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Cervical kyphoscoliosis / Cifoescoliosis cervical
Khanna, Sandeep; Bustamante, Sergio.
  • Khanna, Sandeep; Cleveland Clinic Foundation. Department of General Anesthesiology and Department of Outcomes Research. Anesthesiology Institute. US
  • Bustamante, Sergio; Cleveland Clinic Foundation. Anesthesiology Institute. Department of Cardiothoracic Anesthesiology. US
Rev. colomb. anestesiol ; 49(2): e700, Apr.-June 2021. graf
Article in English | LILACS, COLNAL | ID: biblio-1251505
ABSTRACT
Cervical kyphoscoliosis is an uncommon spinal deformity. Kyphosis or outward curvature of cervical-spine (Image A) has led to a fixed flexion state resulting in suspension of patient's head in the air while lying on the imaging table. Additionally, dextroscoliosis or rightward convexity of the cervical vertebral axis has resulted in a persistent leftward head tilt (Image B). Head and neck radiation and trauma can lead to cervical kyphoscoliosis. In addition to the cosmetic deformity, patients present with myelopathic sensorimotor symptoms such as weakness and tingling of upper extremities. The Poisson effect states that flexion of the spine lengthens and stretches the spinal canal, reduces its area and narrows its lumen. This causes spinal cord impingement and myelopathy.
RESUMEN
La cifoescoliosis cervical es una deformidad de la columna vertebral poco frecuente. La cifosis o la curvatura hacia fuera de la columna cervical (imagen A) ha dado lugar a un estado de flexión fija que provoca la suspensión de la cabeza del paciente en el aire mientras está tumbado en la mesa de diagnóstico por imagen. Además, la dextroscoliosis o convexidad hacia la derecha del eje vertebral cervical ha dado lugar a una inclinación persistente de la cabeza hacia la izquierda (Imagen B). La radiación de cabeza y cuello y los traumatismos pueden provocar cifoescoliosis cervical. Además de la deformidad estética, los pacientes presentan síntomas sensoriomotores mielopáticos como debilidad y hormigueo en las extremidades superiores. El efecto Poisson establece que la flexión de la columna vertebral alarga y estira el canal espinal, reduce su área y estrecha su lumen. Esto provoca el pinzamiento de la médula espinal y la mielopatía.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Diseases / Spine / Congenital Abnormalities Limits: Humans Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2021 Type: Article Affiliation country: United States Institution/Affiliation country: Cleveland Clinic Foundation/US

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Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Diseases / Spine / Congenital Abnormalities Limits: Humans Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2021 Type: Article Affiliation country: United States Institution/Affiliation country: Cleveland Clinic Foundation/US