TY - JOUR
T1 - Fixed Sagittal Plane Deformity
T2 - Causes, Prevention, and Treatment Options
AU - Moshirfar, Ali
AU - Rand, Frank F.
AU - Kebaish, Khaled M.
PY - 2011/6
Y1 - 2011/6
N2 - Sagittal plane deformity describes the loss of normal lumbar lordosis. This deformity is usually iatrogenic and often follows lumbar fusion, thoracolumbar fusion, and (in some cases) lumbar decompressive procedures. Nonsurgical causes include ankylosing spondylitis, degenerative changes, or adult presentation of adolescent idiopathic scoliosis. The deformity may lead to neurogenic radicular symptoms secondary to stenosis, paraspinal muscular fatigue, and low back pain. Nonoperative treatment options fail for most patients. Surgical interventions are aimed at restoring lumbar lordosis, which is typically accomplished with revision decompression, fusion, and various osteotomies.
AB - Sagittal plane deformity describes the loss of normal lumbar lordosis. This deformity is usually iatrogenic and often follows lumbar fusion, thoracolumbar fusion, and (in some cases) lumbar decompressive procedures. Nonsurgical causes include ankylosing spondylitis, degenerative changes, or adult presentation of adolescent idiopathic scoliosis. The deformity may lead to neurogenic radicular symptoms secondary to stenosis, paraspinal muscular fatigue, and low back pain. Nonoperative treatment options fail for most patients. Surgical interventions are aimed at restoring lumbar lordosis, which is typically accomplished with revision decompression, fusion, and various osteotomies.
KW - Fixed sagittal imbalance
KW - Kyphosis
KW - Sagittal plane deformity
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U2 - 10.1053/j.semss.2010.12.016
DO - 10.1053/j.semss.2010.12.016
M3 - Article
AN - SCOPUS:79956118067
SN - 1040-7383
VL - 23
SP - 135
EP - 141
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
IS - 2
ER -