Posterior Vertebral Column Resection for Severe and Rigid Spinal Deformity Associated With Neurological Deficit After Implant Removal Following Posterior Instrumented Fusion: A Case Report and Literature Review
| Autor: | Bo Gao, Haixia Li, Shuilin Shao, Yong Ji, Lele Zhang, Youping Tao, Zebing Si, Huasong Ma, Jigong Wu, Feifei Tao |
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| Rok vydání: | 2015 |
| Předmět: |
Reoperation
medicine.medical_specialty Weakness Adolescent medicine.medical_treatment Bone Screws Severity of Illness Index Implant removal Thoracic Vertebrae Resection Spinal Stenosis Severity of illness Back pain Medicine Humans Orthopedics and Sports Medicine Device Removal Pain Postoperative Lumbar Vertebrae medicine.diagnostic_test business.industry Magnetic resonance imaging Recovery of Function Magnetic Resonance Imaging Surgery medicine.anatomical_structure Spinal Fusion Treatment Outcome Scoliosis Back Pain Spinal fusion Female Neurology (clinical) medicine.symptom business Tomography X-Ray Computed Vertebral column |
| Zdroj: | Spine. 40(13) |
| ISSN: | 1528-1159 |
| Popis: | Study design Case report. Objective To investigate the safety and efficacy of posterior vertebral column resection for severe and rigid spinal deformity associated with neurological deficit after implant removal following posterior instrumented fusion. Summary of background data Loss of correction after implant removal in patients with posterior instrumented fusion has been previously reported. However, to our knowledge, posterior vertebral column resection (PVCR) for severe and rigid spinal deformity associated with neurological deficit after implant removal following posterior instrumented fusion has not been reported. Methods An 18-year-old female with severe and rigid spinal deformity associated with neurological deficit was classified as Frankel C, according to the Frankel grading system. She underwent posterior spinal fusion with pedicle screw fixation at 16 years, and her implants were removed after 1 year due to back pain. Seven months after removal of the implants, she began to experience weakness in her lower limbs but did not seek any treatment. She was unable to stand and had to use a wheelchair. The patient successfully underwent PVCR and posterior reinstrumentation. Within 3 months, her neurological status improved to Frankel E. Results The patient had no neurological deterioration and infections. There was no instrumentation failure and loosening correction at the 32 months follow-up. Conclusion Our results suggest that PVCR and pedicle screw fixation is a safe and efficacious option for severe and rigid spinal deformity associated with neurological deficit after implant removal following posterior instrumented fusion. Level of evidence N/A. |
| Databáze: | OpenAIRE |
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