Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit
Study DesignSingle-center, retrospective case series.PurposeTo investigate the effectiveness of posterior vertebrectomy and circumferential fusion in patients with advanced Kümmell disease with neurologic deficit.Overview of LiteratureVarious surgical options exist for the treatment of Kümmell disea...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2017-08-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-11-634.pdf |
| _version_ | 1818689511507361792 |
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| author | Yongjae Cho |
| author_facet | Yongjae Cho |
| author_sort | Yongjae Cho |
| collection | DOAJ |
| description | Study DesignSingle-center, retrospective case series.PurposeTo investigate the effectiveness of posterior vertebrectomy and circumferential fusion in patients with advanced Kümmell disease with neurologic deficit.Overview of LiteratureVarious surgical options exist for the treatment of Kümmell disease, and determination of the appropriate treatment is based on the clinical and radiologic status of the patient. However, surgical intervention is required for patients with advanced Kümmell disease accompanied by neurologic deficit.MethodsWe retrospectively analyzed 22 neurologically compromised patients with advanced Kümmell disease who were treated surgically at Ewha Womans Hospital between January 2011 and January 2014. The surgical approach used by us was a posterior vertebrectomy with mesh cage insertion and segmental cement-augmented pedicle screw fixation. The tissue from the corpectomy was histopathologically examined. Anterior vertebral height, kyphotic angle, visual analog scale (VAS) score, and the Frankel classification were used to evaluate the efficacy of the procedure.ResultsThe mean follow-up period was 26 months (range, 13–40 months). VAS score, anterior vertebral height, kyphotic angle, and neurologic state were significantly improved immediately postoperatively and at the last follow-up compared with preoperatively (p<0.05). Most patients exhibited intravertebral clefts on imaging, and postoperative pathology revealed bone necrosis.ConclusionsPosterior vertebrectomy with mesh cage insertion and segmental cement-augmented pedicle screw fixation is an effective approach for treating patients with advanced Kümmell disease with neurologic deficit. |
| first_indexed | 2024-12-17T12:11:16Z |
| format | Article |
| id | doaj.art-b40175c8c44649f79f4b18475823c43e |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-17T12:11:16Z |
| publishDate | 2017-08-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-b40175c8c44649f79f4b18475823c43e2022-12-21T21:49:24ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462017-08-0111463464010.4184/asj.2017.11.4.634265Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic DeficitYongjae Cho0Department of Neurosurgery, Ewha Womans University School of Medicine, Seoul, Korea.Study DesignSingle-center, retrospective case series.PurposeTo investigate the effectiveness of posterior vertebrectomy and circumferential fusion in patients with advanced Kümmell disease with neurologic deficit.Overview of LiteratureVarious surgical options exist for the treatment of Kümmell disease, and determination of the appropriate treatment is based on the clinical and radiologic status of the patient. However, surgical intervention is required for patients with advanced Kümmell disease accompanied by neurologic deficit.MethodsWe retrospectively analyzed 22 neurologically compromised patients with advanced Kümmell disease who were treated surgically at Ewha Womans Hospital between January 2011 and January 2014. The surgical approach used by us was a posterior vertebrectomy with mesh cage insertion and segmental cement-augmented pedicle screw fixation. The tissue from the corpectomy was histopathologically examined. Anterior vertebral height, kyphotic angle, visual analog scale (VAS) score, and the Frankel classification were used to evaluate the efficacy of the procedure.ResultsThe mean follow-up period was 26 months (range, 13–40 months). VAS score, anterior vertebral height, kyphotic angle, and neurologic state were significantly improved immediately postoperatively and at the last follow-up compared with preoperatively (p<0.05). Most patients exhibited intravertebral clefts on imaging, and postoperative pathology revealed bone necrosis.ConclusionsPosterior vertebrectomy with mesh cage insertion and segmental cement-augmented pedicle screw fixation is an effective approach for treating patients with advanced Kümmell disease with neurologic deficit.http://www.asianspinejournal.org/upload/pdf/asj-11-634.pdfOsteoporosisVertebrectomyKyphosis |
| spellingShingle | Yongjae Cho Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit Asian Spine Journal Osteoporosis Vertebrectomy Kyphosis |
| title | Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit |
| title_full | Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit |
| title_fullStr | Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit |
| title_full_unstemmed | Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit |
| title_short | Posterior Vertebrectomy and Circumferential Fusion for the Treatment of Advanced Thoracolumbar Kümmell Disease with Neurologic Deficit |
| title_sort | posterior vertebrectomy and circumferential fusion for the treatment of advanced thoracolumbar kummell disease with neurologic deficit |
| topic | Osteoporosis Vertebrectomy Kyphosis |
| url | http://www.asianspinejournal.org/upload/pdf/asj-11-634.pdf |
| work_keys_str_mv | AT yongjaecho posteriorvertebrectomyandcircumferentialfusionforthetreatmentofadvancedthoracolumbarkummelldiseasewithneurologicdeficit |