Modified grade 4 osteotomy for the correction of post-traumatic thoracolumbar kyphosis: A retrospective study of 42 patients
Autor: | Xian-Ze Sun, Liang Ren, Shu-Bing Hou, Jin-He Yu, Feng-Yu Liu, Zheng-Qi Zhao, Li-Min Wang, Wenyuan Ding, Zhen-Fang Gu |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Visual analogue scale medicine.medical_treatment Radiography Operative Time Blood Loss Surgical Observational Study Osteotomy Thoracic Vertebrae 03 medical and health sciences Disability Evaluation 0302 clinical medicine thoracolumbar medicine Humans 030212 general & internal medicine Kyphosis Aged Retrospective Studies Lumbar Vertebrae Cobb angle business.industry Retrospective cohort study General Medicine Middle Aged Sagittal plane Oswestry Disability Index Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Thoracolumbar kyphosis Female business post-traumatic Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 |
Popis: | Many surgical procedures have been developed for the treatment of post-traumatic thoracolumbar kyphosis. But there is a significant controversy over the ideal management. The aim of this study was to illustrate the technique of modified grade 4 osteotomy for the treatment of post-traumatic thoracolumbar kyphosis and to evaluate clinical and radiographic results of patients treated with this technique. From May 2013 to May 2018, 42 consecutive patients experiencing post-traumatic thoracolumbar kyphosis underwent the technique of modified grade 4 osteotomy, and their medical records were retrospectively collected. Preoperative and postoperative sagittal Cobb angle, visual analog scale (VAS), Oswestry disability index (ODI), and American Spinal Injury Association (ASIA) were recorded. The average follow-up period was 29.7 ± 14.2 months. The operation time was 185.5 ± 26.8 minutes, the intraoperative blood loss was 545.2 ± 150.1 mL. The Cobb angles decreased from 38.5 ± 3.8 degree preoperatively to 4.2 ± 2.6 degree 2 weeks after surgery (P |
Databáze: | OpenAIRE |
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