title: One-stage "front" and "back" correction for rigid cervical kyphosis. A safer technique of correction for a rare case of adult-onset Still's disease.
abstract: This report describes a new safe technique for surgical correction of rigid cervical kyphosis, in a very rare case of adult-onset Still's disease. It differs from all the previously mentioned reports of similar corrective osteotomies, the essential difference being a combined anterior (front) and posterior (back) approach performed at one stage (under a single anesthesia). The "front" is a release procedure of an open-wedge variety, and the "back" is a closed-wedge type of osteotomy. Such a double procedure ensures a slow and controlled correction at the preoperatively determined level, rather than a snapshot, rapid, and often a violent correction, which may occur at an undesired level. This osteotomy is performed under general anesthesia after an endotracheal intubation by a special "guided" maneuver. This new technique, the authors believe, is only a more comfortable option for the surgeon, but also a safer alternative for the patient.
authors.affiliation: Department of Orthopedics, Seth G.S. Medical College, Bombay, India.
authors.forename: S Y
authors.initials: SY
authors.lastname: Bhojraj
authors.forename: D
authors.initials: D
authors.lastname: Dasgupta
authors.forename: L V
authors.initials: LV
authors.lastname: Dewoolkar
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D002574:Cervical Vertebrae / Q000601:surgery*; D006801:Humans; D007194:India / Q000453:epidemiology; D007442:Intubation, Intratracheal / Q000379:methods; D007738:Kyphosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods; D016706:Still's Disease, Adult-Onset / Q000150:complications* / Q000453:epidemiology