Pedicle subtraction osteotomies for the correction of post-traumatic thoracolumbar kyphosis.
Traumatic compression fractures are usually treated non-surgically. In most patients without osteoporosis, such fractures heal without any sequelae. However, some patients develop a post-traumatic kyphosis that can lead to severe pain and disability, refractory to non-surgical management. In such patients, correction of the kyphosis ultimately may be the only definitive treatment. Pedicle subtraction osteotomies have been used in non-traumatic settings to correct kyphotic deformities or restore lordosis in patients in symptomatic positive sagittal balance. We apply this technique in the setting of post-traumatic kyphosis, and we performed the osteotomies at the level of the compression fracture.
Chou
Dean
D
Department of Neurological Surgery, University of California San Francisco, 400 Parnassus Ave, Box 0350 San Francisco, California 94143-0350, USA.
Wang
Vincent Y
VY
Storm
Phillip B
PB
D001416:Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D050815:Fractures, Compression / Q000150:complications*; D006801:Humans; D016268:Internal Fixators; D007738:Kyphosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014143:Traction / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000295:instrumentation / Q000379:methods; D055815:Young Adult; D021801:Zygapophyseal Joint / Q000473:pathology / Q000601:surgery