DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20190366

Correction of kyphotic deformity due to neglected fracture dislocation thoracolumbar spine with posterior vertebral column resection

Andhika Yudistira, Syaifullah Asmiragani, Ery Satriawan

Abstract


Kyphotic deformity is serious problem for sagittal spinal balance and resulting back pain, neurologic impairment, and also cosmetic problem. Post traumatic kyphotic deformity most common occur following unstable spine. A circumferential approach with anterior release via discectomies and corpectomies, followed by posterior instrumentation and fusion has been the standard of care. This is a case of progressive post traumatic kyphotic deformity due to fracture dislocation which was performed laminectomy without posterior instrumentation and succesfully corrected with single step posterior vertebral column resection.


Keywords


Kyphotic deformities, Laminectomy, Posterior vertebral column resection, Thoracolumbar fracture-dislocation

Full Text:

PDF

References


Schwartz E, Flanders A. Spinal trauma: Imaging, Diagnosis, and Management. Philadelphia, PA: Lippincott Williams Wilkins; 2007:317.

Zhang H, Liu S. Posterior vertebral column resection for rigid angular kyphosis. Chinese J Orthopaed. 2009;29(12):1099-103.

Munting E. Surgical treatment of post-traumatic kyphosis in Thoracolumbar spine: indications and technical aspects. Eur Spine J. 2010;19(suppl 1):S69-S73.

Jain A, Kumar S. Neglected musculoskeletal injuries. New Delhi: Jaypee Brothers Medical Publishers; 2010:2.

Ozer KT, Elias CA. Iatrogenic spinal deformities. Turkish Neurosurg. 2014;24(1):75-83.

Khatri K, Farooque K, Sharma V, Gupta B, Gamanagatti S. Neglected thoraco lumbar traumatic spine injuries. Asian Spine J. 2016 Aug 1;10(4):678-84.

Walker C, Ballestro C, Iborra M, Ubierna, MT. Tomasi SO. Adult spinal deformity: sagittal imbalance. Int J Orthopaedics. 2014;1(3):64-72.

Zhou T, Li C, Liu B, Tang X, Su Y, Xu Y. Analysis of 17 cases of posterior vertebral column resection in treating thoracolumbar spinal tuberculous angular kyphosis. J Orthopad Surg Res. 2015 Dec;10(1):64.

Kim B, Dan JM, Shin DE. Treatment of Thoracolumbar fracture. Asian Spine J. 2015;9(1):133-46.

Vetrile ST, Kuleshov MS, Vetrile MS, Chelpachenko OB. Surgical treatment of extended kyphotic deformities of the thoracic and lumbar spine. Digest of spine surgery J. 2014;2:(C.47-54).

Jian-zheng Z, Zhi L, Ji-xin R, Tian-sheng S. Modified decancellation posterior closing-wedge osteotomy for correction of traumatic thoracolumbar kyphotic deformity: a cadaveric and preliminary clinical study. Int J Phys Med Rehabil. 2014;2:5.