Surgical correction of post-traumatic kyphosis of thoracolumbar spine / 中华外科杂志
Chinese Journal of Surgery
; (12): 201-204, 2005.
Article
in Zh
| WPRIM
| ID: wpr-345018
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To determine the effectiveness of surgical correction for post-traumatic kyphosis of thoracolumbar spine.</p><p><b>METHODS</b>From 1996 to 2003, 33 consecutive patients with post-traumatic kyphosis of thoracolumbar spine were corrected surgically. The mean age was 40.3 years (range, 13 - 65 years). The mean time between the initial injury and surgical correction was 36.0 months (range, 6 - 220 months). The kyphotic deformity averaged 40.8 degrees (range, 20 degrees - 82 degrees ). All the patients had neurological deficits. Twelve patients had obvious back pain. Seven patients lost sphincter function completely and nineteen patients lost the function partly. Twenty-three patients had ever undergone laminectomy and/or instrumentation. The treatment procedure consisted of anterior release and posterior spinal osteotomy with instrumentation (15 patients), posterior closing wedge osteotomy with instrumentation (12 patients), anterior release and instrumentation (6 patients).</p><p><b>RESULTS</b>Kyphosis was corrected from an average of 40.8 degrees to an average of 5.7 degrees, the corrective rate was 86.0% (40.8 degrees - 5.7 degrees /40.8 degrees). There were no severe complications. The average follow-up period was 24.6 months (range, 6 - 84 months). There was no loss of correction at follow-up. Ten of these patients showed an improvement in neural function by one or two levels according to the classification. Sphincter function recovered partly in ten patients. Back pain was relieved significantly in all of twelve patients with back pain preoperatively. Bony fusion was achieved in thirty-two patients. One patient had nonunion and achieved bony fusion after revision.</p><p><b>CONCLUSION</b>Posterior closing wedge osteotomy was suitable to kyphosis less than 40 degrees. Anterior release and posterior spinal osteotomy was effective, especially to the patients with severe kyphosis deformity or with operation history. Patients with incomplete neurological deficits and/or severe back pain could get benefit from osteotomy of spine, even if their medical history was long.</p>
Full text:
1
Index:
WPRIM
Main subject:
Osteotomy
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Spinal Fusion
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General Surgery
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Thoracic Vertebrae
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Wounds and Injuries
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Retrospective Studies
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Spinal Fractures
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Bone Transplantation
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Treatment Outcome
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Kyphosis
Type of study:
Observational_studies
Limits:
Adolescent
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Child
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2005
Type:
Article