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学科主题: 临床医学
题名:
The posterior surgical treatment for focal kyphosis in upper-middle thoracic spine
作者: Zeng, Yan; Chen, Zhongqiang; Guo, Zhaoqing; Qi, Qiang; Li, Weishi; Sun, Chuiguo
关键词: Focal kyphosis ; Upper thoracic spine ; Posterior corrective surgery
刊名: EUROPEAN SPINE JOURNAL
发表日期: 2014-11-01
DOI: 10.1007/s00586-014-3414-8
卷: 23, 期:11, 页:2291-2298
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: POSTTUBERCULOUS KYPHOSIS ; POSTTRAUMATIC KYPHOSIS ; RESECTION OSTEOTOMY ; CLINICAL ARTICLE ; ANGULAR KYPHOSIS ; WEDGE OSTEOTOMY ; ANTERIOR ; TUBERCULOSIS ; INSTRUMENTATION ; COMPLICATIONS
英文摘要:

To analyze the clinical characteristics of focal kyphosis in upper thoracic spine, and observe the outcome of the posterior corrective surgical procedures.

Thirteen patients of focal kyphosis were treated with posterior surgical procedures in our medical center. The kyphosis apex was above T6 in all cases. The surgical procedures performed in this study included pedicle subtraction osteotomy (PSO) in six cases and vertebral column resection (VCR) in seven cases. For each case, the kyphosis angle, curvature of lower thoracic spine, lumbar lordosis angle, cervical lordosis angle, pelvic parameters, and the sagittal plane balance of the spine were compared before and after surgery. Neurological function change was assessed based on Frankel grading system and oswestry disability index (ODI).

The average follow-up time of this study was 28.3 months. The average kyphosis angle was reduced from 73.5A(0) before surgery to 32.7A(0) immediately after surgery, and remained at 33.5A(0) at follow-up. The average ODI improved from 22.5 before surgery to 15.5 at follow-up. The neurological function improved after surgery in eight cases. There were two cases of transient neurological deficiency in the lower extremities after VCR procedure, who eventually recovered under postoperative care. One case had recurrent kyphosis due to implant failure after VCR procedure, and recovered after the revision surgery.

Although high risk needs to be warned, the corrective surgery for focal kyphosis in upper thoracic spine still can achieve satisfactory results. Given the comparative surgical results yet less complications, PSO seems to be a preferable procedure over VCR for kyphosis at this region.

语种: 英语
WOS记录号: WOS:000344389100006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61268
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: Peking Univ Third Hosp, Dept Orthoped, Beijing 100191, Peoples R China

Recommended Citation:
Zeng, Yan,Chen, Zhongqiang,Guo, Zhaoqing,et al. The posterior surgical treatment for focal kyphosis in upper-middle thoracic spine[J]. EUROPEAN SPINE JOURNAL,2014,23(11):2291-2298.
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