Shortening osteotomy for the treatment of spinal neuroarthropathy following spinal cord injury. A case report and literature review
| Autor: | Daniel Chan, Katharine Thomason, Ihab Emran |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Arthrodesis Kyphosis Case Report Osteotomy Zygapophyseal Joint Weight-Bearing Arthropathy Back pain medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Spinal cord injury Spinal Cord Injuries business.industry Accidents Traffic medicine.disease Internal Fixators Spine Surgery Spinal Fusion Treatment Outcome Back Pain Spinal fusion Somatosensory Disorders Spinal Fractures Spinal Diseases Neurosurgery Arthropathy Neurogenic medicine.symptom business |
| Zdroj: | European Spine Journal. 16:318-321 |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-007-0343-9 |
| Popis: | The development of Charcot's arthropathy of the spine secondary to spinal cord injury is rare and reports in the literature concerning it's surgical management are limited. Arthrodesis is the recommended treatment for painful and unstable neuropathic joints. Traditionally this involves extensive debridement of the affected joint with anterior and posterior instrumented fusion and autograft to bridge the defect. This paper reviews the reported surgical management of post-traumatic spinal neuroarthropathy in the recent literature and presents a case where sound fusion was achieved by a shortening osteotomy and end-to-end apposition of the fresh bleeding bony surfaces of the adjacent vertebral bodies. The patient reported marked improvement of symptoms post-operatively without any complications of surgery. CT scan at 13 months confirmed successful bony union. Clinical follow up was completed to 3 years. This technique eliminated the need for anterior surgery and extensive autograft thus reducing surgical morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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