One-stage ventral correction of the secondary thoracolumbar kyphosis in a patient with failed transpedicular fixation of Th12 fracture

Vladimir V. Ostrovskij , Alexey E. Shulga , Vladimir V. Zaretskov , Sergey P. Bazhanov , Sergey V. Likhachov , Alexey A. Smolkin

N.N. Priorov Journal of Traumatology and Orthopedics ›› 2022, Vol. 29 ›› Issue (2) : 173 -180.

PDF
N.N. Priorov Journal of Traumatology and Orthopedics ›› 2022, Vol. 29 ›› Issue (2) : 173 -180. DOI: 10.17816/vto106716
Clinical case reports
research-article

One-stage ventral correction of the secondary thoracolumbar kyphosis in a patient with failed transpedicular fixation of Th12 fracture

Author information +
History +
PDF

Abstract

The main surgical treatment technique of thoracic and lumbar spine acute injuries is transpedicular fixation, the failure of which, according to the literature data, occurs in 10–15% of cases. There are no common views on tactics and the surgical technique used to deal with the consequences of unstable transpedicular spondylosynthesis. And the publications devoted to the use of isolated anterior interventions are the least common.

We present a case study of the surgical management of the 71 years old patient with secondary thoracolumbar kyphosis that progressed after failed transpedicular fixation of Th12 fracture. The deformity was corrected with one-stage anterior approach and ventral crew system.

Keywords

thoracolumbar junction / spine deformity / posttraumatic kyphosis / anterior fixation

Cite this article

Download citation ▾
Vladimir V. Ostrovskij, Alexey E. Shulga, Vladimir V. Zaretskov, Sergey P. Bazhanov, Sergey V. Likhachov, Alexey A. Smolkin. One-stage ventral correction of the secondary thoracolumbar kyphosis in a patient with failed transpedicular fixation of Th12 fracture. N.N. Priorov Journal of Traumatology and Orthopedics, 2022, 29(2): 173-180 DOI:10.17816/vto106716

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Likhachev SV, Zaretskov VV, Shulga AE, et al. Injuries to the thoracolumbar junction: bibliometric analysis of English-language literature. Hirurgiâ pozvonočnika (Spine Surgery). 2018;15(4):52–69. (In Russ). doi: 10.14531/2018.4.52-69

[2]

Лихачев С.В., Зарецков В.В., Шульга А.Е., и др. Повреждения переходного грудопоясничного отдела позвоночника: библиометрический анализ англоязычной литературы // Хирургия позвоночника. 2018. Т. 15, № 4. С. 52–69. doi: 10.14531/2018.4.52-69

[3]

Prudnikova OG, Khomchenkov MV. Post-traumatic deformities of the spine: relevance, problems, and revision surgery. Hirurgiâ pozvonočnika (Spine Surgery). 2019;16(4):36–44. (In Russ). doi: 10.14531/ss2019.4.36-44

[4]

Прудникова О.Г., Хомченков М.В. Посттравматические деформации позвоночника: актуальность, проблемы, ревизионная хирургия // Хирургия позвоночника. 2019. Т. 16, № 4. С. 36–44. doi: 10.14531/ss2019.4.36-44

[5]

Mazel C, Ajavon L. Malunion of post-traumatic thoracolumbar fractures. Orthop Traumatol Surg Res. 2018;104(1S):55–62. doi: 10.1016/j.otsr.2017.04.018

[6]

Mazel C., Ajavon L. Malunion of post-traumatic thoracolumbar fractures // Orthop Traumatol Surg Res. 2018. Vol. 104, N 1S. P. 55–62. doi: 10.1016/j.otsr.2017.04.018

[7]

Yamazaki A, Orita S, Sainoh T, et al. Anterolateral corrective lumbar corpectomy and interbody fusion by using extended screw fixation without posterior instrumentation for posttraumatic kyphosis. Case Rep Orthop. 2013;2013:614757. doi: 10.1155/2013/614757

[8]

Yamazaki A., Orita S., Sainoh T., et al. Anterolateral corrective lumbar corpectomy and interbody fusion by using extended screw fixation without posterior instrumentation for posttraumatic kyphosis // Case Rep Orthop. 2013. Vol. 2013. P. 614757. doi: 10.1155/2013/614757

[9]

