Treatment of adjacent vertebral fractures following multiple-level spinal fusion

J. C C Wu, C. T. Tang, D. L. Wu, T. H. Tsai, Yung Hsiao Chiang

研究成果: 書貢獻/報告類型章節

5 引文 斯高帕斯(Scopus)

摘要

Posterolateral fusion with cages and posterior instrumentation is an accepted method in the treatment of lumbar instability associated with spinal stenosis or scoliotic deformity, but with modest results. We propose hereby an alternative, simple method to treat kyphosis due to the vertebral fracture which has brought about comparable outcomes. Three patients with documented adjacent segment compression fractures were treated. Vertebroplasty was performed with polymethylmethacrylate (PMMA), either using the transpedicular route at the adjacent level or via the route of the previous transpedicular screw at the top level of the long-segment fixation construct. Outcomes were measured by the visual analogue scale of pain and the kyphotic angle of the adjacent segment. The maximal kyphotic angle was 30.6 degrees preoperatively and the reduction rate averaged 69.6%. The pain scale improved from the mean of 9.3 to 1.7. No further progression of compression was noted in the follow-up of more than 6 months after the vertebroplasty in these cases. Vertebroplasty at either the adjacent level or the top level of the previous internal fixation construct may be a feasible alternative to treat the adjacent level fracture after long segment internal fixation of the spine.
原文英語
主出版物標題Acta Neurochirurgica, Supplementum
頁面153-155
頁數3
版本101
DOIs
出版狀態已發佈 - 2008

出版系列

名字Acta Neurochirurgica, Supplementum
號碼101
ISSN(列印)00651419

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

指紋 深入研究「Treatment of adjacent vertebral fractures following multiple-level spinal fusion」主題。共同形成了獨特的指紋。

  • 引用此

    Wu, J. C. C., Tang, C. T., Wu, D. L., Tsai, T. H., & Chiang, Y. H. (2008). Treatment of adjacent vertebral fractures following multiple-level spinal fusion. 於 Acta Neurochirurgica, Supplementum (101 編輯, 頁 153-155). (Acta Neurochirurgica, Supplementum; 編號 101). https://doi.org/10.1007/978-3-211-78205-7-26