Neurospine.  2020 Sep;17(3):505-512. 10.14245/ns.2040472.236.

SOF System; A New Nomenclature System for the Surgical Techniques of Cervical Spine Deformity

Affiliations
  • 1Department of Neurosurgery, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
  • 2Department of Neurosurgery, Technical University of Munich, Munich, Germany
  • 3Department of Orthopedic Surgery, Sapporo Orthopedic Hospital, Sapporo, Japan
  • 4Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
  • 5Department of Neurosurgery, University of Caxias do Sul, Caxias do Sul, RS, Brazil
  • 6Department of Neurosurgery, St. Vincent’s Hospital, The Catholic University of Korea, Suwon, Korea
  • 7Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea
  • 8Department of Orthopedic Surgery, Bordeaux University Hospital, Bordeaux, France
  • 9Department of Neurosurgery, Incheon St. Mary’s Hospital, The Catholic University of Korea, Incheon, Korea

Abstract

Although cervical spinal deformity (CSD) can have a profoundly negative impact on an individual’s quality of life and there have been many advances in surgical treatment of CSD in recent years, there exists no comprehensive classification system of surgical treatment that categorizes anterior and posterior surgery separately according to the grade of surgery. The objective of this study is to introduce the new classification system of various surgical treatments for CSD. We developed a new classification system (SOF system) for CSD surgery that describes the sequence of surgical approach (S), the grade of osteotomy (O), and the information of fixation (F) using alphanumeric codes. This new classification system can provide a consistent description of the various osteotomies performed in CSD surgery. Especially, regarding research, there has been a clear benefit to this classification. Having a standardized classification that allows for common frame for cervical deformity correction surgery, communication between surgeons and the evaluation of the CSD surgeries make it possible to conduct global comparative research about surgical outcome.

Keyword

Cervical spine; Deformity; Kyphosis; Nomenclature; Osteotomy
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