Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report

Autor: Tetsu Tanouchi, Takachika Shimizu, Masatake Ino, Naofumi Toda, Nodoka Manabe, Kanako Itoh, Keisuke Fueki
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: The Surgery Journal, Vol 03, Iss 01, Pp e48-e52 (2017)
Druh dokumentu: article
ISSN: 2378-5128
2378-5136
DOI: 10.1055/s-0037-1601321
Popis: Osteoporotic vertebral fractures are well-known complications of rheumatoid arthritis. The management of multiple vertebral fractures with kyphotic deformity is controversial. We present a case of a patient with mutilating rheumatoid arthritis who had multiple vertebral fractures with kyphotic deformity after occipitothoracic fusion for rheumatoid cervical disorder. Occipitosacral fusion was effective to create stable spine with better sagittal alignment in this case, but careful clinical assessment for early detection and management of postoperative insufficient pelvic fracture were required.
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