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学科主题临床医学
The posterior surgical treatment for focal kyphosis in upper-middle thoracic spine
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
2014-11-01
DOI10.1007/s00586-014-3414-8
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
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61268
专题北京大学第三临床医学院_骨科
作者单位Peking Univ Third Hosp, Dept Orthoped, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
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.
APA Zeng, Yan,Chen, Zhongqiang,Guo, Zhaoqing,Qi, Qiang,Li, Weishi,&Sun, Chuiguo.(2014).The posterior surgical treatment for focal kyphosis in upper-middle thoracic spine.EUROPEAN SPINE JOURNAL,23(11),2291-2298.
MLA Zeng, Yan,et al."The posterior surgical treatment for focal kyphosis in upper-middle thoracic spine".EUROPEAN SPINE JOURNAL 23.11(2014):2291-2298.
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