2018 AANS Annual Scientific Meeting-Cervical Osteomyelitis and Kyphosis Correction

Video Transcription

Video Summary

The video transcript discusses two cases of cervical osteomyelitis and kyphosis correction. The speaker begins by explaining the interrelationship between different regions of the spine and how deformity in one region can impact others. They also emphasize the importance of maintaining horizontal gaze and how it relates to cervical kyphosis. Various measurement systems for cervical alignment are discussed, including the C2C7 Cobb angle, C2C7 sagittal vertical axis, and the chin-brow vertical angle.<br /><br />In the first case presented, a 53-year-old man with a history of tongue cancer and cervical dyskitis experiences neck pain and disability due to loss of horizontal gaze. The speaker highlights the severity of the deformity on imaging and discusses the treatment options, ultimately recommending an anterior-posterior approach for surgical correction.<br /><br />In the second case, a 53-year-old man with a history of parotid tumor and cervical discitis presents with progressive neck pain and quadriparesis. The speaker notes that non-surgical management may result in significant deformity and morbidity, and recommends a 360 approach with anterior corpectomy and expandable cage placement, followed by ACDFs and posterior fixation.<br /><br />The speaker also offers pearls of wisdom for managing these cases, including the importance of complete facetectomies during posterior osteotomies, the use of new technology like expandable cages and favorite angle posterior lateral mass screws, and the preference for titanium over PEEK material in interbody fusion.<br /><br />Credits: The speaker acknowledges that they are filling in for Dom Cork, and mentions that the content is based on work done by the same group that Tim Adamson is in.

Asset Caption

Paul Park, MD, FAANS

Keywords

cervical osteomyelitis

kyphosis correction

interrelationship between spine regions

horizontal gaze and cervical kyphosis

measurement systems for cervical alignment