Novel, safe, and easy spinal osteotomy for regional kyphotic deformities

Tsai, Shang-Hsuan; Chen, Kun-Hui; Pan, Chien-Chou; Lee, Cheng Hung; Liang, Che-Han; Lu, Wen Hsien

doi:10.5152/j.aott.2020.02.354

Novel, safe, and easy spinal osteotomy for regional kyphotic deformities

Shang-Hsuan TSAI, (Taichung Veterans General Hospital, Department of Orthopedics, Taichung, Taiwan)

Che-Han LIANG, (Taichung Veterans General Hospital, Department of Orthopedics, Taichung, Taiwan)

Kun-Hui CHEN, (Taichung Veterans General Hospital, Department of Orthopedics, Taichung, Taiwan)

Chien-Chou PAN, (Taichung Veterans General Hospital, Department of Orthopedics, Taichung, Taiwan)

Wen-Hsien LU, (Ministry of Health and Welfare, Feng Yuan Hospital, Department of Orthopedic Surgery, Taichung, Taiwan)

Cheng-Hung LEE (Taichung Veterans General Hospital, Department of Orthopedics, Taichung, Taiwan)

Acta Orthopaedica et Traumatologica Turcica

1 0

Yıl: 2020 Cilt: 54 Sayı: 2 Sayfa Aralığı: 144 - 148 Metin Dili: İngilizce DOI: 10.5152/j.aott.2020.02.354 İndeks Tarihi: 27-10-2020

Novel, safe, and easy spinal osteotomy for regional kyphotic deformities

Öz:

Objective: This study aimed to assess the efficacy and safety of a newly developed transpedicular, anterior open-wedgeosteotomy procedure with lamina preservation to correct sagittal imbalance in regional kyphotic deformities followingcompression fractures.Methods: All seven patients [four females and three males; mean (range) age, 67 (56-78) years] included in this study underwent surgery between May 2005 and May 2016 for symptomatic, rigid kyphosis secondary to compression fractures. Transpedicular, anterioropen-wedge osteotomy with lamina preservation was performed in all patients using an osteotome to create a transverse fracture inthe vertebral body through bilateral pedicles and an anterior open-wedge space filled with compacted bone graft to correct kyphosis.Pre- and post-operative kyphotic Cobb angles were evaluated, and the volume of intra-operative blood loss was measured.Results: The pre- and post-operative kyphotic Cobb angle was 35.3° and 17.7°, respectively (p<0.01); mean angle correctionwas 17.6° (p<0.05). No patient developed any complication with neurologic injury. Mean blood loss was 771 mL. Callusformation viewed on plain film was evident in all patients and was accompanied by decreased thoracolumbar back pain.Conclusion: Transpedicular, anterior open-wedge osteotomy with lamina preservation is an easy and safe spinal osteotomyprocedure for the correction of regional, fixed kyphotic deformities.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Tsai S, Liang C, Chen K, Pan C, Lu W, Lee C (2020). Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. , 144 - 148. 10.5152/j.aott.2020.02.354
Chicago	Tsai Shang-Hsuan,Liang Che-Han,Chen Kun-Hui,Pan Chien-Chou,Lu Wen Hsien,Lee Cheng Hung Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. (2020): 144 - 148. 10.5152/j.aott.2020.02.354
MLA	Tsai Shang-Hsuan,Liang Che-Han,Chen Kun-Hui,Pan Chien-Chou,Lu Wen Hsien,Lee Cheng Hung Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. , 2020, ss.144 - 148. 10.5152/j.aott.2020.02.354
AMA	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. . 2020; 144 - 148. 10.5152/j.aott.2020.02.354
Vancouver	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. . 2020; 144 - 148. 10.5152/j.aott.2020.02.354
IEEE	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C "Novel, safe, and easy spinal osteotomy for regional kyphotic deformities." , ss.144 - 148, 2020. 10.5152/j.aott.2020.02.354
ISNAD	Tsai, Shang-Hsuan vd. "Novel, safe, and easy spinal osteotomy for regional kyphotic deformities". (2020), 144-148. https://doi.org/10.5152/j.aott.2020.02.354

APA	Tsai S, Liang C, Chen K, Pan C, Lu W, Lee C (2020). Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. Acta Orthopaedica et Traumatologica Turcica, 54(2), 144 - 148. 10.5152/j.aott.2020.02.354
Chicago	Tsai Shang-Hsuan,Liang Che-Han,Chen Kun-Hui,Pan Chien-Chou,Lu Wen Hsien,Lee Cheng Hung Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. Acta Orthopaedica et Traumatologica Turcica 54, no.2 (2020): 144 - 148. 10.5152/j.aott.2020.02.354
MLA	Tsai Shang-Hsuan,Liang Che-Han,Chen Kun-Hui,Pan Chien-Chou,Lu Wen Hsien,Lee Cheng Hung Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.2, 2020, ss.144 - 148. 10.5152/j.aott.2020.02.354
AMA	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 144 - 148. 10.5152/j.aott.2020.02.354
Vancouver	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C Novel, safe, and easy spinal osteotomy for regional kyphotic deformities. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 144 - 148. 10.5152/j.aott.2020.02.354
IEEE	Tsai S,Liang C,Chen K,Pan C,Lu W,Lee C "Novel, safe, and easy spinal osteotomy for regional kyphotic deformities." Acta Orthopaedica et Traumatologica Turcica, 54, ss.144 - 148, 2020. 10.5152/j.aott.2020.02.354
ISNAD	Tsai, Shang-Hsuan vd. "Novel, safe, and easy spinal osteotomy for regional kyphotic deformities". Acta Orthopaedica et Traumatologica Turcica 54/2 (2020), 144-148. https://doi.org/10.5152/j.aott.2020.02.354