Download PDF
DeWald, Christopher et al.: 2024 Spinal Deformities DOI: 10.1055/b-0044-203481
Section IV-C Surgical Treatment for Adult Spinal Deformities

58 Staging Procedures

More Information

Book

Editors: DeWald, Christopher; DeWald, Ronald L.

Authors: Ackshota, Nissim; Ahn, Nicholas U.; Alazzeh, Mohanad; Albert, Todd J.; Algattas, Hanna; An, Howard S.; Anari, Jason B.; Arlet, Vincent; Asher†, Marc A.; Belanger, Evan H.; Blakemore, Laurel C.; Blanke, Kathleen M.; Bondar, Kevin; Buchowski, Jacob M.; Bunch, Joshua T.; Burton, Douglas C.; Cahill, Patrick J.; Campbell, Robert; Carl, Allen L.; Caruso, Steven; Cerpa, Meghan; Charosky, Sebastien; Cognetti, Daniel J.; Crawford, Alvin H.; Crawford III, Charles H.; Cui, Shari; Daffner, Scott D.; Dede, Ozgur; Dekutoski, Mark B.; DeWald, Christopher J.; Dormans, John P.; Drayer, Nicholas J.; Drummond†, Denis S.; Emery, Sanford E.; Farcy, Jean-Pierre C.; Farrell, James P.; Fontes, Ricardo B. V.; Forsthoefel, Craig; Frost, Chelsea; Gaines, Robert W.; Gandhi, Sapan D.; Gehrchen, Martin; Glassman, Steven D.; Guiroy, Alfredo; Gupta, Munish C.; Ha, Alex S.; Hadeed, Michael M.; Haher, Thomas R.; Hamill, Christopher L.; Hamilton, D. Kojo; Hariharan, Arun R.; Harrop, James S.; Hashmi, Sohaib Z.; Hassanzadeh, Hamid; Heydemann, John A.; Horowitz, Jason A.; Howard, Roland; Hu, Ming-Hsiao; Hu, Serena S.; Hwang, Steven W.; Iyer, Sravisht; Jain, Amit; Jain, Viral V.; Janjua, M. Burhan; Jorgensen, Anton; Kang, Daniel G.; Kawakami, Noriaki; Kebaish, Khaled M.; Kelly, Michael P.; Kim, Han Jo; Labaran, Lawal A.; Lafage, Virginie; Laratta, Joseph L.; Lehman, Ronald A.; Lenke, Lawrence G.; Loder, Randall T.; Lonstein, John E.; Louie, Philip K.; Lubicky, John P.; Malik, Mohammad Saad; Marco, Rex A.W.; Mardjetko, Steven M.; Marrache, Majd; Maslak, Joseph P.; McCarthy, Michael H.; Melikian, Rojeh; Miller, Catherine; Min, Kan; Moquin, Ross R.; Morrison, Pamela R.; Mummaneni, Praveen V.; Nelson, Scott; Newton, Peter O.; Nolte, Michael T.; O’Brien†, Michael F.; Oetgen, Matthew E.; Ogilvie, James W.; Pannu, Tejbir S.; Petfield, Joseph L.; Riccio, Alexander R.; Roussouly, Pierre; Rymarczuk, George; Saifi, Comron; Salari, Pooria A.; Samdani, Amer F.; Sanders, James O.; Sarwark, John F.; Schwab, Frank J.; Sebaaly, Amer; Sengupta, Dilip K.; Shafi, Karim; Shah, Suken A.; Sheha, Evan D.; Shen, Francis H.; Shimer, Adam L.; Shtewe, Anan H.; Singla, Priyanka; Sponseller, Paul; Staub, Blake N.; Stricsek, Geoffrey P.; Sturm, Peter F.; Suk, Se-Il; Theologis, Alekos A.; Thompson, George H.; Thottempudi, Santan; Uribe, Juan S.; Vivas, Andrew C.; Wallace, Christopher S.; Witte, Zackery W.; Wood, Kirkham B.; York, Philip J.; Yu, Henry H.; Zebala, Lukas P.; Zhang, Bo; Zhao, Yiyu

Title: Spinal Deformities

Subtitle: The Comprehensive Text

Print ISBN: 9781626233720; Online ISBN: 9781684203604; Book DOI: 10.1055/b000000246

2. Edition © 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Neurosurgery;Orthopaedics and Trauma Surgery

Thieme Clinical Collections (English Language)



 
Pooria A. Salari and Munish Gupta

Abstract

Most spinal deformity patients can be treated successfully with a single surgical approach; however, combined approach might be indicated in certain cases. These may be for reasons related to rigidity of the deformity, concerns regarding the potential for fusion, or other patient- or pathology-specific reasons. Vigilant preoperative planning and the availability of a surgical and anesthetic team experienced in these challenging cases are critical to a successful outcome. Whereas same-day procedures have advantages, there are times when it is prudent to stage surgery.

Key words

staging - deformity correction - anteroposterior - anterior release - preoperative planning
 
  • 1 Bridwell KH. Staging plus complication of approaches. In: Dewald R, Arlet V, Allen C, eds. Spinal Deformities: A Comprehensive Text. New York, NY: Thieme; 2001:562–567
  • 2 Good CR, Lenke LG, Bridwell KH et al. Can posterior-only surgery provide similar radiographic and clinical results as combined anterior (thoracotomy/thoracoabdominal)/posterior approaches for adult scoliosis?. Spine 2010; 35 (2) 210-218 PubMed (PMID: 20038868)
    PubMedGoogle Scholar
  • 3 Lenke LG, Bridwell KH, Blanke K, Baldus C. Analysis of pulmonary function and chest cage dimension changes after thoracoplasty in idiopathic scoliosis.. Spine 1995; 20 (12) 1343-1350 PubMed (PMID: 7676331)
    PubMedGoogle Scholar
  • 5 Akbarnia BA, Ogilvie JW, Hammerberg KW. Debate: degenerative scoliosis: to operate or not to operate.. Spine 2006; 31 (19) (Suppl. Suppl) S195-S201 PubMed (PMID: 16946638)
    PubMedGoogle Scholar
  • 6 Leatherman KD, Dickson RA. Two-stage corrective surgery for congenital deformities of the spine.. J Bone Joint Surg Br 1979; 61-B (3) 324-328 PubMed (PMID: 479255)
    PubMedGoogle Scholar
  • 8 Emans J. Spine Symposium: Hemivertebra Excision. Pediatric Orthopaedics Society of North America (POSNA) Annual Meeting. Denver, CO; May 16, 2012
  • 9 Newton PO, Shea KG, Granlund KF. Defining the pediatric spinal thoracoscopy learning curve: sixty-five consecutive cases.. Spine 2000; 25 (8) 1028-1035 PubMed (PMID: 10767817)
    PubMedGoogle Scholar
  • 10 Burton DC, Sama AA, Asher MA et al. The treatment of large (> 70 degrees) thoracic idiopathic scoliosis curves with posterior instrumentation and arthrodesis: when is anterior release indicated?. Spine 2005; 30 (17) 1979-1984 PubMed (PMID: 16135989)
    PubMedGoogle Scholar
  • 11 Luhmann SJ, Lenke LG, Erickson M, Bridwell KH, Richards BS. Correction of moderate (< 70 degrees) Lenke 1A and 2A curve patterns: comparison of hybrid and all-pedicle screw systems at 2-year follow-up.. J Pediatr Orthop 2012; 32 (3) 253-258 PubMed (PMID: 22411330)
    PubMedGoogle Scholar
  • 12 Kim YJ, Lenke LG, Kim J et al. Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis.. Spine 2006; 31 (3) 291-298 PubMed (PMID: 16449901)
    PubMedGoogle Scholar
  • 13 Kim YJ, Lenke LG, Bridwell KH et al. Proximal junctional kyphosis in adolescent idiopathic scoliosis after 3 different types of posterior segmental spinal instrumentation and fusions: incidence and risk factor analysis of 410 cases.. Spine 2007; 32 (24) 2731-2738 PubMed (PMID: 18007253)
    PubMedGoogle Scholar
  • 14 Kuklo TR, Potter BK, Lenke LG, Polly Jr DW, Sides B, Bridwell KH. Surgical revision rates of hooks versus hybrid versus screws versus combined anteroposterior spinal fusion for adolescent idiopathic scoliosis.. Spine 2007; 32 (20) 2258-2264 PubMed (PMID: 17873820)
    PubMedGoogle Scholar
  • 15 Sanders JO, Diab M, Richards SB, et al. Fixation points within the main thoracic curve: does more instrumentation produce greater curve correction and improved results?. Spine 2011; 36 (21) E1402-E1406 PubMed (PMID: 21681134)
    PubMedGoogle Scholar
  • 16 Wood KB, Melikian R, Villamil F. Adult Scheuermann kyphosis: evaluation, management, and new developments.. J Am Acad Orthop Surg 2012; 20 (2) 113-121 PubMed (PMID: 22302449)
    PubMedGoogle Scholar
  • 17 Luhmann SJ, Lenke LG, Kim YJ, Bridwell KH, Schootman M. Thoracic adolescent idiopathic scoliosis curves between 70° and 100°: is anterior release necessary?. Spine 2005; 30 (18) 2061-2067 PubMed (PMID: 16166896)
    PubMedGoogle Scholar
  • 18 Suk SI, Kim JH, Cho KJ, Kim SS, Lee JJ, Han YT. Is anterior release necessary in severe scoliosis treated by posterior segmental pedicle screw fixation?. Eur Spine J 2007; 16 (9) 1359-1365 PubMed (PMID: 17334792)
    PubMedGoogle Scholar
  • 19 Berven SH, Deviren V, Smith JA, Hu SH, Bradford DS. Management of fixed sagittal plane deformity: outcome of combined anterior and posterior surgery.. Spine 2003; 28 (15) 1710-1715, discussion 1716 PubMed (PMID: 12897497)
    PubMedGoogle Scholar
  • 20 Kamerlink JR, Quirno M, Auerbach JD et al. Hospital cost analysis of adolescent idiopathic scoliosis correction surgery in 125 consecutive cases.. J Bone Joint Surg Am 2010; 92 (5) 1097-1104 PubMed (PMID: 20439654)
    Google Scholar
  • 21 Powell IV ET, Krengel III WF, King HA, Lagrone MO. Comparison of same-day sequential anterior and posterior spinal fusion with delayed two-stage anterior and posterior spinal fusion.. Spine 1994; 19 (11) 1256-1259 PubMed (PMID: 8073318)
    PubMedGoogle Scholar
  • 22 Dick J, Boachie-Adjei O, Wilson M. One-stage versus two-stage anterior and posterior spinal reconstruction in adults. Comparison of outcomes including nutritional status, complications rates, hospital costs, and other factors.. Spine 1992; 17 (8) (Suppl. Suppl) S310-S316 PubMed (PMID: 1523518)
    PubMedGoogle Scholar
  • 23 O’Brien T, Akmakjian J, Ogin G, Eilert R. Comparison of one-stage versus two-stage anterior/posterior spinal fusion for neuromuscular scoliosis.. J Pediatr Orthop 1992; 12 (5) 610-615 PubMed (PMID: 1517421)
    PubMedGoogle Scholar
  • 24 Tsirikos AI, Chang WN, Dabney KW, Miller F. Comparison of one-stage versus two-stage anteroposterior spinal fusion in pediatric patients with cerebral palsy and neuromuscular scoliosis.. Spine 2003; 28 (12) 1300-1305 PubMed (PMID: 12811275)
    PubMedGoogle Scholar
  • 25 McMulkin ML, Ferguson RL. Resting energy expenditure and respiratory quotient in adolescents following spinal fusion surgery.. Spine 2004; 29 (16) 1831-1835 PubMed (PMID: 15303030)
    PubMedGoogle Scholar
  • 26 An HS, Jenis LG, eds. Complications of Spine Surgery, Treatment and Prevention. New York, NY: Lippincott Williams & Wilkins; 2006
  • 27 Hu SS, Fontaine F, Kelly B, Bradford DS. Nutritional depletion in staged spinal reconstructive surgery. The effect of total parenteral nutrition.. Spine 1998; 23 (12) 1401-1405 PubMed (PMID: 9654632)
    PubMedGoogle Scholar
  • 28 Lapp MA, Bridwell KH, Lenke LG, Baldus C, Blanke K, Iffrig TM. Prospective randomization of parenteral hyperalimentation for long fusions with spinal deformity: its effect on complications and recovery from postoperative malnutrition.. Spine 2001; 26 (7) 809-817, discussion 817 PubMed (PMID: 11295905)
    PubMedGoogle Scholar
  • 29 Lieberman IH, Salo PT, Orr RD, Kraetschmer B. Prone position endoscopic transthoracic release with simultaneous posterior instrumentation for spinal deformity: a description of the technique.. Spine 2000; 25 (17) 2251-2257 PubMed (PMID: 10973410)
    PubMedGoogle Scholar
  • 30 Shufflebarger HL, Grimm JO, Bui V, Thomson JD. Anterior and posterior spinal fusion. Staged versus same-day surgery.. Spine 1991; 16 (8) 930-933 PubMed (PMID: 1948379)
    PubMedGoogle Scholar
  • 32 Hassanzadeh H, Gjolaj JP, El Dafrawy MH et al. The timing of surgical staging has a significant impact on the complications and functional outcomes of adult spinal deformity surgery.. Spine J 2013; 13 (12) 1717-1722 PubMed (PMID: 23602375)
    PubMedGoogle Scholar
  • 33 O’Brien JP. Simultaneous combined anterior and posterior fusion: a surgical solution for failed spinal surgery. In: Noble J, ed. Recent Developments in Orthopaedic Surgery. Manchester: Manchester University Press; 1987:199–205
  • 35 Ozturk C, Aydinli U, Vural R, Sehirlioglu A, Mutlu M. Simultaneous versus sequential one-stage combined anterior and posterior spinal surgery for spinal infections (outcomes and complications).. Int Orthop 2007; 31 (3) 363-366 PubMed (PMID: 16736143)
    PubMedGoogle Scholar
  • 36 Xia Q, Xu BS, Zhang JD et al. Simultaneous combined anterior and posterior surgery for severe thoracolumbar fracture dislocations.. Orthop Surg 2009; 1 (1) 28-33 PubMed (PMID: 22009778)
    PubMedGoogle Scholar
  • 37 Spencer DL, DeWald RL. Simultaneous anterior and posterior surgical approach to the thoracic and lumbar spine.. Spine 1979; 4 (1) 29-36 PubMed (PMID: 432713)
    PubMedGoogle Scholar
  • 38 Acaroglu ER, Schwab FJ, Farcy JP. Simultaneous anterior and posterior approaches for correction of late deformity due to thoracolumbar fractures.. Eur Spine J 1996; 5 (1) 56-62 PubMed (PMID: 8689418)
    PubMedGoogle Scholar
  • 39 Fourney DR, Abi-Said D, Rhines LD et al. Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstruction and stabilization.. J Neurosurg 2001; 94 (2) (Suppl. Suppl) 232-244 PubMed (PMID: 11302626)
    Google Scholar
  • 41 Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion.. Spine J 2006; 6 (4) 435-443 PubMed (PMID: 16825052)
    PubMedGoogle Scholar
  • 42 Boachie-Adjei O, Cho W, King AB. Axial lumbar interbody fusion (AxiaLIF) approach for adult scoliosis.. Eur Spine J 2013; 22 (Suppl. Suppl 2) S225-S231 PubMed (PMID: 22573050)
    PubMedGoogle Scholar