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Cervical Kyphoscoliosis Due to Substance Abuse: A Case Series on Introduction and Neurosurgical Treatment Publisher Pubmed



Rezvani M1 ; Mehrabanian M2 ; Hariri OR3 ; Son C4, 5 ; Vahdat N6, 7 ; Foroughi M8 ; Takayanagi A9, 10 ; Mirza S6, 11 ; Mahdavi SB12, 13 ; Sourani A1, 14
Authors
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Authors Affiliations
  1. 1. Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Neurosurgery, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  3. 3. Department of Neurological Surgery, Kaiser Permanente Orange County, Anaheim, CA, United States
  4. 4. Neurosurgical Associates of San Antonio, San Antonio, TX, United States
  5. 5. School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX, United States
  6. 6. Department of Radiology, University of San Diego California, San Diego, CA, United States
  7. 7. Department of Radiology Veteran Administration Healthcare System, San Diego, CA, United States
  8. 8. Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
  9. 9. Division of Interventional Neuroradiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States
  10. 10. Department of Neurological Surgery, Riverside University Health System, Moreno Valley, CA, United States
  11. 11. Department of Science and Engineering, Tulane University, New Orleans, LA, United States
  12. 12. Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  13. 13. Student Research Committee, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  14. 14. Bowers Neurosurgical Frailty and Outcomes Data Science Lab, Sandy, UT, United States

Source: Spine Deformity Published:2024


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. Summary of background data: 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. © The Author(s), under exclusive licence to Scoliosis Research Society 2024.