One-stage ventral correction of the secondary thoracolumbar kyphosis in a patient with failed transpedicular fixation of Th12 fracture
- 作者: Ostrovskij V.V.1, Shulga A.E.1, Zaretskov V.V.1, Bazhanov S.P.1, Likhachov S.V.1, Smolkin A.A.1
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隶属关系:
- Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
- 期: 卷 29, 编号 2 (2022)
- 页面: 173-180
- 栏目: Clinical case reports
- URL: https://bakhtiniada.ru/0869-8678/article/view/140753
- DOI: https://doi.org/10.17816/vto106716
- ID: 140753
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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.
作者简介
Vladimir Ostrovskij
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
Email: sarniito@yandex.ru
ORCID iD: 0000-0002-8602-2715
SPIN 代码: 7078-8019
MD, Dr. Sci. (Med.), professor, neurosurgeon
俄罗斯联邦, SaratovAlexey Shulga
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
编辑信件的主要联系方式.
Email: doc.shulga@yandex.ru
ORCID iD: 0000-0001-8476-0231
SPIN 代码: 4018-3890
MD, Cand. Sci. (Med.), neurosurgeon
俄罗斯联邦, SaratovVladimir Zaretskov
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
Email: vvzaretskov@mail.ru
ORCID iD: 0000-0003-3643-9560
SPIN 代码: 6997-0909
MD, Dr. Sci. (Med.), professor, traumatologist-orthopedist
俄罗斯联邦, SaratovSergey Bazhanov
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
Email: baj.s@mail.ru
ORCID iD: 0000-0001-9474-9095
SPIN 代码: 2621-4519
MD, Dr. Sci. (Med.), neurosurgeon
俄罗斯联邦, SaratovSergey Likhachov
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
Email: likha4@mail.ru
ORCID iD: 0000-0003-1874-2507
SPIN 代码: 3550-1343
MD, Cand. Sci. (Med.), neurosurgeon
俄罗斯联邦, SaratovAlexey Smolkin
Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University
Email: 4-4-2@mail.ru
ORCID iD: 0000-0001-8453-9465
MD, neurosurgeon
俄罗斯联邦, Saratov参考
- 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
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- 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
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- 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
- 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
- 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
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