JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 17, No 6, June 2009, 378-388.
© 2009 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Joseph, S. A.
Right arrow Articles by Neuwirth, M. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Joseph, S. A., Jr
Right arrow Articles by Neuwirth, M. G.

Sagittal Plane Deformity in the Adult Patient

Samuel A. Joseph, Jr, MD, Anthony P. Moreno, MD, Jared Brandoff, MD, Andrew C. Casden, MD, Paul Kuflik, MD and Michael G. Neuwirth, MD

Dr. Joseph is Attending Physician, Moreno Spine and Scoliosis, Tampa, FL, and Affiliate Professor, Department of Orthopaedics, University of South Florida, Tampa. Dr. Moreno is Director, Moreno Spine and Scoliosis, and Affiliate Professor, Department of Orthopaedics, University of South Florida, Tampa. Dr. Brandoff is Attending Physician, Long Island Jewish Medical Center, New York, NY. Dr. Casden is Associate Director, Spine Institute of New York–Beth Israel Medical Center, New York, NY. Dr. Kuflik is Associate Director, Spine Institute of New York–Beth Israel Medical Center. Dr. Neuwirth is Director, Spine Institute of New York–Beth Israel Medical Center.

Dr. Moreno or a member of his immediate family has received royalties from Abbott Spine. Dr. Kuflik or a member of his immediate family has received research or institutional support from Medtronic Sofamor Danek. None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Joseph, Dr. Brandoff, Dr. Casden, and Dr. Neuwirth.

Reprint requests: Dr. Joseph, Moreno Spine and Scoliosis, Tampa Medical Tower, Suite 250, 2727 Martin Luther King Jr Boulevard, Tampa, FL 33607.

Recent studies have demonstrated that sagittal balance is the most important and reliable radiographic predictor of clinical health status in the adult with a spinal deformity. Affected persons typically present with intractable pain, early fatigue, and a perception of being off-balance. Nonsurgical management with nonsteroidal and analgesic medications as well as physical therapy plays a limited role. Surgical correction is the primary method of alleviating symptoms. The surgical approach depends largely on the amount of correction required to restore overall balance. Options include posterior-only or combined anterior-posterior surgery. The decision-making process often includes posterior-based osteotomies, such as the Smith-Petersen or pedicle subtraction, or vertebral column resection. Regardless of approach or osteotomy technique, spinal fusion with restored sagittal balance is the goal of any reconstructive procedure.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Academy of Orthopaedic Surgeons.