C K Klostermann1, K Hette, R Pflugmacher. 1. Klinik für Unfall- und Wiederherstellungschirurgie und Orthopädische Chirurgie, Klinikum Lippe-Lemgo, Lemgo, Deutschland. cyrus.klostermann@klinikum-lippe.de
Abstract
BACKGROUND: The purpose of the study was to evaluate the clinical and radiological follow-up of patients suffering from fixed post-traumatic and postinflammatory kyphotic deformities of the thoracic and lumbar spine and treated by posterior transpedicular wedge resection osteotomy of the spine. METHODS: A total of 28 patients received a posterior transpedicular wedge resection osteotomy. A prospective follow-up was performed preoperatively, postoperatively and after 3, 6 and 12 months. The kyphotic angle of the fractured segment was evaluated as well as the clinical parameters the self-reported visual analog scale (VAS) and the Oswestry score. RESULTS: The median pain scores (VAS) and the Oswestry disability scores (p<0.05) decreased significantly from pretreatment to post-treatment. Postoperatively a significant correction of the kyphotic angle could be achieved with a mean of 28 degrees (range 14-44 degrees ). In the follow-up after 1 year there was a 7 degrees increase in kyphosis. CONCLUSIONS: Transpedicular wedge resection osteotomy of the thoracic and lumbar spine offers a safe surgical technique for the treatment of fixed postinflammatory kyphotic deformities.
BACKGROUND: The purpose of the study was to evaluate the clinical and radiological follow-up of patients suffering from fixed post-traumatic and postinflammatory kyphotic deformities of the thoracic and lumbar spine and treated by posterior transpedicular wedge resection osteotomy of the spine. METHODS: A total of 28 patients received a posterior transpedicular wedge resection osteotomy. A prospective follow-up was performed preoperatively, postoperatively and after 3, 6 and 12 months. The kyphotic angle of the fractured segment was evaluated as well as the clinical parameters the self-reported visual analog scale (VAS) and the Oswestry score. RESULTS: The median pain scores (VAS) and the Oswestry disability scores (p<0.05) decreased significantly from pretreatment to post-treatment. Postoperatively a significant correction of the kyphotic angle could be achieved with a mean of 28 degrees (range 14-44 degrees ). In the follow-up after 1 year there was a 7 degrees increase in kyphosis. CONCLUSIONS: Transpedicular wedge resection osteotomy of the thoracic and lumbar spine offers a safe surgical technique for the treatment of fixed postinflammatory kyphotic deformities.
Authors: T H Lim; H Kwon; C H Jeon; J G Kim; M Sokolowski; R Natarajan; H S An; G B Andersson Journal: Spine (Phila Pa 1976) Date: 2001-04-15 Impact factor: 3.468
Authors: Daniel B Murrey; Craig D Brigham; Gary M Kiebzak; Frederick Finger; Samuel J Chewning Journal: Spine (Phila Pa 1976) Date: 2002-11-01 Impact factor: 3.468
Authors: C Knop; M Blauth; V Bühren; P M Hax; L Kinzl; W Mutschler; A Pommer; C Ulrich; S Wagner; A Weckbach; A Wentzensen; O Wörsdörfer Journal: Unfallchirurg Date: 2000-12 Impact factor: 1.000
Authors: K M Sanders; E Seeman; A M Ugoni; J A Pasco; T J Martin; B Skoric; G C Nicholson; M A Kotowicz Journal: Osteoporos Int Date: 1999 Impact factor: 4.507