Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/46813
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Type: Journal article
Title: C7 decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis
Author: Tokala, D.
Lam, K.
Freeman, B.
Webb, J.
Citation: European Spine Journal, 2007; 16(9):1471-1478
Publisher: Springer
Issue Date: 2007
ISSN: 0940-6719
1432-0932
Statement of
Responsibility: 
Devi Prakash Tokala, Khai S. Lam, Brian J. C. Freeman and John K. Webb
Abstract: Our objective is to report on the clinical and radiological outcome following a decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis. The only treatment available for severe fixed flexion deformity of the cervical spine in these patients is an extension osteotomy. Traditionally an anterior opening, posterior closing wedge osteotomy is performed with or without internal fixation. We describe a decancellisation closing wedge osteotomy of C7 accompanied by secure segmental internal fixation. Eight patients operated between 1990 and 2003 with mean age of 54 years and minimum follow up of 2 years were retrospectively evaluated. Restoration of normal forward gaze was achieved in all patients. No patient suffered spinal cord injury or permanent nerve root palsy. There was no loss of correction or pseudarthrosis at final follow up. C7 decancellisation closing wedge osteotomy supplemented with secure segmental internal fixation in experienced hands provides a safe and effective treatment for fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis.
Keywords: Cervico-thoracic kyphosis; Cervical osteotomy; Segmental fixation; Ankylosing spondylitis
Provenance: Published online: 3 March 2007
RMID: 0020081149
DOI: 10.1007/s00586-006-0290-x
Appears in Collections:Orthopaedics and Trauma publications

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