(2025) Cervical kyphoscoliosis due to substance abuse: a case series on introduction and neurosurgical treatment. Spine deformity. pp. 459-467. ISSN 2212-1358 (Electronic) 2212-134X (Linking)
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Abstract
STUDY DESIGN: A prospective case series. OBJECTIVE: To investigate the possible associations of multi-directional cervical kyphoscoliosis (CKS) with substance abuse and evaluate treatment outcomes. CKS is a rare medical situation without a well-established pathology. Still there are many obscurities in treatment paradigms and outcomes. To our knowledge, there is no published report on the association between CKS with addiction. Besides the novel report of such a rare etiology for CSK, the complexity of the neurosurgical treatment makes this report the first of its kind. METHODS: In this series, we presented three patients with a history of crack cocaine addiction who suffered CKS due to prolonged hand-over-neck posture and treated all of them with a complex neurosurgical protocol. RESULTS: All cases were operated on and restored their normal spine alignment. Their long-term outcomes showed independent neurological status with no major surgical complications. CONCLUSION: Crack cocaine addiction might be associated with CKS in long-term cocaine abuse. A complex neurosurgical approach can achieve a sustainable clinical outcome.
| Item Type: | Article |
|---|---|
| Keywords: | Humans *Kyphosis/surgery/etiology Male Adult *Scoliosis/surgery/etiology *Cervical Vertebrae/surgery Prospective Studies Neurosurgical Procedures/methods/adverse effects Cocaine-Related Disorders/complications Female Treatment Outcome Middle Aged Substance-Related Disorders/complications Anterior cervical discectomy and fusion Cervical kyphoscoliosis Cervical kyphosis Coronal imbalance Posterior cervical fusion Rotational neck deformity Sagittal imbalance Ethics approval: This study was reviewed, approved, and supervised by the Isfahan University of Medical Sciences Ethics Committee and the neurosurgery department of Isfahan University of Medical Sciences. Consent to participate: Informed consent was obtained from all the patients. Consent to publish: We declare that the manuscript complies with all instructions to authors, authorship requirements have been met, all authors approved the final manuscript, and this manuscript has not been published elsewhere and is not under consideration by another journal. All the authors accepted the manuscript to be submitted in this form to the journal |
| Page Range: | pp. 459-467 |
| Journal or Publication Title: | Spine deformity |
| Journal Index: | Pubmed |
| Volume: | 13 |
| Number: | 2 |
| Identification Number: | https://doi.org/10.1007/s43390-024-00989-7 |
| ISSN: | 2212-1358 (Electronic) 2212-134X (Linking) |
| Depositing User: | خانم ناهید ضیائی |
| URI: | http://eprints.mui.ac.ir/id/eprint/31506 |
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