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Research ArticleLumbar Spine

Development of New-Onset Cervical Deformity in Nonoperative Adult Spinal Deformity Patients With 2-Year Follow-Up

PETER G. PASSIAS, CYRUS M. JALAI, NANCY WORLEY, SHALEEN VIRA, JUSTIN K. SCHEER, JUSTIN S. SMITH, SUBARAMAN RAMACHANDRAN, ALEXANDRA SOROCEANU, SAMANTHA R. HORN, GREGORY W. POORMAN, THEMISTOCLES S. PROTOPSALTIS, ERIC O. KLINEBERG, DANIEL M. SCIUBBA, HAN JO KIM, D. KOJO HAMILTON, RENAUD LAFAGE, VIRGINIE LAFAGE, CHRISTOPHER P. AMES and INTERNATIONAL SPINE STUDY GROUP (ISSG)
International Journal of Spine Surgery December 2018, 12 (6) 725-734; DOI: https://doi.org/10.14444/5091
PETER G. PASSIAS
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
MD
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CYRUS M. JALAI
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
BA
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NANCY WORLEY
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
MS
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SHALEEN VIRA
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
MD
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JUSTIN K. SCHEER
2School of Medicine, University of California, San Diego, La Jolla, California
BS
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JUSTIN S. SMITH
3Department of Neurosurgery, University of Virginia Medical Center, Charlottesville, Virginia
MD
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SUBARAMAN RAMACHANDRAN
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
MD
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ALEXANDRA SOROCEANU
4Orthopaedic Surgery, University of Calgary, Calgary, Alberta, Canada
MD
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SAMANTHA R. HORN
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
BA
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GREGORY W. POORMAN
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
BA
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THEMISTOCLES S. PROTOPSALTIS
1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York
MD
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ERIC O. KLINEBERG
5Department of Orthopaedic Surgery, University of California, Davis, Sacramento, California
MD
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DANIEL M. SCIUBBA
6Department of Neurosurgery, The Johns Hopkins University, Baltimore, Maryland
MD
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HAN JO KIM
7Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York
MD
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D. KOJO HAMILTON
8Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
MD
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RENAUD LAFAGE
7Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York
MS
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VIRGINIE LAFAGE
7Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York
PHD
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CHRISTOPHER P. AMES
9Department of Neurological Surgery, University of California, San Francisco, San Francisco, California
MD
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  • Figure 1
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    Figure 1

    Spinopelvic parameters: LL indicates lumbar lordosis; TK, thoracic kyphosis; PI, pelvic incidence; SS, sacral slope; PT, pelvic tilt; SVA, C7-S1 sagittal vertical axis; and CL, C1-C2 and C2-C7 cervical lordosis. The parameter of C7 slope is also depicted.

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    Figure 2

    Distribution of new onset nonoperative cervical deformity cases at baseline and at 1 and 2 years. CD indicates cervical deformity; new, unique patients displaying new onset CD at 1 year (n = 18); sustained, patients with new-onset CD that persisted from 1 year to 2 years (n = 11); lost, patients whose new-onset CD corrected from 1-year to 2-year follow-up (n = 7).

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    Figure 3

    Patient-reported health-related quality of life at baseline, 1-year follow-up, and 2-year follow-up for Oswestry Disability Index (ODI), and Short Form 36 (SF-36) physical and mental component scores for cervically aligned patients at baseline and those that developed new-onset cervical deformity at each year. Abbreviations: HRQoL, health-related quality of life; PCS, physical component score; MCS, mental component score; CA, cervically aligned; NewCD1Y, new-onset cervical deformity at 1 year; NewCD2Y, new-onset cervical deformity at 2 years.

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International Journal of Spine Surgery
Vol. 12, Issue 6
1 Dec 2018
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Development of New-Onset Cervical Deformity in Nonoperative Adult Spinal Deformity Patients With 2-Year Follow-Up
PETER G. PASSIAS, CYRUS M. JALAI, NANCY WORLEY, SHALEEN VIRA, JUSTIN K. SCHEER, JUSTIN S. SMITH, SUBARAMAN RAMACHANDRAN, ALEXANDRA SOROCEANU, SAMANTHA R. HORN, GREGORY W. POORMAN, THEMISTOCLES S. PROTOPSALTIS, ERIC O. KLINEBERG, DANIEL M. SCIUBBA, HAN JO KIM, D. KOJO HAMILTON, RENAUD LAFAGE, VIRGINIE LAFAGE, CHRISTOPHER P. AMES, INTERNATIONAL SPINE STUDY GROUP (ISSG)
International Journal of Spine Surgery Dec 2018, 12 (6) 725-734; DOI: 10.14444/5091

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Development of New-Onset Cervical Deformity in Nonoperative Adult Spinal Deformity Patients With 2-Year Follow-Up
PETER G. PASSIAS, CYRUS M. JALAI, NANCY WORLEY, SHALEEN VIRA, JUSTIN K. SCHEER, JUSTIN S. SMITH, SUBARAMAN RAMACHANDRAN, ALEXANDRA SOROCEANU, SAMANTHA R. HORN, GREGORY W. POORMAN, THEMISTOCLES S. PROTOPSALTIS, ERIC O. KLINEBERG, DANIEL M. SCIUBBA, HAN JO KIM, D. KOJO HAMILTON, RENAUD LAFAGE, VIRGINIE LAFAGE, CHRISTOPHER P. AMES, INTERNATIONAL SPINE STUDY GROUP (ISSG)
International Journal of Spine Surgery Dec 2018, 12 (6) 725-734; DOI: 10.14444/5091
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Keywords

  • cervical deformity
  • adult spinal deformity
  • new-onset cervical deformity
  • nonoperative

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