphosis in adult spinal deformity surgery?" by Buyuk AF, et al. (Eur Spine J [2022]: https://doi.org/10.1007/s00586-022-07214-x).

Eur Spine J 2022 Jun 18. Epub 2022 Jun 18.

Postgraduate Program in Physical Therapy (PhD Program), Programa de Pós-Graduação em Fisioterapia, Universidade Federal de São Carlos, Rod. Washington Luis, Km 235, São Carlos, SP, CEP 13565-905, Brazil.

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Comparison of three validated systems to analyse spinal shape and motion.

Sci Rep 2022 Jun 17;12(1):10222. Epub 2022 Jun 17.

Berlin Institute of Health, Julius Wolff Institute for Biomechanics and Musculoskeletal Regeneration, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

The assessment of spinal shape and mobility is of great importance for long-term therapy evaluation. As frequent radiation should be avoided, especially in children, non-invasive measurements have gained increasing importance. Their comparability between each other however stays elusive. Read More

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Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery.

Orthop Traumatol Surg Res 2022 Jun 14:103352. Epub 2022 Jun 14.

Department of Radiology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei Province, 050051, China.

Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationship between postoperative adding-on and spinal sagittal balance in patients with AIS.

Hypothesis: The hypothesis of this study was that the effect of surgery on AIS was associated with recovery of the spinal sagittal plane and that presence of postoperative adding-on might affect the spinal sagittal balance. Read More

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Kyphosis (humpy back) in growing pigs.

Vet Rec 2022 Jun;190(12):495-496

This focus article has been prepared by Jill Thomson of SRUC Veterinary Services and Paul Wood and Carola Daniel of the Royal (Dick) School of Veterinary Studies. Read More

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Definitive fusion for scoliosis in late juvenile cerebral palsy patients is durable at 5 years postoperatively.

Spine Deform 2022 Jun 17. Epub 2022 Jun 17.

Department of Orthopedics and Sports Medicine, Seattle Children's Hospital, M/S OA.9.120, 4800 Sandpoint Way NE, Seattle, WA, 98105, USA.

Purpose: Given the challenges associated with managing progressive scoliosis in patients with cerebral palsy (CP), the purpose of this study was to evaluate deformity correction and HRQOL 5 years post-spinal fusion in CP patients who were skeletally immature at the time of surgical correction.

Methods: CP patients who underwent definitive fusion before age 11 with minimum 5-years follow-up from a prospective, multicenter registry were included. Preoperative, initial postoperative, and 5-years radiographic data were collected. Read More

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Risk factors for proximal junctional kyphosis in adult spinal deformity after correction surgery: A systematic review and meta-analysis.

Acta Orthop Traumatol Turc 2022 May;56(3):158-165

Binzhou Medical University Hospital, Binzhou, Shandong, China.

Objective: This study aimed to conduct a systematic review and meta-analysis to assess the risk factors for proximal junctional kyphosis after the correction surgery of adult spinal deformity.

Methods: Relevant studies were systematically retrieved from databases including Cochrane Library, PubMed, and Embase. Based on inclusion and exclusion criteria, literature screening, quality evaluation, and data extraction were conducted. Read More

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Surgical Realignment After Anterior Multilevel Decompression Using Cages and Plate for 3-level to 5-level Degenerative Fusions: Lessons Learned From the Analysis of Geometric Changes, Reciprocal Coupling, and Prediction of Sagittal Cervical Balance.

Clin Spine Surg 2022 Jun 6. Epub 2022 Jun 6.

Spine Center, Werner-Wicker-Clinic, Bad Wildungen, Germany.

Study Design: Retrospective, single-center case study.

Objective: Postoperative cervical imbalance with cervical sagittal vertical axis (cSVA) >4 cm can be predicted in 3-level to 5-level anterior-only cervical multilevel fusion surgery (ACMS).

Summary Of Background Data: Previous studies established correlations between cervical kyphosis (CK) correction and postoperative balance (cSVA ≤4 cm) with improved clinical outcomes. Read More

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The Utilization of Dual Second Sacral Alar-Iliac Screws for Spinopelvic Fixation in Patients with Severe Kyphoscoliosis.

Orthop Surg 2022 Jun 13. Epub 2022 Jun 13.

Department of Spine Surgery, Nanjing Drum Tower Hospital, The Clinical College of Nanjing Medical University, Nanjing, 210008, China.

Objectives: As a new pelvic fixation technique, the dual S2AI screws fixation technique could provide highly stable distal strength, and have wide clinical prospect in the correction of severe kyphoscoliosis. However, the ideal trajectory parameters, indications and clinical outcomes of this technique have not been reported so far. This study aimed to determine the anatomical parameters of dual S2AI screws in the normal Chinese adult population, investigating the indications of this technique and evaluating the feasibility and clinical outcomes. Read More

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Literature review and expert opinion on the impact of achondroplasia on medical complications and health-related quality of life and expectations for long-term impact of vosoritide: a modified Delphi study.

Orphanet J Rare Dis 2022 06 13;17(1):224. Epub 2022 Jun 13.

TRS National Resource Centre for Rare Disorders, Sunnaas Rehabilitation Hospital, Nesodden, Norway.

