Paxton Gehling, David Mazur-Hart, Jason Savage, Justin S Smith, Greg Schroeder, Alexander Butler, Bayard Carlson, Srikanth Divi, Andrew Hecht, Christopher Kepler, Safdar Khan, Michael Stauff, Won Hyung A Ryu
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A Narrative Review of the Cervical Spine Deformity Classification Systems.
Objectives: This paper reviews several recent cervical spine deformity classifications with the goal of contextualizing these efforts, and providing a overview of the subject to date.
Summary of background data: Cervical spine deformity is a complex and heterogenous disorder encompassing pathology from the craniocervical junction to the cervicothoracic junction. It can arise from focal pathology, regional or global malalignment and can convey significant functional impairment and morbidity, and surgical management can represent a technical and conceptual challenge. In the last 15 years multiple classification systems have been published to aid in clinical communication and guide treatments.
Methods: A PubMed search was performed to identify publications on cervical spine deformity classifications.
Results: Five classification schemes were identified and reviewed in this publication. Particular care was taken to contextualize them with regards to clinical suitability.
Conclusion: Cervical deformity classifications continue to evolve, mirroring advances in understanding of pathophysiology, etiology, and clinical management of this heterogenous disorder.
期刊介绍:
Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure.
Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.