| Management of late posttraumatic kyphosis with anterior Z-plate instrumentation. | |
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MedLine Citation:
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PMID: 18401482 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Failed treatment of thoracolumbar spine fractures may lead to late posttraumatic kyphosis (LPK), and LPK treatment is challenging. The aim of this retrospective study was to investigate whether anterior reduction and Z-plate instrumentation constitute feasible treatment for LPK (> 30 days after injury). Twenty patients who developed LPK after a thoracolumbar fracture were treated with the Z-plate anterior thoracolumbar plating system. Sixteen patients were followed for a mean of 35 months. Ten of 15 patients with a thoracotomy had persistent postthoracotomy pain. Mean back pain decreased significantly, from 9.2 before surgery to 4.1 after surgery (10 = worst pain ever experienced, 0 = no pain). Osseous union occurred in all patients. Postoperative loss of reduction of 4.9 degrees kyphotic angle was recorded at follow-up. Anterior stabilization with the Z-plate is a technically feasible procedure in patients with LPK. Long-term postthoracotomy pain seems to be a significant problem in these patients. |
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Authors:
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Boris A Zelle; Jochen Dorner |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of orthopedics (Belle Mead, N.J.) Volume: 37 ISSN: 1934-3418 ISO Abbreviation: Am J. Orthop. Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-04-10 Completed Date: 2008-05-22 Revised Date: 2010-01-05 |
Medline Journal Info:
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Nlm Unique ID: 9502918 Medline TA: Am J Orthop (Belle Mead NJ) Country: United States |
Other Details:
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Languages: eng Pagination: 76-80 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. zelleba@upmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bone Plates* Female Follow-Up Studies Fracture Fixation, Internal* Fracture Healing Humans Internal Fixators* Kyphosis / etiology, radiography, surgery* Lumbar Vertebrae / injuries, radiography Male Middle Aged Pain Pain Measurement Recovery of Function Retrospective Studies Spinal Fractures / etiology, radiography, surgery* Thoracic Vertebrae / injuries, radiography Thoracotomy Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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