{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:33:31Z","timestamp":1787924011481,"version":"build-2784847793"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Rigid cervical-thoracic sagittal and coronal plane deformities are uncommon but profoundly debilitating conditions, impairing horizontal gaze and diminishing quality of life. Progressive kyphosis can result from many etiologies, including interbody cage subsidence following anterior cervical discectomy and fusion (ACDF), resulting in loss of anterior column support and eventual fusion in a malaligned position. Surgical correction of these complex deformities requires meticulous planning, and an approach tailored to the severity of the deformity. Posterior-based approaches, including upper thoracic pedicle subtraction osteotomy, can be effective for many fixed cervical-thoracic deformities; however, they may not provide sufficient correction in select cases of severe combined sagittal and coronal malalignment.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n We demonstrate a staged surgical approach for correction of a rigid cervical-thoracic deformity. Stage 1 consists of an anterior cervical approach entailing traction, removal of the subsided cages, multilevel corpectomy, and C7\/T1 ACDF. Stage 2 utilizes posterior instrumented fusion of C2\u2013L2 with multiple posterior column osteotomies to achieve definitive deformity correction and stabilization.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The presented technique demonstrates how a staged anterior-posterior strategy can achieve correction of severe, rigid deformities that may not be amenable to a posterior-only approach. Careful patient selection and individualized surgical planning remain essential to optimize outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_913_2026","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:08:35Z","timestamp":1787922515000},"page":"484","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical correction of a rigid sagittal and coronal plane cervical-thoracic deformity"],"prefix":"10.25259","volume":"17","author":[{"given":"Daniel","family":"Faraj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily Melissa","family":"Drennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Galgano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"10.25259\/SNI_913_2026\/ref-1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.14245\/ns.2040476.238","article-title":"Surgical impact on global sagittal alignment and health-related quality of life following cervical kyphosis correction surgery: Systematic review","volume":"17","author":"Kim","year":"2020","journal-title":"Neurospine"},{"key":"10.25259\/SNI_913_2026\/ref-2","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/BRS.0000000000000707","article-title":"Comparison of Smith-Petersen osteotomy versus pedicle subtraction osteotomy versus anterior-posterior osteotomy types for the correction of cervical spine deformities","volume":"40","author":"Kim","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_913_2026\/ref-3","doi-asserted-by":"crossref","first-page":"568","DOI":"10.14245\/ns.2040412.206","article-title":"Cervical deformity arising from upper thoracic malalignment","volume":"17","author":"Obeid","year":"2020","journal-title":"Neurospine"},{"key":"10.25259\/SNI_913_2026\/ref-4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3171\/2013.4.SPINE12838","article-title":"Cervical spine alignment, sagittal deformity, and clinical implications: A review","volume":"19","author":"Scheer","year":"2013","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_913_2026\/ref-5","doi-asserted-by":"crossref","first-page":"425","DOI":"10.3171\/2020.3.SPINE2035","article-title":"Lower Hounsfield units on CT are associated with cage subsidence after anterior cervical discectomy and fusion","volume":"33","author":"Wang","year":"2020","journal-title":"J Neurosurg Spine"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/surgical-correction-of-a-rigid-sagittal-and-coronal-plane-cervical-thoracic-deformity","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-correction-of-a-rigid-sagittal-and-coronal-plane-cervical-thoracic-deformity","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:08:36Z","timestamp":1787922516000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-correction-of-a-rigid-sagittal-and-coronal-plane-cervical-thoracic-deformity"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":5,"alternative-id":["10.25259\/SNI_913_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_913_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"article-number":"484"}}