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Alignment, Classification, Clinical Evaluation, and Surgical Treatment for Adult Cervical Deformity: A Complete Guide

Justin K. Scheer, Darryl Lau, Justin S. Smith, Sang‐Hun Lee, Michael Safaee, Marissa Fury, Christopher P. Ames

2020Neurosurgery40 citationsDOI

Abstract

Adult cervical deformity management is complex and is a growing field with many recent advancements. The cervical spine functions to maintain the position of the head and plays a pivotal role in influencing subjacent global spinal alignment and pelvic tilt as compensatory changes occur to maintain horizontal gaze. There are various types of cervical deformity and a variety of surgical options available. The major advancements in the management of cervical deformity have only been around for a few years and continue to evolve. Therefore, the goal of this article is to provide a comprehensive review of cervical alignment parameters, deformity classification, clinical evaluation, and surgical treatment of adult cervical deformity. The information presented here may be used as a guide for proper preoperative evaluation and surgical treatment in the adult cervical deformity patient.

Topics & Concepts

DeformityMedicineSpinal deformityPelvic tiltCervical spineSurgeryPelvisScoliosis diagnosis and treatmentSpinal Fractures and Fixation TechniquesCervical and Thoracic Myelopathy