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Surgical Strategies for Cervical Deformities Associated With Neuromuscular Disorders

Authors
 Jong Joo Lee  ;  Sung Han Oh  ;  Yeong Ha Jeong  ;  Sang Man Park  ;  Hyeong Seok Jeon  ;  Hyung-Cheol Kim  ;  Seong Bae An  ;  Dong Ah Shin  ;  Seong Yi  ;  Keung Nyun Kim  ;  Do Heum Yoon  ;  Jun Jae Shin  ;  Yoon Ha 
Citation
 NEUROSPINE, Vol.17(3) : 513-524, 2020-09 
Journal Title
 NEUROSPINE 
ISSN
 2586-6583 
Issue Date
2020-09
Keywords
Abnormal involuntary movement ; Cervical deformity ; Neuromuscular disorders
Abstract
Neuromuscular disorders (NMDs) are diseases involving the upper and lower motor neurons and muscles. In patients with NMDs, cervical spinal deformities are a very common issue; however, unlike thoracolumbar spinal deformities, few studies have investigated these disorders. The patients with NMDs have irregular spinal curvature caused by poor balance and poor coordination of their head, neck, and trunk. Particularly, cervical deformity occurs at younger age, and is known to show more rigid and severe curvature at high cervical levels. Muscular physiologic dynamic characteristics such as spasticity or dystonia combined with static structural factors such as curvature flexibility can result in deformity and often lead to traumatic spinal cord injury. In addition, postoperative complication rate is higher due to abnormal involuntary movement and muscle tone. Therefore, it is important to control abnormal involuntary movement perioperatively along with strong instrumentation for correction of deformity. Various methods such as botulinum toxin injection, physical therapy, muscle division technique, or intrathecal baclofen pump implant may help control abnormal involuntary movements and improve spinal stability. Surgical management for cervical deformities associated with NMDs requires a multidisciplinary effort and a customized strategy.
Files in This Item:
T202006301.pdf Download
DOI
10.14245/ns.2040464.232
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Kim, Hyung Cheol(김형철)
Park, Sang Man(박상만)
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
Shin, Jun Jae(신준재) ORCID logo https://orcid.org/0000-0002-1503-6343
An, Seong Bae(안성배)
Yoon, Do Heum(윤도흠) ORCID logo https://orcid.org/0000-0003-1452-5724
Yi, Seong(이성)
Jeon, Hyeong Seok(전형석)
Ha, Yoon(하윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180643
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