Tags

Type your tag names separated by a space and hit enter

[Modified posterior closing wedge osteotomy in patients of posttraumatic thoracic lumbar kyphosis].
Zhonghua Wai Ke Za Zhi. 2009 Sep 15; 47(18):1383-6.ZW

Abstract

OBJECTIVE

To evaluate the outcome of posterior trans-pedicle + disc osteotomy in patients with post-traumatic thoracolumbar kyphosis.

METHODS

Between June 2000 and June 2003, 26 adult patients, 16 male and 10 female, average 30.6 years old (21 - 42 y), of post-traumatic thoracolumbar kyphosis were corrected by means of single posterior trans-pedicle + disc osteotomy technique. Operation time, blood loss, and surgical complication were counted. Back pain Visual Analog Scale (VAS) Oswestry score and Frankel neurological grade were used to for clinical evaluation. All the radiographic and clinical data were requested at 3 time points (before operation, directly postoperatively, and at final follow-up).

RESULTS

No severe complications were found in this group. Local kyphosis (T(10)-L(2) Cobb angle) was corrected from average 22.3 degrees +/- 3.5 degrees to 2.2 degrees +/- 2.1 degrees (corrective rate 90.1%). Intraoperative average blood loss was (680.0 +/- 31.5) ml and average operational time was (186.0 +/- 22.8) min. All the patients finished at least 3 - 5 years follow-up, Neural improvement achieved in this group (before operation Frankel D 12 cases, Frankel C 6 cases and Frankel B2 cases; 3 years postoperation Frankel E 14 cases, Frankel D 2 cases Frankel C1 case and Frankel B 1 case), postoperative back pain was reduced from preoperative 8.6 +/- 1.3 to 2.2 +/- 0.5 in VAS and Oswestry score improved from (62.5 +/- 8.6)% to (16.2 +/- 4.3)% at last follow up.

CONCLUSION

Single posterior trans-pedicle + disc osteotomy technique is suitable to thoracolumbar post-traumatic kyphosis.

Authors+Show Affiliations

Department of Orthopaedics, General Hospital of the People's Liberation Army, Beijing 100853, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

20092771

Citation

Zhang, Xue-song, et al. "[Modified Posterior Closing Wedge Osteotomy in Patients of Posttraumatic Thoracic Lumbar Kyphosis]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 47, no. 18, 2009, pp. 1383-6.
Zhang XS, Wang Y, Zhang YG, et al. [Modified posterior closing wedge osteotomy in patients of posttraumatic thoracic lumbar kyphosis]. Zhonghua Wai Ke Za Zhi. 2009;47(18):1383-6.
Zhang, X. S., Wang, Y., Zhang, Y. G., Xiao, S. H., Wang, Z., Mao, K. Y., Lu, N., & Cui, G. (2009). [Modified posterior closing wedge osteotomy in patients of posttraumatic thoracic lumbar kyphosis]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 47(18), 1383-6.
Zhang XS, et al. [Modified Posterior Closing Wedge Osteotomy in Patients of Posttraumatic Thoracic Lumbar Kyphosis]. Zhonghua Wai Ke Za Zhi. 2009 Sep 15;47(18):1383-6. PubMed PMID: 20092771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Modified posterior closing wedge osteotomy in patients of posttraumatic thoracic lumbar kyphosis]. AU - Zhang,Xue-song, AU - Wang,Yan, AU - Zhang,Yong-gang, AU - Xiao,Song-hua, AU - Wang,Zheng, AU - Mao,Ke-ya, AU - Lu,Ning, AU - Cui,Geng, PY - 2010/1/23/entrez PY - 2010/1/23/pubmed PY - 2010/6/4/medline SP - 1383 EP - 6 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 47 IS - 18 N2 - OBJECTIVE: To evaluate the outcome of posterior trans-pedicle + disc osteotomy in patients with post-traumatic thoracolumbar kyphosis. METHODS: Between June 2000 and June 2003, 26 adult patients, 16 male and 10 female, average 30.6 years old (21 - 42 y), of post-traumatic thoracolumbar kyphosis were corrected by means of single posterior trans-pedicle + disc osteotomy technique. Operation time, blood loss, and surgical complication were counted. Back pain Visual Analog Scale (VAS) Oswestry score and Frankel neurological grade were used to for clinical evaluation. All the radiographic and clinical data were requested at 3 time points (before operation, directly postoperatively, and at final follow-up). RESULTS: No severe complications were found in this group. Local kyphosis (T(10)-L(2) Cobb angle) was corrected from average 22.3 degrees +/- 3.5 degrees to 2.2 degrees +/- 2.1 degrees (corrective rate 90.1%). Intraoperative average blood loss was (680.0 +/- 31.5) ml and average operational time was (186.0 +/- 22.8) min. All the patients finished at least 3 - 5 years follow-up, Neural improvement achieved in this group (before operation Frankel D 12 cases, Frankel C 6 cases and Frankel B2 cases; 3 years postoperation Frankel E 14 cases, Frankel D 2 cases Frankel C1 case and Frankel B 1 case), postoperative back pain was reduced from preoperative 8.6 +/- 1.3 to 2.2 +/- 0.5 in VAS and Oswestry score improved from (62.5 +/- 8.6)% to (16.2 +/- 4.3)% at last follow up. CONCLUSION: Single posterior trans-pedicle + disc osteotomy technique is suitable to thoracolumbar post-traumatic kyphosis. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/20092771/[Modified_posterior_closing_wedge_osteotomy_in_patients_of_posttraumatic_thoracic_lumbar_kyphosis]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0529-5815&year=2009&vol=47&issue=18&fpage=1383 DB - PRIME DP - Unbound Medicine ER -