Global and Focal Kyphosis

Adult Kyphosis, either stooping (global kyphosis) or roundback (focal kyphosis) can be caused be multiple factors. This can range from a Scheuermann's kyphosis or adolescent roundback that was never treated to the previously operated spine or scoliosis (flatback). In rare cases, previous fractures, congenital anomalies, inflammatory disorders, or neurologic disorders may play a role.

In adults, the risks of kyphosis surgeries can be significant. Initial treatment is focused on the symptoms of the kyphosis and is usually conservative. In the case of progressive disability, pain, and deformity, surgery may be helpful if the benefits outweigh the risks.

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PSO, Adult Kyphosis, Previously Operated Spine, Flatback
Pedicle subtraction osteotomy (PSO) is often an effective tool for the correction of Adult Kyphosis.

The following diagram shows what is done during procedure.

dr geck, texas, new mexico, louisiana, picture of patient after successful flatback surgery performed by Dr Geck, today she can stand straight, walk over a mile and garden with no limitations to her daily lifeThis 65 year old woman had multiple previous operations and was partially wheelchair bound with postlaminectomy dislocation of L2 on L3 and flatback syndrome.

After workup and medical clearance she had a L3 PSO with T10 to the pelvis intrumentation. She left the hospital in 5 days, and is now over one year out. She can stand straight, walk over a mile, garden, and has almost no limitations in her activities of daily living.

Treatments
  • Traditional Treatments
    • Learn about traditional treatments for pain relief to bridge from inactivity to physical therapy
  • Scoliosis Surgery
    • Learn about advances in scoliosis treatment and current minimally invasive options.
  • Osteotomy Surgery
    • For the most complex spinal deformities learn about how osteotomy surgery can balance the spine.
  • Thoracoscopic Surgery
    • Video assisted thoracoscopic surgery uses techniques for minimal invasion of the chest wall or thoracic cavity.
  • Vertebral Body Stapling
    • Vertebral body stapling is an innovative, minimally invasive approach that is an alternative therapy for early onset scoliosis.
  • XLIF, DLIF, TLIF
    • Learn about minimally invasive interbody techniques such as XLIF, DLIF, and TLIF.
What do Your Symptoms Indicate?
  • Red Flag Symptoms
    • Many back problems can improve on their own or with non-surgical treatment. They key is to understand which symptoms are emergencies and need to be seen immediately.
Home Remedy Book
  • Home Remedy Book
    • Have back or neck pain? Learn what causes symptoms and the home remedies that relieve pain. Scoliosis Texas mails out Home Remedy Books to residents throughout the Austin area.

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