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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)
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2018, Number 1

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Ortho-tips 2018; 14 (1)

Two-stage hyperlordosis correction: case presentation and literature review

Carrillo VEH, Delgadillo CL
Full text How to cite this article

Language: Spanish
References: 9
Page: 34-38
PDF size: 247.22 Kb.


Key words:

Hyperlordosis, sagittal balance, discetomy, posterior instrumentation, pelvic incidence.

ABSTRACT

Hyperlordosis is defined as a lumbar angle greater than 45o. This angulation causes an alteration of the sagittal balance of the spinal column, with biomechanical implications that also affect the pelvic orientation, and therefore the biomechanics of gait. These alterations occur mainly in the clinical form of femoroacetabular impingement syndrome, which has been demonstrated in recent years to be one of the main etiologies of coxarthrosis. There is a clinical case of pediatric patient with hyperlordosis deformity, which is corrected in two surgical times, with a double approach. Post-operative results demonstrate a correction of sagittal balance and pelvic incidence, with consequent change in the load zone of the hip joint.


REFERENCES

  1. Norma Oficial Mexicana NOM-004-SSA3-2012, Del expediente clínico. (En línea). México: Comité Consultivo Nacional de Normalización de Innovación, Desarrollo, Tecnologías e Información en Salud; 2010. (Acceso 15 de octubre de 2018). URL disponible en: http://dof.gob.mx/nota_detalle_popup.php?codigo=5272787

  2. Day RA. Cómo escribir y publicar trabajos científicos. 3ª ed. Washington DC: Organización Panamericana de la Salud; 2005.

  3. Celestre PC, Dimar JR, Glassman SD. Spinopelvic parameters: lumbar lordosis, pelvic incidence, pelvic tilt, and sacral slope. what does a spine surgeon need to know to plan a lumbar deformity correction? Neurosurg Clin N Am. [In line] 2018. (Access 30 June of 2018) 29: 323-329.

  4. Pumberger M, Schmidt H, Putzier M. Spinal deformity surgery: a critical review of alignment and balance. Asian Spine J. [In line] 2018; (Access 01 July of 2018) 12 (4): 775-783.

  5. Roussouly P. Pre- and post-operative sagittal balance in idiopathic scoliosis: a comparison over the ages of two cohorts of 132 adolescents and 52 adults. Eur Spine J. [In line] 2012; (Access 30 June of 2018) 22: 203-215.

  6. Azar F. Campbell’s Operative Orthopaedics. Chapter 44. Scoliosis and Kyphosis. Philadelphia, USA. 2017.

  7. Ames CP, Smith JS, Scheer JK. Impact of spinopelvic alignment on decision making in deformity surgery in adults. J Neurosurg Spine. [In line] 2012; (Access 15 October of 2018) 16: 547-564.

  8. Vialle R, Khouri N, Glorion C. Lumbar hyperlordosis of neuromuscular origin: pathophysiology and surgical strategy for correction. Int Orthop. [In line] 2007; (Access 02 July of 2018) 31: 513-523.

  9. Fader RR, Tao MA, Turk R. The role of lumbar lordosis and pelvic sagittal balance in femoroacetabular impingement. Bone Joint J. [In line] 2018; (Access 14 October of 2018] 100; 1275-1279.




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Ortho-tips. 2018;14