Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
Journal of Korean Society of Spine Surgery
; : 103-108, 2017.
Article
ي Ko
| WPRIM
| ID: wpr-20791
المكتبة المسؤولة:
WPRO
ABSTRACT
STUDY DESIGN: Case report. OBJECTIVES: To report a case of progressive kyphotic deformity after spinal fusion in a patient with diffuse idiopathic skeletal hyperostosis (DISH). SUMMARY OF LITERATURE REVIEW: DISH is characterized by spinal and peripheral enthesopathy, and is a completely different disease from ankylosing spondylitis (AS). Though DISH can be associated with thoracic kyphosis, no reports have described a progressive thoracolumbar kyphotic deformity after spinal fusion surgery in a DISH patient. MATERIALS AND METHODS: A 47-year-old male presented with pain in the thoracolumbar region. After excluding the possibility of AS and confirming the diagnosis of DISH, we performed spinal fusion for the treatment of a T11-T12 flexion-distraction injury. The kyphotic deformity was found to be aggravated after the first operation, and we then performed corrective osteotomy and additional spinal fusion. Results: The kyphotic deformity of the patient was corrected after the second operation. RESULTS: The kyphotic deformity of the patient was corrected after the second operation. CONCLUSIONS: In DISH patients in whom AS must be excluded in the differential diagnosis, a kyphotic deformity can become aggravated despite spinal fusion surgery, so regular and continuous follow-up is required.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Osteotomy
/
Spinal Fusion
/
Spondylitis, Ankylosing
/
Congenital Abnormalities
/
Rheumatic Diseases
/
Follow-Up Studies
/
Diagnosis
/
Diagnosis, Differential
/
Hyperostosis, Diffuse Idiopathic Skeletal
/
Kyphosis
نوع الدراسة:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
المحددات:
Humans
/
Male
اللغة:
Ko
مجلة:
Journal of Korean Society of Spine Surgery
السنة:
2017
نوع:
Article