Selection of distal fusion level in posterior instrumentation and fusion of Scheuermann kyphosis: is fusion to sagittal stable vertebra necessary?

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• 作者：Hakan Serhat Yanik ; Ismail Emre Ketenci ; Tamer Coskun…
• 关键词：Scheuermann kyphosis ; Distal junctional kyphosis ; Sagittal stable vertebra ; First lordotic vertebra
• 刊名：European Spine Journal
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：25
• 期：2
• 页码：583-589
• 全文大小：621 KB
• 参考文献：1.Lowe TG (1990) Current concepts review, Scheuermann disease. J Bone Joint Surg Am 72:940–945PubMed
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  14.Koptan WM, Elmiligui YH, Elsebaie HB (2009) All pedicle screw instrumentation for Scheuermann’s kyphosis correction: is it worth it? Spine J 9(4):296–302. doi:10.​1016/​j.​spinee.​2008.​05.​011 PubMed CrossRef
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• 作者单位：Hakan Serhat Yanik (1)
  Ismail Emre Ketenci (1)
  Tamer Coskun (1)
  Ayhan Ulusoy (1)
  Sevki Erdem (1)
  
  1. Department of Orthopaedics and Traumatology, Haydarpasa Numune Education and Research Hospital, Tibbiye Caddesi No:40, Uskudar, 34668, Istanbul, Turkey
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgical Orthopedics
  Neurosurgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0932

文摘

Purpose Distal junctional kyphosis (DJK) is a major instrumentation-related complication after the surgical correction of Scheuermann kyphosis (SK). The exact criteria to avoid DJK have been controversial. It has been recommended to include the SSV into the fusion by some authors, while others suggest that fusion to FLV is sufficient. The purpose of this study was to investigate the occurrence of DJK in relation to distal fusion level selection in SK surgery by investigating the relationship between the sagittal stable vertebra (SSV), first lordotic vertebra (FLV), and the lowest instrumented vertebra (LIV).