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Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis
Joint Authors
Takahashi, Kazuhisa
Ohtori, Seiji
Toyone, Tomoaki
Suzuki, Miyako
Aoki, Yasuchika
Oikawa, Yasuhiro
Orita, Sumihisa
Inage, Kazuhide
Kubota, Gou
Miyagi, Masayuki
Nakamura, Junichi
Yamazaki, Atsuro
Sakuma, Yoshihiro
Yamauchi, Kazuyo
Nakata, Yukio
Inoue, Gen
Sainoh, Takeshi
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 26-year-old paraplegic schizophrenic Japanese woman suffered from severe kyphosis and back pain derived from lumbar burst fractures caused by jumping.
She had already undergone resection of the L1 and L2 spinous processes for sharp angular kyphosis, but she still had severe kyphosis and back pain at the L1 and L2.
Radiographical examination revealed fused anterior columns at L1 and L2 with severe local kyphosis and a significantly decreased percutaneous distance in the back.
The patient underwent anterior instrumented bony resection including an L2 vertebral osteotomy: bilateral L2-L3 facetectomy and partial posterior osteotomy of the L2 vertebrae via a posterior approach followed by an anterior corpectomy of the L2 vertebrae and insertion of a cylindrical cage.
No posterior instrumentation was used owing to the presence of atrophied paraspinal soft tissues.
Lumbar interbody fusion was performed with vertebral body screws extending from T12 to L4 and corresponding anterior distension and posterior compression.
The procedure corrected the kyphosis by 15° and enhanced local stability.
Postsurgical visual analogue scale improved from 9.0 to 2.0 and Oswestry Disability Index from 40 to 17.8, respectively.
In conclusion, we have demonstrated that anterolateral interbody fusion using extended fixation can compensate for posterior corrective surgery.
American Psychological Association (APA)
Yamazaki, Atsuro& Orita, Sumihisa& Sainoh, Takeshi& Yamauchi, Kazuyo& Suzuki, Miyako& Sakuma, Yoshihiro…[et al.]. 2013. Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis. Case Reports in Orthopedics،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-485267
Modern Language Association (MLA)
Yamazaki, Atsuro…[et al.]. Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis. Case Reports in Orthopedics No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-485267
American Medical Association (AMA)
Yamazaki, Atsuro& Orita, Sumihisa& Sainoh, Takeshi& Yamauchi, Kazuyo& Suzuki, Miyako& Sakuma, Yoshihiro…[et al.]. Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis. Case Reports in Orthopedics. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-485267
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485267