Chin-on-Chest deformity is one of the most debilitating spinal deformities, causing chronic pain, nerve root dysfunction and poor quality of life. Orthopaedic spine surgeon Sang Hun Lee discusses cervical spine osteotomy, a procedure used to realign the spine.
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Hi my name is dr Stanley a spine surgeon at johns Hopkins. I'm gonna talk about chin on chest deformity and cervical spine asea to me to manage it. Nothing to disclose on this topic. This is a chin on chest deformity. This is one of the most disabling difficulty formative for patient from chronic pain from bad posture and the spinal cord nerve dysfunction. From stretched and impinge the nerve structure and a lot of quality of life issue from swallowing hygiene issue. And also patients cannot see the horizontal gaze. So may have very significant mental stress and social issues after surgery. The outcome is excellent from regaining alignment and gaze and pain and functional recovery. Uh This is a picture explaining cervical asEA. To me we are going back of the spine and cut part of the laminar pedicure and vertebral body. So it's kind of artificial fracture and realigning the different spine. But it's not very simple because uh there are particular arteries on both sides in front of the spine supplying brain and spinal code is coming from the brain in the middle of the spinal canal. So this is one of the most technically demanding and challenging surgeries for spine surgeons as well. So in the literature, the complication rate is variable from 9-60% but the complication rate is much higher than regular users, cervical spine surgeries. Uh here are common causes of chin on chest deformity and closing spondylitis and post surgical deformity and idiopathic. This is an closing spondylitis patient and closing spondylitis is kind of spine inflammation ends up with spine fusion and this kind of cathartic deformity. So we did cervical astronomy and throughout Colombia astronomy to realign the spine and could get a very good outcome. And post the surgical hypothesis is not uncommon from loss of muscle born recommended structure from prior surgery. So we do similar asEA to me to realign the spine and have a very good clinical outcomes. And the last the idiopathic we call that uh dropped head syndrome is idiopathic. So sometimes we go both front and back side of the cervical spine to get a good alignment and corrected it. For me, this is a drop that had a syndrome case. So cervical asean a me fortune on chest deformity is uh technically challenging and demanding and higher complication rate than regular cervical spine surgeries. Uh we can expect excellent clinical outcomes based on preoperative variation and detail the surgical planning and good postoperative rehabilitation. We're treating a lot of patients struggling with this deformity. So if you or your family or your patients have this conditions do not hesitate to contact us, jOHn's Hopkins spine surgery. Thank you very much
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