Treatment of Spinal Stenosis and Fixed Sagittal Imbalance

Most commonly, sagittal imbalance associated with stenosis is seen with a hypolordotic fusion mass, junctional kyphosis, and junctional stenosis. If the deformity is flexible, it can be treated with anterior and posterior fusion with anterior structural grafting. If it is fixed, which it usually is, then a pedicle subtraction procedure with decompression and extension of the fusion usually is the most suitable operative approach.

[1]  L. Lenke,et al.  Analysis of Titanium Mesh Cages in Adults With Minimum Two-Year Follow-Up , 2000, Spine.

[2]  L. Lenke,et al.  Complications and predictive factors for the successful treatment of flatback deformity (fixed sagittal imbalance). , 1999, Spine.

[3]  K. Bridwell,et al.  Minimum 5-year follow-up of anterior column structural allografts in the thoracic and lumbar spine. , 1999, Spine.

[4]  F. Schwab,et al.  Management of Flatback and Related Kyphotic Decompensation Syndromes , 1997, Spine.

[5]  L. Lenke,et al.  Anterior Fresh Frozen Structural Allografts in the Thoracic and Lumbar Spine: Do They Work If Combined With Posterior Fusion and Instrumentation in Adult Patients With Kyphosis or Anterior Column Defects? , 1995, Spine.

[6]  L. Keppler,et al.  Posterior Transvertebral Osteotomy for Adult Thoracolumbar Kyphosis , 1994, Spine.

[7]  D. Bradford,et al.  Current concepts and management of patients with fixed decompensated spinal deformity. , 1994, Clinical orthopaedics and related research.

[8]  N. Thiranont,et al.  Transpedicular decancellation closed wedge vertebral osteotomy for treatment of fixed flexion deformity of spine in ankylosing spondylitis. , 1993, Spine.

[9]  D. Rl.  Revision surgery for spinal deformity. , 1992 .

[10]  R. Dewald.  Revision surgery for spinal deformity. , 1992, Instructional course lectures.

[11]  R. Winter,et al.  Treatment of symptomatic flatback after spinal fusion. , 1988, The Journal of bone and joint surgery. American volume.

[12]  W. Richardson,et al.  Combined Single Stage Anterior and Posterior Osteotomy for Correction of latrogenic Lumbar Kyphosis , 1988, Spine.

[13]  R. Winter,et al.  Ankylosing Spondylitis: Experience in Surgical Management of 21 Patients , 1987, Spine.

[14]  E. Thomasen.  Vertebral osteotomy for correction of kyphosis in ankylosing spondylitis. , 1985, Clinical orthopaedics and related research.

[15]  C. Larson,et al.  Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis. , 1969, Clinical orthopaedics and related research.

[16]  E. L. Persons,et al.  Ankylosing Spondylitis , 1955, GP.