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Research ArticleOther & Special Categories

Preoperative and Postoperative Sagittal Alignment and Compensatory Mechanisms in Patients With Posttraumatic Thoracolumbar Deformities Who Undergo Corrective Surgeries

Oscar Bravo Olivares, Manuel Valencia Carrasco, Guillermo Izquierdo Pinto, Felipe Novoa Tonda, José Antonio Riera Martínez and Alvaro Silva González
International Journal of Spine Surgery June 2021, 15 (3) 585-590; DOI: https://doi.org/10.14444/8079
Oscar Bravo Olivares
1Mutual de Seguridad, Spine Surgical Unit, Santiago, Chile
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Manuel Valencia Carrasco
1Mutual de Seguridad, Spine Surgical Unit, Santiago, Chile
2Clínica Alemana – Universidad del Desarrollo, Santiago, Chile
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Guillermo Izquierdo Pinto
1Mutual de Seguridad, Spine Surgical Unit, Santiago, Chile
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Felipe Novoa Tonda
1Mutual de Seguridad, Spine Surgical Unit, Santiago, Chile
2Clínica Alemana – Universidad del Desarrollo, Santiago, Chile
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José Antonio Riera Martínez
1Mutual de Seguridad, Spine Surgical Unit, Santiago, Chile
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Alvaro Silva González
2Clínica Alemana – Universidad del Desarrollo, Santiago, Chile
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    Figure 1

    The spinopelvic parameters measured in our study.

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    Figure 2

    The case of a patient who had a car accident, which resulted in a misdiagnosed type B fracture that progressed to a fixed kyphosis. (A) Computed tomography showing the kyphotic deformity. (B) Lateral full spine x ray showing an unbalanced spine with a +61 mm sagittal vertical axis.

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    Figure 3

    The case of a burst fracture initially treated with in situ fixation that evolved to local kyphosis. (A) Lateral full spine x ray before the correction of kyphosis; we observed severe negative imbalance (sagittal vertical axis [SVA] −80 mm, regional kyphosis [RK] 20°, and lumbar lordosis [LL] −70°). (B) Lateral full spine x ray after the correction of kyphosis, showing normalization of the spinal parameters (SVA +25 mm, RK 5°, and LL −50°).

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International Journal of Spine Surgery
Vol. 15, Issue 3
1 Jun 2021
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Preoperative and Postoperative Sagittal Alignment and Compensatory Mechanisms in Patients With Posttraumatic Thoracolumbar Deformities Who Undergo Corrective Surgeries
Oscar Bravo Olivares, Manuel Valencia Carrasco, Guillermo Izquierdo Pinto, Felipe Novoa Tonda, José Antonio Riera Martínez, Alvaro Silva González
International Journal of Spine Surgery Jun 2021, 15 (3) 585-590; DOI: 10.14444/8079

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Preoperative and Postoperative Sagittal Alignment and Compensatory Mechanisms in Patients With Posttraumatic Thoracolumbar Deformities Who Undergo Corrective Surgeries
Oscar Bravo Olivares, Manuel Valencia Carrasco, Guillermo Izquierdo Pinto, Felipe Novoa Tonda, José Antonio Riera Martínez, Alvaro Silva González
International Journal of Spine Surgery Jun 2021, 15 (3) 585-590; DOI: 10.14444/8079
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Keywords

  • posttraumatic deformity
  • compensatory mechanisms
  • sagittal imbalance

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