Hu W, Wang B, Run H, et al. Pedicle subtraction osteotomy and disc resection with cage placement in post-traumatic thoracolumbar kyphosis, a retrospective study. J Orthop Surg Res. 2016;11(1):112. doi: 10.1186/s13018-016-0447-1

[10]

Hu W., Wang B., Run H., et al. Pedicle subtraction osteotomy and disc resection with cage placement in post-traumatic thoracolumbar kyphosis, a retrospective study // J Orthop Surg Res. 2016. Vol. 11, N 1. P. 112. doi: 10.1186/s13018-016-0447-1

[11]

Seo DK, Kim CH, Jung SK, et al. Analysis of the risk factors for unfavorable radiologic outcomes after fusion surgery in thoracolumbar burst fracture: what amount of postoperative thoracolumbar kyphosis correction is reasonable? J Korean Neurosurg Soc. 2019;62(1):96–105. doi: 10.3340/jkns.2017.0214

[12]

Seo D.K., Kim C.H., Jung S.K., et al. Analysis of the risk factors for unfavorable radiologic outcomes after fusion surgery in thoracolumbar burst fracture: what amount of postoperative thoracolumbar kyphosis correction is reasonable? // J Korean Neurosurg Soc. 2019. Vol. 62, N 1. P. 96–105. doi: 10.3340/jkns.2017.0214

[13]

Yaman O, Zileli M, Şentürk S, et al. Kyphosis after thoracolumbar spine fractures: WFNS spine committee recommendations. Neurospine. 2021;18(4):681–692. doi: 10.14245/ns.2142340.170

[14]

Yaman O., Zileli M., Şentürk S., et al. Kyphosis after thoracolumbar spine fractures: WFNS spine committee recommendations // Neurospine. 2021. Vol. 18, N 4. P. 681–692. doi: 10.14245/ns.2142340.170

[15]

Li S, Li Z, Hua W, et al. Clinical outcome and surgical strategies for late post-traumatic kyphosis after failed thoracolumbar fracture operation: case report and literature review. Medicine (Baltimore). 2017;96(49):e8770. doi: 10.1097/MD.0000000000008770

[16]

Li S., Li Z., Hua W., et al. Clinical outcome and surgical strategies for late post-traumatic kyphosis after failed thoracolumbar fracture operation: case report and literature review // Medicine (Baltimore). 2017. Vol. 96, N 49. P. e8770. doi: 10.1097/MD.0000000000008770

[17]

Zhao Q, Zhang H, Hao D, et al. Complications of percutaneous pedicle screw fixation in treating thoracolumbar and lumbar fracture. Medicine (Baltimore). 2018;97(29):e11560. doi: 10.1097/MD.0000000000011560

[18]

Zhao Q., Zhang H., Hao D., et al. Complications of percutaneous pedicle screw fixation in treating thoracolumbar and lumbar fracture // Medicine (Baltimore). 2018. Vol. 97, N 29. P. e11560. doi: 10.1097/MD.0000000000011560

[19]

Rerikh VV, Borzykh KO. Staged surgical treatment of posttraumatic deformities in the thoracic and lumbar spine. Hirurgiâ pozvonočnika (Spine Surgery). 2016;13(4):21–27. (In Russ). doi: 10.14531/ss2016.4.21-27

[20]

Рерих В.В., Борзых К.О. Этапное хирургическое лечение посттравматических деформаций грудного и поясничного отделов позвоночника // Хирургия позвоночника. 2016. Т. 13, № 4. С. 21–27. doi: 10.14531/ss2016.4.21-27

[21]

Smits AJ, Deunk J, Bakker FC, Bloemers FW. Thoracoscopic correction of post-traumatic kyphosis with an expandable cage: radiologic and patient-reported outcomes. Asian Spine J. 2020;14(2):157–168. doi: 10.31616/asj.2019.0062

[22]

Smits A.J., Deunk J., Bakker F.C., Bloemers F.W. Thoracoscopic correction of post-traumatic kyphosis with an expandable cage: radiologic and patient-reported outcomes // Asian Spine J. 2020. Vol. 14, N 2. P. 157–168. doi: 10.31616/asj.2019.0062

Funding

Правительство РФGovernment of the Russian Federation(122022700112-4)

RIGHTS & PERMISSIONS

Eco-Vector

AI Summary AI Mindmap
PDF

112

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/