Comparative Management of Spine Pathology

Iatrogenic deformity after Harrington rod

Introduction Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis, affecting 2% to 4% of adolescents with an occurrence rate of 0.5 to 5.2%. Although the pathophysiology is unclear, there are some studies that suggest a genetic component.…

Degenerative scoliosis with radiculopathy

Introduction Adult degenerative scoliosis (ADS), or de novo degenerative lumbar scoliosis, is a form of spinal deformity diagnosed in individuals with a coronal curve of >10 degrees, beginning after the age of 50, and without a prior history of scoliosis.…

Cervical kyphosis

Introduction The cervical spine, which was first described as lordotic by Borden et al. in 1960, is tasked with the responsibility of maintaining a wide range of motion, and allowing proper gaze that is essential for upright gait. The cervical…

Flat back after fusion

Introduction Flat back syndrome is described as loss of lumbar lordosis, which alters the center of gravity, thereby shifting the head anterior to the sacrum causing sagittal imbalance. This is typically seen following multiple lumbar fusions with distraction of the…

Adolescent idiopathic deformity

Introduction Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis, affecting 2% to 4% of adolescents with an occurrence rate of 0.5 to 5.2%. Although the pathophysiology is unclear, there are some studies that suggest a genetic component.…

Coronal deformity

Introduction Adult spinal deformities may be caused by progressive degenerative disease, iatrogenic changes, or progression of adolescent curves. It is most commonly seen in patients older than 65 years, which is also the fastest growing population in the United States.…

Proximal junctional kyphosis after deformity surgery

Introduction Adult spinal deformity is a prevalent pathology with increasing incidence in the aging population. The correction of this pathology requires multilevel fusion, which unfortunately results in frequent revision. Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) are common…

Cervical jumped facets

Introduction Fractures of the subaxial spine are typically caused by high-velocity injuries such as motor vehicle collisions, falls, and high-impact sports. The subaxial spine consists of the cervical vertebra numbered three to seven and is more mobile than the upper…