Scheuermann kyphosis: the importance of tight hamstrings in the surgical correction.

Abstract:

STUDY DESIGN:A historic cohort study of the sagittal alignment in 33 consecutive patients with surgically corrected thoracic Scheuermann kyphosis. OBJECTIVES:To determine if postsurgical imbalance, sagittal malalignment, and decreased lumbar-pelvic range of motion in patients with thoracic Scheuermann kyphosis is related to tight hamstrings. SUMMARY OF BACKGROUND DATA:Tight hamstrings are a frequent sign in Scheuermann kyphosis. The importance of tight hamstrings in the surgical management of Scheuermann kyphosis has not yet been studied. METHODS:Thirty-three patients with Scheuermann kyphosis were managed by surgical correction and fusion. Tight hamstrings, lumbar-pelvic range of motion, and sagittal balance were evaluated. Sixteen patients had tight hamstrings, and 17 patients had nontight hamstrings. Hamstrings were considered tight if the popliteal angle was >30 degrees. RESULTS:Patients with tight hamstrings have a significantly greater risk of postoperative imbalance (P = 0.05), and these patients can only compensate for this risk by reducing their lumbar lordosis (P = 0.0227). Furthermore, the limitations in the lumbar and pelvic range of motion are predicted by tight hamstrings (P

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Hosman AJ,de Kleuver M,Anderson PG,van Limbeek J,Langeloo DD,Veth RP,Slot GH

doi

10.1097/01.BRS.0000085097.63326.95

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

2252-9

issue

19

eissn

0362-2436

issn

1528-1159

journal_volume

28

pub_type

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