Skip to main content
SpringerLink
Log in

Correction of Post-laminectomy Kyphosis and Cervical Deformity

  • Chapter
  • First Online:
Essentials of Spinal Stabilization

  • 1254 Accesses

Abstract

Post-laminectomy kyphosis and cervical deformity can present unique challenges to both patients and surgeons. Patients may present with significant pain, neurologic symptoms, and functional impairment. These, as well as multiple other clinical and radiographic factors, must be considered before operative intervention, including flexibility of curve, severity of deformity, goals of intervention, prior surgeries, and bone quality. Surgical planning involves decisions about direction of approach, areas of compression and deformity that need to be addressed, and whether or not osteotomies are required to achieve optimal, safe surgical correction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kato Y, Iwasaki M, Fuji T, Yonenobu K, Ochi T. Long-term follow-up results of laminectomy for cervical myelopathy caused by ossification of the posterior longitudinal ligament. J Neurosurg. 1998;89:217–23.

    Article  CAS  PubMed  Google Scholar 

  2. Kaptain GJ, Simmons NE, Replogle RE, Pobereskin L. Incidence and outcome of kyphotic deformity following laminectomy for cervical spondylotic myelopathy. J Neurosurg. 2000;93:199–204.

    Article  CAS  PubMed  Google Scholar 

  3. Kode S, Kallemeyn NA, Smucker JD, Fredericks DC, Grosland NM. The effect of multi-level laminoplasty and laminectomy on the biomechanics of the cervical spine: a finite element study. Iowa Orthop J. 2014;34:150–7.

    PubMed  PubMed Central  Google Scholar 

  4. Kong D, Zheng T, Fang J, Li X. Apoptosis of endplate chondrocytes in post-laminectomy cervical kyphotic deformity. An in vivo animal model in sheep. Eur Spine J. 2013;22(7):1576–82.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Cabraja M, Abbushi A, Koeppen D, Kroppenstedt S, Woiciechowsky C. Comparison between anterior and posterior decompression with instrumentation for cervical spondylotic myelopathy: sagittal alignment and clinical outcome. Neurosurg Focus. 2010 Mar;28(3):E15.

    Article  PubMed  Google Scholar 

  6. McAllister BD, Rebholz BJ, Wang JC. Is posterior fusion necessary with laminectomy in the cervical spine? Surg Neurol Int. 2012;3(Suppl 3):S225–31.

    Article  PubMed  PubMed Central  Google Scholar 

  7. van Geest S, de Vormer AM, Arts MP, Peul WC, Vleggeert-Lankamp CL. Long-term follow-up of clinical and radiological outcome after cervical laminectomy. Eur Spine J. 2015 Apr;24(Suppl 2):229–35.

    Article  PubMed  Google Scholar 

  8. Li Z, Xue Y, et al. Extensive laminectomy for multilevel cervical stenosis with ligamentum flavum hypertrophy: more than 10 years follow-up. Eur Spine J. 2015;24(8):1605–12.

    Article  PubMed  Google Scholar 

  9. Laiginhas AR, Silva PA, Pereira P, Vaz R. Long-term clinical and radiological follow-up after laminectomy for cervical spondylotic myelopathy. Surg Neurol Int. 2015;6:162.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Riew KD, Hilibrand AS, Palumbo MA, Bohlman HH. Anterior cervical Corpectomy in patients previously managed with a laminectomy: short-term complications. J Bone Joint Surg Am. 1999;81(7):950–7.

    Article  CAS  PubMed  Google Scholar 

  11. Herman JM, Sonntag VK. Cervical corpectomy and plate fixation for postlaminectomy kyphosis. J Neurosurg. 1994;80:963–70.

    Article  CAS  PubMed  Google Scholar 

  12. Steinmetz MP, Kager CD, Benzel EC. Ventral correction of postsurgical cervical kyphosis. J Neurosurg. 2003;98(1 Suppl):1–7.

    PubMed  Google Scholar 

  13. Park Y, Riew KD, Cho W. The long-term results of anterior surgical reconstruction in patients with postlaminectomy cervical kyphosis. Spine Journal. 2010;10:380–7.

    Article  PubMed  Google Scholar 

  14. Riew KD, Auerbach JD, Angevine PD. Postoperative deformity of the cervical spine. In: Rothman-Simeone the spine. Philadelphia: Elsevier; 2011.

    Google Scholar 

  15. Pahys JM, Pahys JR, Cho SK, Kang MM, Zebala LP, Hawasli AH, Sweet FA, Lee DH, Riew KD. Methods to decrease postoperative infections following posterior cervical spine surgery. J Bone Joint Surg Am. 2013;95(6):549–54.

    Article  PubMed  Google Scholar 

  16. Kim HJ, Piyaskulkaew C, Riew KD. Comparison of Smith-Petersen osteotomy versus pedicle subtraction osteotomy versus anterior-posterior osteotomy types for the correction of cervical spine deformities. Spine. 2015;40(3):143–6.

    Article  PubMed  Google Scholar 

  17. Kim HJ, Nemani VM, Riew KD. Cervical osteotomies for neurologic deformities. Eur Spine J. 2015;24(Suppl 1):S16–22.

    Article  PubMed  Google Scholar 

  18. Nemani VM, Derman PB, Kim HJ. Osteotomies in the cervical spine. Asian Spine Journal. 2016;10(1):184–95.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Kim HJ, Piyaskulkaew C, Riew KD. Anterior cervical osteotomy for fixed cervical deformities. Spine. 2014;39(21):1751–7.

    Article  PubMed  Google Scholar 

  20. Kelly MP, Wollowick AL, Riew KD. Cervical osteotomies for kyphosis. In: Rhee J, Wiesel SW, Boden SD, Flynn JM, editors. Operative techniques in spine surgery. Philadelphia: Lippincott Williams and Wilkins; 2013.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Spine Hospital, Columbia University Medical Center, 5141 Broadway, 3 Field West - Room 021, New York, NY, 10034, USA

    Melvin C. Makhni MD, MBA & K. Daniel Riew MD

Authors
  1. Melvin C. Makhni MD, MBA
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Daniel Riew MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Melvin C. Makhni MD, MBA .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery and Orthopaedics, David Geffen UCLA School of Medicine, Los Angeles, California, USA

    Langston T. Holly

  2. Department of Orthopedics and Rehabilitation, University of Wisconsin UWMF, Madison, Wisconsin, USA

    Paul A. Anderson

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Makhni, M.C., Riew, K.D. (2017). Correction of Post-laminectomy Kyphosis and Cervical Deformity. In: Holly, L., Anderson, P. (eds) Essentials of Spinal Stabilization . Springer, Cham. https://doi.org/10.1007/978-3-319-59713-3_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-59713-3_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59712-6

  • Online ISBN: 978-3-319-59713-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation