View Full Version : Kyphosis Links

30th October 2005, 10:05 PM
kyphosis (http://www.pediatric-orthopedics.com/Treatments/Kyphosis_Lordosis/Kyphosis/kyphosis.html)

Hope this of some use, its from the same website i posted the link to in the General Forum

I think its a good thing i posted this after John's surgery, it might of finished him off


30th October 2005, 11:50 PM
presentation (http://www.espine.com/kyphosis.pdf)

Power point presentation. Good general presentation on kyphosis


1st November 2005, 06:16 PM
good grief mark! thank goodness u waited or I'd have bolted!

strangely at the enterance to QMC spinal unit they have pictures of surgery which was a bit disconcerting!

1st November 2005, 07:30 PM
my dad couldn't believe all those photos john. he said it would've frightened him out of surgery and that as a patient he'd be happy to see them afterwards but not before, and i have to agree, they were pretty graphic. QMC needs an interior designer or a feng shui (sp?) person or just some plain common sense i think :hammer:

2nd November 2005, 11:09 AM
it was outgragous wasn't it! Literally in the welcome to our spinal unit area was a wall covered in open surgery pictures! Marvellous!

2nd November 2005, 11:13 AM
my dad and i couldn't believe it. i wonder if other wards at QMC are the same, like if you go to the maternity unit for example and get to see various stages of birth or something. i'd have run screaming if i'd been a QMC patient, they would have had to anaesthetise me outside the building :D

3rd November 2005, 10:48 PM
post operative advice (http://www.spineinstituteny.com/instructions/postop.html)

With so many members now post operative i found this link offering good advice on how to get over the initial few weeks


3rd November 2005, 11:01 PM
Oh thanks Mark! I'm putting it on favourites so I can read it now and then go back to it after my surgery.

4th November 2005, 12:01 AM
Thats an excellent website Mark.....Stanmores advice is also brilliant!(not sure if its available online though)

4th November 2005, 10:44 AM
"You may resume driving when you feel comfortable driving." eeeek! don't agree with that one! but the rest is pretty good...perhaps one of us stanmore patients can put our advice sheets up on SSO in the downloads section? i have mine scanned into my computer somewhere...it was a really good set of sheets

4th November 2005, 10:46 AM
How long would you recommend waiting, Becky?

Did you do anything to help get accustomed to any reduced flexibility you might have as it applies to looking around you for traffic (especially when changing lanes)?

4th November 2005, 10:53 AM
i had a consultation at 7 weeks post op and was allowed to drive then, but jo (can't remember her SSO username) was told at the same stage to not drive, and i know people who have yet to pass their tests or start learning to drive are told to wait several months (martha for example i think, and tracey)

i haven't lost much flexibility, but i did have a couple of problems. my old car didn't have power steering so i bought a new one (if you don't have PAS and can't get a new car, wait longer, because driving without PAS is like lifting something heavy, and you're not allowed to do that). changing lanes i don't find a problem (this might get confusing, you may have to visualise that i drive a right hand drive car and we drive on the left over here too...bear with me) my major problem was reversing into a parking space, and looking over my right shoulder, down the side of the car (so twisting that way i found a problem, this was twisting away from my incision side) and the only other thing i found tough was (surprisingly) the handbrake! in most cars over here the handbrake is between the front seats, behind the gearstick - pulling it up engages the brake, releasing it and putting it down takes it off. i found it hard to lift it up initially because i hadn't lifted anything for so long

i hope that's not too long and confusing. i was surprised i didn't have issues with my legs getting tired. the thing to remember is, if you're parking etc and have trouble twisting, that's the sort of manoeuvre you can really take your time with and crawl through if necessary. i think blair got back behind the wheel after surgery too so perhaps we can ask her later :-)

4th November 2005, 11:04 AM
ok i currently don't have my advice sheets scanned in, but it would only take me two minutes. if any mods/admins think it appropriate, i can spend all afternoon getting my dense brain to figure out how to post them to the downloads section :D

4th November 2005, 11:06 AM
Considering the seriousness of the op, two months seems a reasonable wait. I can't imagine feeling "comfortable" any sooner than that, so maybe that's what they had in mind when writing the page.

4th November 2005, 11:10 AM
maybe. i just remembered that jo said she was told that one of the criteria was when she could do an emergency stop safely

4th November 2005, 12:32 PM
Originally posted by marmyte@Nov 4 2005, 11:04 AM
ok i currently don't have my advice sheets scanned in, but it would only take me two minutes. if any mods/admins think it appropriate, i can spend all afternoon getting my dense brain to figure out how to post them to the downloads section :D
Yes load it up Becky any information that can help members with post operative recovery is really useful

4th November 2005, 12:51 PM
Good site Mark, you're doing plenty of research! Nice one.

4th November 2005, 01:06 PM
neither sins or i can load it up mark but we're working on it

4th November 2005, 01:33 PM
Yes you are correct Becky - I was told that I couldn't drive because of the emergency stop issue. They are being really strict about it aswell because whenI went to see my GP the other week she read out the letter that my consultant had sent her. It said that "joanna is strictly not allowed to drive swim or exercise".

I think once I am back in for my next consultant appointment in January that they might lift some of the restrictions.

How have you found driving again Becky?

4th November 2005, 03:11 PM
like i said above, not too bad. i think one of the best things to do is not put too much pressure on yourself and just attempt short journeys at first, and if you need to go far, make sure there are places you can stop and/or you have someone with you who can take over (or have an alternative means of getting home) my consultant told me no hideously long drives when i was first allowed to drive again. two weeks ago i drove from sussex to nottingham and back (i think it's about 200 miles?) in 48 hours and that was ok, but at that point i was 14 weeks post op and had been driving around for a little while. i'm at the point again where i can drive without thinking about it. like i said, handbrake and looking over my shoulder for extended periods (rather than just a split second glance) were the problems for me

4th November 2005, 03:28 PM
Even driving an automatic transmission and not having to worry about all that manual transmission stuff, I didn't drive for about two months. Just wasn't comfortable turning my head quickly to check blind spots, etc (My fusion went up to T2)... The surgeon told me I could drive when I was off of narcotic pain medication (Which for me was before a 2 week checkup). The nurses in his practice told me they'd wring my neck if I drove that soon. :-P

4th November 2005, 03:32 PM
my parents would have ensured i was not a healthy person if i'd done anything "too soon" :P ah manual's easy when you know how

4th November 2005, 05:59 PM
Originally posted by marmyte@Nov 4 2005, 01:06 PM
neither sins or i can load it up mark but we're working on it
Good luck with it :-)

4th November 2005, 11:10 PM
I was always confused about why I wasn't allowed NSAIDs I think they explained it to me but I obviously didn't absorb anything. I blame it on the morphine. Anyone know anything?

5th November 2005, 05:16 PM
Many NSAIDs interfere with the development of a fusion, so they're really not a good idea. QMC will prescribe you a certain amount of diclofenac to aid your pain control while you are in hospital, but it's still limited and is only supplemental the the opiates - paracetamol is preferred for breakthrough pain and supplemental relief, because it does not affect fusion at all.

6th November 2005, 05:45 PM
Oh, ok! Thanks titch.

10th November 2005, 05:35 AM

Here is another useful link. This is a website written by a neighbor in California who had surgery. Theres more detail lists of what to bring to the hospital etc.

I have not received my book yet but I will definitely will give a review on it

Christina :-)

11th November 2005, 09:27 PM
Thats a useful website Christina i have used its links. I look forward to reading your review

11th November 2005, 09:29 PM
Maybe its like a disclaimer

"Those who enter, enter at your own risk"

18th November 2005, 09:29 PM
discussion on the merits of physical therapy

Physio (http://www.ptjournal.org/PTJournal/Oct2003/ad100300907p.pdf)

18th November 2005, 09:34 PM
Hyperlordosis (http://perso.wanadoo.fr/jacques.cheneau/back_pains_basis.htm)

Has some great definitions and easy to understand diagrams

18th November 2005, 09:40 PM
Paper (http://www.maitrise-orthop.com/corpusmaitri/orthopaedic/mo58_spine_fracture/mo58_spine_fractures.shtml)

Maybe of interest to members about to undergo surgery in understanding procedures (or scare the hell out of them)

18th November 2005, 10:01 PM
that link won't work for me, mark. i don't know if the site is down or something?

18th November 2005, 10:17 PM
Sorry my fault i missed a w of the www.bit :idiot:

18th November 2005, 10:51 PM
Flatback (http://www.aans.org/education/journal/neurosurgical/sep03/15-3-8.pdf)

Iatrogenic loss of lordosis is now frequently recognized as a complication following placement of thoracolumbar
instrumentation, especially with distraction instrumentation. Flat-back syndrome is characterized by forward inclination
of the trunk, inability to stand upright, and back pain. Evaluation of the deformity should include a full-length lateral
radiograph obtained with the patient’s knees and hips fully extended. The most common cause of the deformity
includes the use of distraction instrumentation in the lumbar spine and pseudarthrosis.
Surgical treatment described in the literature includes opening (Smith-Petersen) osteotomy, polysegmental osteotomy,
and closing wedge osteotomy. The authors will review the literature, cause, clinical presentation, prevention, and
surgical management of flat-back syndrome.

19th November 2005, 11:38 AM
Interesting paper. I hadn't realised that flatback had been identified and named by Moe as far back as 1976 - that's a full 18 years before my surgery which left me with significant positive sagittal balance. Generally the turning point is given as LaGrone's study and paper in the late 1980s, which managed to capture the interest required to make a change. Most surgeons had stopped using Harrington rods by around 1990, and it was widely enough recognised as a problem that my first surgeon, a local hip and knee guy with "an interest" knew about the risks (although ironically enough, it would have been better if he hadn't - a Harrington would have done me less damage, but only because he was not specialised enough to handle the kind of instrumentation that he actually used).

19th November 2005, 10:25 PM
European paper on management of chronic lower back pain

chronic lower back pain (http://www.backpaineurope.org/web/files/WG2_Guidelines.pdf)

3rd December 2005, 08:17 PM

A bit complicated but maybe of interest to members

4th December 2005, 03:57 AM
I wish they'd also studied the ventilation without supplemental oxygen. I want to know how my treatment is likely to do.

Thanks for the link, Mark. Very interesting.

4th December 2005, 08:38 AM
Sleep fragmentation in kyphoscoliotic individuals with alveolar hypoventilation treated by NIPPV
JR Bach, D Robert, P Leger and B Langevin
Department of Reanimation Medicale l'Hopital de la Croix Rousse, Lyon, France.

Intermittent positive pressure ventilation (IPPV) delivered via nasal access can normalize alveolar ventilation for individuals with chronic alveolar hypoventilation (CAH) due to neuromuscular disease, spinal cord injury, or skeletal deformity. The purpose of this study was to evaluate the effect of nasal IPPV (NIPPV) air leakage-associated oxyhemoglobin desaturations (dSATs) on the sleep efficiency of kyphoscoliotic individuals with severe pretreatment nocturnal dSATs. Only individuals using nocturnal NIPPV without supplemental oxygen therapy were studied. Seven such individuals were able to maintain PaO2 greater than 60 mm Hg without supplemental oxygen therapy (five had been using oxygen therapy in the pretreatment period), had fewer hospitalizations, and had improvements in symptoms, arterial blood gas values, and nocturnal oxyhemoglobin saturation (SAT) by nocturnal NIPPV. This occurred despite polysomnographically observed sleep disruption and sleep stage changes associated with frequent transient dSATs and massive insufflation leakage. Arousals and dSATs were most frequent during rapid eye movement (REM) sleep with the latter occurring at a frequency of 10/h. The dSATs resulted in brief arousals or lightening of sleep stage 76% of the time. With or without arousal, central nervous system mediated reflex muscular activity occurred to diminish leak and normalize SAT. We conclude that the effectiveness of nocturnal NIPPV is dependent in part on central mediated muscular activity.


Thats the link to the report


10th December 2005, 11:10 PM
http://www.srs.org/professionals/resources...white_paper.pdf (http://www.srs.org/professionals/resources/sagittal_plane_white_paper.pdf)

Matina/Becky - I hope this gives you a better understanding of measuring Kyphotic curves. It baffled the hell out of me so good luck any questions just post away.

2nd January 2006, 02:40 PM
Just found this article while running a search, guys any idea what this is all about and how safe it is?

Revolutionary device used in spine surgery

Our Correspondent
Noida, January 1
Fortis Hospital, Noida, is the first hospital in South East Asia which claims to have used DIAM (Device for Intervertebral Assisted Motion) in spine surgery. This revolutionary device in spine surgeries overcomes the shortcomings of the stereotype mode of surgery in which screws and rods are used to support the spine. Therefore, post-operation stiffness of the back troubles the patient.
The device has been invented by Prof Jean Taylor, Monaco, France.
Prof A K Singh, Director Neurosciences, Fortis Hospital and Dr Samjeev Dua, Sr Consultant Neurosurgery, had conducted the first surgery using this device.
In DIAM surgery, a bag filled with silicon gel is inserted between the two vertebras after creating a proper bed for it. This process helps in restoring the space between the adjacent vertebrae and opens up the canals through which the nerves can easily pass, thus relieving pressure on the nerves. The process enables the complete range of movement as the silicon bag adjusts to pressures by molding itself temporarily and then regaining its shape.
The spine is made of individual bones called vertebrae, which provide support for the spine.
These vertebrae are connected in front of spine by intervertebral discs that help support the spine and also allow it to move. Neck and lower back pain are the most common existing spine problems.
Though the surgical treatment for it has existed for long, but with DIAM the efficiency and results of spine surgeries will reach next level in India.
Prof. A. K. Singh, Director, Neurosciences, Fortis Hospital, Noida said, “At this moment, DIAM has been implanted in three patients at Fortis. It has been well received by the patients. The greater patient satisfaction will encourage the widespread use of DIAM in India in future.”
DIAM is suitable for patients who are unable to walk because of leg pain or weakness of legs brought on by walking.


2nd January 2006, 05:34 PM
It seems that it is a special kind of disc replacement to be used for conditions such as degenerated discs and cord compression. In some cases it is necessary to fuse a couple of vertebrae, but sometimes a disc replacement can be performed - it seems here that some cases that would originally have warranted fusion may be able to be treated with this device instead, without fusion.

Traditional disc replacements are made from hard materials but this one seems to be made of silicone. Supposedly it opens up the spine better and helps with blood supply and nerve freedom.

Unfortunately it won't work for spinal deformity, but it may be interesting for those who are suffering disc degeneration above or below their fusion. Thanks for the link!

27th January 2006, 07:48 PM
https://www.aans.org/education/journal/neur...an03/14-1-1.pdf (https://www.aans.org/education/journal/neurosurgical/jan03/14-1-1.pdf)

History of surgery for the correction of spinal deformity

1st February 2006, 08:08 PM

Congenital anomalies of the vertebrae producing a scoliosis, kyphoscoliosis or kyphosis are potentially serious conditions, which can, on occasion, result in an extremely severe rigid spinal deformity with possible spinal cord compression. The key to successful management depends on: (1) Early diagnosis while the curve is still small. (2) Anticipation of the likely prognosis based on the type and site of the vertebral anomaly, the degree of growth imbalance it produces and the amount of spinal growth remaining. (3) Preventing progression of the deformity and this may necessitate surgical treatment in the first few years of life. It is much better to carry out a relatively simple operation to balance the growth of the spine at an early stage than to wait and perform potentially hazardous anterior and posterior spinal surgery as a salvage procedure at a later stage.

1st February 2006, 08:14 PM

The above presentation shows a severe case of Kyphosscoliosis and describes the process and shows photo's of her surgery.

She is a very brave girl indeed

Again beware before opening the link the pictures are graphic and could be upsetting.

Little Ali
1st February 2006, 10:12 PM
Thanks Mark...I think! That is interesting, although I think I'd rather have been kept in the dark about the position they have you in while they operate!

2nd February 2006, 11:54 AM
aww darn it! I wanted to see that.....but my dumb computer hasn't got flash on it ( keep trying to download it...but never works)

I guess I am a bit of a freak....i dont mind seeing surgery stuff much, its interesting!

2nd February 2006, 07:50 PM
It takes a little time time to down load abbi i will e mail you the website it came from if i can remember where i found it

Its 9.72MB which if i'm not mistaken makes it a big file

2nd February 2006, 07:55 PM
Interesting article as Scotland looks like loosing its only other specialist spinal unit

2nd February 2006, 08:04 PM

Thats the site its from

Its a very good website

I recommend a look

10th February 2006, 07:24 PM

Management of posttraumatic kyphosis:
Surgical technique to facilitate a combined approach

10th February 2006, 07:32 PM
http://www.aans.org/education/journal/neur...ep03/15-3-8.pdf (http://www.aans.org/education/journal/neurosurgical/sep03/15-3-8.pdf)

Management of iatrogenic flat-back syndrome

10th February 2006, 07:37 PM
This could either go here or in the Juvenile forum

http://www.int-pediatrics.org/PDF/Volume%2.../pg.135-142.pdf (http://www.int-pediatrics.org/PDF/Volume%2017/17-3/pg.135-142.pdf)

13th February 2006, 09:58 AM
so how do i get to part 1, dealing with scoliosis???

13th February 2006, 12:31 PM
Hi Gerbo

This is the link to part 1

http://www.int-pediatrics.org/PDF/Volume%2...%20stricker.pdf (http://www.int-pediatrics.org/PDF/Volume%2017/17-1/pg%2013-20%20stricker.pdf)

you can move it if you want to eithe the Juvenile Forum or Non Surgical

its from this web site


Just click on archives



13th February 2006, 01:50 PM

An interesting guide to examining the spine

13th February 2006, 04:59 PM
I love how it says

"Every zig needs a zag"

I think my cousins may have a little of that spine curving that way sort of thing. What is a "normal" back meant to look like from the side anyway? Because my back is quite curvy with a sticky out bum if that makes sense. Like in yoga we had to lie on the floor and flatten the back to it but I can only flatten it to the floor if I bend my knees. But I think that is the case for everyone though (that you have to bend knees, as the back should not be flat anyway, but should you be able to push it flat?)

14th February 2006, 12:49 AM
A healthy spine is NOT flat! Have a look at a diagram of a healthy spine:

http://www.lieberson.com/en/Images/07_Med_...0copy%20250.jpg (http://www.lieberson.com/en/Images/07_Med_Info/Full%20Spine%20with%20Labels%20copy%20250.jpg)

I think it's normal for a non-scoliotic person to be able to flatten out the lumbar curve fully and the thoracic curve to some extent. Pilates relies on this motion. Look up lordosis and kyphosis in the SSo Glossary for details of normal curves though.

That's one of the reasons that scoliosis surgery is such a craft - you're not just straightening out the scoliosis, you're shaping the spine in 3D in such a way as to correct and maintain the sagittal profile (the spine as viewed from the side) and minimise rotation, AND correcting the scoliosis, and then taking into account the amount the spine will 'settle' back.

14th February 2006, 04:34 PM
:bump: this for scoligirl in answer to her question in her post in the Kyphosis Surgery thread

I hope it answers your question as what is considered a normal kyphotic spine



14th February 2006, 10:19 PM
Bumped for Butterfly 8t8

14th February 2006, 10:25 PM
Bumped :bump:

Little Ali
15th February 2006, 09:56 PM

16th February 2006, 11:58 AM

22nd February 2006, 09:08 PM
Here is a surgeon for US (also does scoliosis). Did my surgery.
Robert Pashman, MD @ Cedars Sinai.

22nd February 2006, 09:31 PM
Hello Smurfy

welcome to SSO i hope you can find all you need at the site. Feel free to post yourKyphosis/scoliosis story here or anything else you feel may help others who use the site

once again welcome


1st March 2006, 10:36 PM
All the Kyphosis links and posts gathered together for easy reference

1st March 2006, 10:39 PM
All the general spine related links gathered together for easy reference

2nd March 2006, 12:47 PM
Put the two links into the same thread for ease of reference

10th March 2006, 11:25 PM
Please feel free to add any articles or links for discussion



30th March 2006, 10:10 PM
http://www.srs.org/professionals/resources...lolisthesis.pdf (http://www.srs.org/professionals/resources/spondylolisthesis.pdf)

30th March 2006, 10:17 PM
http://www.espine.com/The%20Changing%20Rol...eurosurgeon.pdf (http://www.espine.com/The%20Changing%20Role%20of%20the%20Neurosurgeon.pd f)

The changing role for neurosurgeons and the treatment of
spinal deformity

30th March 2006, 10:19 PM
http://www.aans.org/education/journal/neur...ep03/15-3-4.pdf (http://www.aans.org/education/journal/neurosurgical/sep03/15-3-4.pdf)

Management of strut graft failure in anterior cervical spine

17th April 2006, 01:49 PM

Little Ali
17th April 2006, 08:21 PM
Spinal Bifid? Never heard it called that before!! :???:

18th April 2006, 07:44 AM
great site mark. the thorascopic anterior release show was what I had during the first part of my surgery!

18th April 2006, 02:42 PM
Originally posted by Little Ali@Apr 17 2006, 07:21 PM
Spinal Bifid? Never heard it called that before!! :???:
Me neither Ali, maybe its an American turn of phrase or a typo

:???: :???:

21st January 2009, 12:34 AM
Good spinal fusion video. Don't know if it has been posted yet.


10th April 2009, 12:36 AM

Good link on scheuermann kyphosis.

2nd January 2011, 09:01 PM
not sure if its been done before but i enjoyed this one
Kyphosis/Scheuermanns Disease Correction (Spinal Fusion) April 2009

interesting comment below some one says CHIROPRACTORS are the best!!
all I can say about that is i went to one and thought he was a waste of time and money from my experience and he even said he could get my back straight!!

10th January 2011, 09:29 PM
good website

17th February 2011, 06:11 PM
Interesting Article about Miley Cyrus diagnosed with Scheuermann's kyphosis

12th March 2011, 08:39 PM
good resource

12th March 2011, 10:21 PM
So thats what u look like Daniel :)
I have never managed to find any adult kyphosis operations online, just kids, I wonder why there are none to be found?

12th March 2011, 10:47 PM
So thats what u look like Daniel :)
I have never managed to find any adult kyphosis operations online, just kids, I wonder why there are none to be found?

yeah thats me and I have seen a few vids on you tube...
just search for Kyphosis surgery
or try Scheuermanns surgery
not many out there but I saw one or two

13th March 2011, 06:58 PM
The few that are on there are kids or teenagers, shame cos would be interesting to see an adult going through it. Cos kids generaly recover very quickly it seems

19th March 2011, 10:17 AM
The few that are on there are kids or teenagers, shame cos would be interesting to see an adult going through it. Cos kids generaly recover very quickly it seems

like i said there is a few on there just need to look for them quite hard to find heres one guy

20th June 2011, 10:36 PM
Deana’s Kyphosis and Life Story

21st July 2011, 09:00 AM
3D Spine Simulator

27th December 2011, 06:24 PM
this is worth reading for Shermans