Results of surgical treatment for kyphotic deformity of the spine secondary to trauma or Scheuermann's disease.
نویسندگان
چکیده
The authors have performed a retrospective study of 20 patients who underwent surgical treatment for kyphosis secondary to trauma (10 patients) or Scheuermann's disease (10 patients) between 1992 and 2000. The mean follow-up was 60 months (range, 32-90) and 59.5 months (range, 24-109) respectively. Radiological evaluation of Scheuermann kyphosis included assessment of thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), scoliosis angle (SA) and sagittal vertical axis (SVA); radiological evaluation of post-traumatic kyphosis included the determination of local kyphosis angle (LKA) and SA, if present. A posterior approach was performed in 6 cases and a combined anterior and posterior approach was performed in 4 cases of SD whereas patients with post-trauma kyphosis were treated using an anterior approach in one case, a posterior approach in another and a combined anterior and posterior approach in 8 cases. The mean TKA in Scheuermann cases was 71 degrees (65 degrees-80 degrees) preoperatively and 41 degrees (31 degrees-52 degrees) postoperatively. There was a mean loss of correction of 5 degrees. No positive sagittal balance was present during follow-up. The mean TKA in post-trauma cases was 38 degrees (25 degrees-62 degrees) pre-operatively and 14 degrees (range -15 degrees-28 degrees) postoperatively. At the last visit, the mean loss of correction was 2 degrees. Proximal junctional kyphosis developed in two cases with Scheuermann kyphosis (17 degrees and 13 degrees) and in one case with post-traumatic kyphosis (17 degrees). These findings show that good results can be achieved in the treatment of kyphosis secondary to trauma or Scheurmann's disease, with appropriate selection of the surgical approach.
منابع مشابه
Kyphotic deformity after laminectomy surgery for a gunshot wound to the spine: a case report.
Spinal kyphotic deformity after spinal laminectomy or laminoplasty is more common in pediatric patients than adults. Laminectomy can lead to decreased cartilage growth, anterior wedging and posterior spinal muscle insufficiency which can result in kyphotic deformity. Herein we outline a case report of a child presenting with kyphotic deformity after receiving a spinal laminectomy to treat a pen...
متن کاملA pedicle subtraction osteotomy as an adjunctive tool in the surgical treatment of a rigid thoracolumbar hyperkyphosis; a preliminary report.
BACKGROUND CONTEXT A pedicle subtraction osteotomy can be considered as part of the surgical treatment of a symptomatic sagittal imbalance. The literature on the use of this technique is limited and thus far not applied to a rigid thoracolumbar hyperkyphosis. PURPOSE To evaluate our preliminary results of a pedicle subtraction osteotomy as an adjunctive tool in the surgical treatment of thora...
متن کاملClinical Improvement of Non-Surgical Management of Tuberculous Spondylitis: A Case Report
Background: Tuberculosis is the second most common fatal infectious disease after Acquired Immunodeficiency Syndrome (AIDS) in the world. The spine is involved in 50% of osteoarticular tuberculosis cases. Tuberculous Spondylitis (TS) is the most dangerous form of osteoarticular tuberculosis, because of its ability to destroy the vertebral body with subsequent permanent kyphosis and neurological...
متن کاملO20: Primary and Secondary Survey in Pediatric Trauma
During the primary survey life-threatening or limb-threatening conditions are identified and management is instituted simultaneously. Priorities for the care of Adult, Pediatrics & Pregnancy women are all the same. You should do Rapid sequential way to assess the patients in 10 seconds Treat as you find life threatening condition and Repeat if at any time unstable Vital signs should be repeated...
متن کاملEvidence based medicine: analysis of Scheuermann kyphosis.
STUDY DESIGN : A review of the current literature using evidence-based medicine (EBM) regarding etiology, natural history, and treatment of Scheuermann kyphosis. OBJECTIVE : To provide current concepts for the rational evaluation and treatment of Scheuermann kyphosis supported by EBM. SUMMARY OF BACKGROUND DATA : The literature concerning etiology, natural history, and treatment of Scheuerm...
متن کاملذخیره 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 ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta orthopaedica Belgica
دوره 70 4 شماره
صفحات -
تاریخ انتشار 2004