Cervical Deformity

A cervical deformity may cause a curvature of the neck that causes the head to be held in an unusual posture when the neck is in a “relaxed” position. Muscle contraction is needed to hold the head in a normal position with chin neutral and eyes level.

Pain from neck deformities such as cervical kyphosis, as well as from degenerative conditions, can occur in each segment. This pain can be caused by nerve compression, disc pain, instability, degenerative spondylolisthesis, central stenosis, and myelopathy (permanent spinal cord damage). In some cases, this problem is considered “iatrogenic”, otherwise known as a post-surgical condition from destabilizing operative intervention.

X-ray of neck and spine

Treatment of a Cervical Deformity

Non-Surgical

Standard conservative treatment for a cervical deformity includes physical therapy, medications, home traction, massage and injections when necessary. A procedure called cervical facet rhizotomy may be quite beneficial.

Surgical

There are many spine surgeries available today; surgical treatment depends upon the size of the cervical deformity present and what the underlying cause of neck pain is. If deformity surgery is necessary, the surgery may be performed strictly from the front with a discectomy and/or corpectomy with instrumented fusion, from the back with a posterior fusion, or an anterior/posterior fusion.

Lumbar Deformity - Scoliosis

Patients with degenerative scoliosis of the lumbar spine can present with different types of findings including that of back pain, unilateral or bilateral leg pain, inability to ambulate, restriction of motion as well as obvious visual deformity. With the development of degenerative scoliosis, changes occur to the spine which include forward rotation of the spine (kyphosis), but also other spinal problems such as spondylolisthesis, lateral listhesis, disc herniation, and cyst formations. Degenerative scoliosis can be a multifactorial problem that requires significant experience and knowledge to appropriately treat for a successful outcome.

Treatment of Degenerative Scoliosis of the Lumbar Spine

Non-Surgical

Treatment for most spinal disorders usually begins with conservative measures. There are standard treatments such as with medications, physical therapy and spinal injections. These also help with the spine pain that may result from the spine deformity. Some individuals gain benefit from computerized traction modalities.

Surgical

Surgery for scoliosis will be considered only after conservative measures have failed. If surgery for a curvature of the spine is necessary mainly for unilateral radiculopathic pain, surgical treatment may only need to involve the localized individual painful problem such as a herniated disc or a degenerative spondylolisthesis with stenosis. Occasionally, DCS (dorsal column stimulation), a pain technique that works similar to a pacemaker, may be considered. A more involved surgery for scoliosis may be necessary in cases of severe postural imbalance. Dr. Hyde is very experienced with such sophisticated procedures, and has been published on his results with XLIF surgery for Degenerative Scoliosis.

https://www.ncbi.nlm.nih.gov/pubmed/23873244

https://www.beckersspine.com/spine/item/17692-5-findings-on-xlif-for-scoliosis-surgery.html

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