| Two kinds of posterior approach for Kvmmell's disease after osteoporotic thoracolumbar fracture. | |
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MedLine Citation:
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PMID: 19486555 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the surgical results of two kinds of posterior approach for osteoporotic thoracolumbar Kvmmell's disease. METHODS: Clinical and radiographic results of 1-segmental pedicle screw fixation combined with vertebroplasty (Group A, n equal to 12) or posterior shortening osteotomy (Group B, n equal to 16) for osteoporotic thoracolumbar Kvmmell's disease were analyzed retrospectively. Japanese orthopedic association (JOA) and visual analogue scale (VAS) scores were used for clinical evaluation. Neurological status was judged by Frankel grades. X-ray was used to evaluate the radiographic results. Complications related to operation and devices were also considered. RESULTS: The follow-up period was 12-54 months (average 29 months). Pre-and post-operative VAS were 9.3 and 3.2 in Group A, 8.9 and 2.5 in Group B, respectively. The mean JOA score at the final follow-up was significantly higher than that of pre-operation (t equal to 5.306, P less than 0.001). There was no significant difference between Groups A and B (t equal to 0.618, P larger than 0.05). The kyphosis were corrected from preoperative 33.9 degree A)/37.3 degree B) to postoperative 10.3 degree A)/6.5 degree B), and 15.3 degree (A)/13.7 degree B) at the final follow-up. There was a significant difference between the two groups at the final follow-up. Frankel grade was improved from grade C preoperatively to postoperatively grade D or E in 7 cases of Group A and 5 cases of Group B, from grade D to E in 5 cases of Group A and 11 cases of Group B. The mean improvement was 1.6 and 1.7 grades for Groups A and B, respectively. There were no serious complications related to internal fixation. CONCLUSIONS: The similar clinical results can be obtained by the two kinds of posterior surgical methods for osteoporotic Kvmmell's disease. Posterior spinal shortening is a better choice for patients with serious kyphosis combined with neurological deficit than the other. |
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Authors:
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Hou-Qing Long; Yong Wan; Xin Zhang; Shao-Yu Liu; Fo-Bao Li |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association Volume: 12 ISSN: 1008-1275 ISO Abbreviation: Chin. J. Traumatol. Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-02 Completed Date: 2009-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886162 Medline TA: Chin J Traumatol Country: China |
Other Details:
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Languages: eng Pagination: 142-7 Citation Subset: IM |
Affiliation:
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Department of Spinal Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510700, China. houqinglong@163.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bone Screws Female Follow-Up Studies Humans Kyphosis / surgery Lumbar Vertebrae / injuries*, surgery Male Middle Aged Osteoporosis / complications* Osteotomy Retrospective Studies Spinal Fractures / surgery* Thoracic Vertebrae / injuries*, surgery Vertebroplasty |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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