Clinical Significance of Radiological Stability in Reconstructed Thoracic and Lumbar Spine Following Vertebral Body Resection

نویسندگان

  • Sang-Hyun Sung
  • Ung-Kyu Chang
چکیده

OBJECTIVE Vertebral body replacement following corpectomy in thoracic or lumbar spine is performed with titanium mesh cage (TMC) containing any grafts. Radiological changes often occur on follow-up. This study investigated the relationship between the radiological stability and clinical symptoms. METHODS The subjects of this study were 28 patients who underwent corpectomy on the thoracic or lumbar spine. Their medical records and radiological data were retrospectively analyzed. There were 23 cases of tumor, 2 cases of trauma, and 3 cases of infection. During operation, spinal reconstruction was done with TMC and additional screw fixation. We measured TMC settlement in sagittal plane and spinal angular change in coronal and sagittal plane at postoperative one month and last follow-up. Pain score was also checked. We investigated the correlation between radiologic change and pain status. Whether factors, such as the kind of graft material, surgical approach, and fusion can affect the radiological stability or not was analyzed as well. RESULTS Mean follow-up was 23.6 months. During follow-up, 2.08±1.65° and 6.96±2.08° of angular change was observed in coronal and sagittal plane, respectively. A mean of cage settlement was 4.02±2.83 mm. Pain aggravation was observed in 4 cases. However, no significant relationship was found between spinal angular change and pain status (p=0.518, 0.458). Cage settlement was seen not to be related with pain status, either (p=0.644). No factors were found to affect the radiological stability. CONCLUSION TMC settlement and spinal angular change were often observed in reconstructed spine. However, these changes did not always cause postoperative axial pain.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Accuracy Assessment of Freehand Pedicular Screw Placement

Background: The purpose of this prospective study was to determine the accuracy of pedicular screw insertion withoutthe use of fluoroscopy.Methods: This study was conducted on patients with spinal diseases in need of pedicular screw fixation and fusion.The included patients suffered from such conditions as vertebral fracture, spinal stenosis, kyphosis, tumor, and pelvicf...

متن کامل

Multiple lumbar vertebral fractures following a single idiopathic seizure in an otherwise healthy patient a case report

 It has been reported that fractures are more common in epileptic patients relative to the general population. Seizures by repeated muscular contractions can increase fracture risk throughout the skeleton, but the reported papers about non traumatic vertebral fractures following a single episode of seizure are rare and mostly located in thoracic spine with only one or two vertebral fr...

متن کامل

A single posterior approach for vertebral column resection in adults with severe rigid kyphosis

 Abstract Background: Correction of severe kyphosis is a challenging operation in spinal surgery. A two stage operation has been commonly used: anterior release and decompression followed by posterior correction and fusion. We describe the posterior vertebral osteotomy technique for correction of severe and rigid kyphosis through posterior-only approach. Methods: Twelve patients (six male and s...

متن کامل

Advanced Clinical and Radiological Features of Ankylosing Spondylitis: Relation to Gender, Onset of First Symptoms and Disease Duration.

To determine the frequency of advanced clinical and radiological features of AS with reference to gender, onset of symptoms and disease duration. Fifty-seven patients diagnosed with AS were included in this study. Functional evaluation of the musculoskeletal system detected advanced clinical features: rubber-ball phenomenon, flattening of the chest anterior wall, diastasis of rectus abdominis m...

متن کامل

ارزیابی دز ورودی پوستی و دز مؤثر بیماران در معمول ترین آزمون های رادیولوژی

Introduction: Nowadays, we are witnessing a progressive application of radiology techniques in various communities as well as in Iran. Medical radiological examinations are one of the important sources of public radiological dose. Entrance skin doses and effective doses for patients in diagnostic radiology examinations should be assessed for the imaging techniques optimization and patient&rsquo...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 56  شماره 

صفحات  -

تاریخ انتشار 2014