Background: Achondroplasia is associated with disproportionate short stature and significant and potentially severe medical complications. Vosoritide is the first medicine to treat the underlying cause of achondroplasia and data from phase 3 and phase 2 extension studies showed effects on growth and body proportions. However, there are currently no long-term data available on the direct impact on endpoints such as medical complications and health-related quality of life (HRQoL). Read More

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The Artery of Adamkiewicz: Anatomy and Considerations in Spine Surgery - A Review of the Literature.

J Long Term Eff Med Implants 2022 ;32(2):81-86

Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece; National Organization for Medicines (EOF), Athens, Greece.

The artery of Adamkiewicz (AKA) provides blood supply to the thoracolumbar spinal cord. Any disruption of the AKA can lead to the anterior spinal artery (ASA) syndrome, with devastating systematic and neurologic complications for the patient. This is a narrative review of the anatomy of AKA, the characteristics of ASA syndrome and the role of radiologic techniques in diagnosis and treatment. Read More

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A randomized controlled study of the effect of functional exercises on postural kyphosis: Schroth-based three-dimensional exercises versus postural corrective exercises.

Disabil Rehabil 2022 Jun 12:1-11. Epub 2022 Jun 12.

Department of Physical Therapy and Rehabilitation, School of Health Sciences, Istanbul Medipol Universty, Istanbul, Turkey.

Purpose: To compare the effects of postural corrective and Schroth-based three-dimensional exercises on thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), balance and quality of life (QoL) in individuals with postural kyphosis.

Methods: This was a single-blind randomized controlled clinical trial with a total of 63 subjects (57 women, 6 men) with TKA of 40°. Subjects were separated into three groups: postural corrective exercise group (PCEG), Schroth-based three-dimensional exercise group (SBEG) and control group (CG). Read More

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Four-Dimensional Anatomical Spinal Reconstruction in Thoracic Adolescent Idiopathic Scoliosis.

Authors:
Hideki Sudo

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Feb 16.

Department of Advanced Medicine for Spine and Spinal Cord Disorders, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Recent surgical techniques involve 3-dimensional (3D) deformity correction of adolescent idiopathic scoliosis (AIS). However, next-generation surgical strategies should ensure that the final corrected spine is not only "non-scoliotic," but has an anatomically correct shape. We developed a 4D anatomical spinal reconstruction technique that involves the use of spatiotemporal deformity prediction to preoperatively calculate the postoperative apex of thoracic kyphosis in order to achieve an anatomically correct spinal curvature. Read More

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February 2022

Magnetically controlled growing rods in the management of early onset scoliosis: a systematic review.

J Orthop Surg Res 2022 Jun 11;17(1):309. Epub 2022 Jun 11.

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081, Baronissi, Italy.

Background: Early onset scoliosis (EOS) presents in patients younger than 10 years. Magnetically controlled growing rods (MCGR) were developed as an outpatient distraction system for EOS, allowing to avoid multiple surgeries. This systematic review investigated the efficacy and feasibility of MCGR in EOS. Read More

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Upregulation of microRNA-96-5p is associated with adolescent idiopathic scoliosis and low bone mass phenotype.

Sci Rep 2022 Jun 11;12(1):9705. Epub 2022 Jun 11.

Department of Orthopaedics and Traumatology, SH Ho Scoliosis Research Laboratory, Joint Scoliosis Research Centre of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Hong Kong SAR, China.

Bone densitometry revealed low bone mass in patients with adolescent idiopathic scoliosis (AIS) and its prognostic potential to predict curve progression. Recent studies showed differential circulating miRNAs in AIS but their diagnostic potential and links to low bone mass have not been well-documented. The present study aimed to compare miRNA profiles in bone tissues collected from AIS and non-scoliotic subjects, and to explore if the selected miRNA candidates could be useful diagnostic biomarkers for AIS. Read More

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Progressive Adolescent Idiopathic Cervical Kyphosis Secondary to Constant Postural Neck Flexion Reading Habit with a 10-year Follow-up: Case Report and Literature Review.

Orthop Surg 2022 Jun 10. Epub 2022 Jun 10.

Department of Orthopedics, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, P. R. China.

Background: Although it has been established that adolescent idiopathic cervical kyphosis (AICK) has no known cause, there are associated risk factors. However, the underlying causes remain puzzling. This case report presents severe AICK linked to chronic neck flexion postural habit, treated with combined anterior and posterior correction surgery and review of the literature. Read More

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Assessment of Quality of Life for Scheuermann's Kyphosis Patients with Cobb's Angle 50°-65° Treated Conservatively or Surgically in North Jordan: A Prospective Comparative Study.

Clin Orthop Surg 2022 Jun 3;14(2):244-252. Epub 2022 Mar 3.

Department of Orthopedic Surgery, King Abdullah University of Science and Technology, Irbid, Jordan.

Background: Scheuermann's disease is the most common cause of hyperkyphosis of the thoracic spine during the adolescence period. It causes neck and lower back pain, restriction of lung expansion, traction of the spinal cord, increased vulnerability to vertebral fracture, and a hump. Patients with curves < 60° are treated conservatively, while surgery is used for patients with curves > 60°. Read More

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