Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis
A 26-year-old paraplegic schizophrenic Japanese woman suffered from severe kyphosis and back pain derived from lumbar burst fractures caused by jumping. She had already undergone resection of the L1 and L2 spinous processes for sharp angular kyphosis, but she still had severe kyphosis and back pain...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/614757 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849468811376328704 |
|---|---|
| author | Atsuro Yamazaki Sumihisa Orita Takeshi Sainoh Kazuyo Yamauchi Miyako Suzuki Yoshihiro Sakuma Go Kubota Yasuhiro Oikawa Kazuhide Inage Yukio Nakata Gen Inoue Yasuchika Aoki Tomoaki Toyone Junichi Nakamura Masayuki Miyagi Kazuhisa Takahashi Seiji Ohtori |
| author_facet | Atsuro Yamazaki Sumihisa Orita Takeshi Sainoh Kazuyo Yamauchi Miyako Suzuki Yoshihiro Sakuma Go Kubota Yasuhiro Oikawa Kazuhide Inage Yukio Nakata Gen Inoue Yasuchika Aoki Tomoaki Toyone Junichi Nakamura Masayuki Miyagi Kazuhisa Takahashi Seiji Ohtori |
| author_sort | Atsuro Yamazaki |
| collection | DOAJ |
| description | A 26-year-old paraplegic schizophrenic Japanese woman suffered from severe kyphosis and back pain derived from lumbar burst fractures caused by jumping. She had already undergone resection of the L1 and L2 spinous processes for sharp angular kyphosis, but she still had severe kyphosis and back pain at the L1 and L2. Radiographical examination revealed fused anterior columns at L1 and L2 with severe local kyphosis and a significantly decreased percutaneous distance in the back. The patient underwent anterior instrumented bony resection including an L2 vertebral osteotomy: bilateral L2-L3 facetectomy and partial posterior osteotomy of the L2 vertebrae via a posterior approach followed by an anterior corpectomy of the L2 vertebrae and insertion of a cylindrical cage. No posterior instrumentation was used owing to the presence of atrophied paraspinal soft tissues. Lumbar interbody fusion was performed with vertebral body screws extending from T12 to L4 and corresponding anterior distension and posterior compression. The procedure corrected the kyphosis by 15° and enhanced local stability. Postsurgical visual analogue scale improved from 9.0 to 2.0 and Oswestry Disability Index from 40 to 17.8, respectively. In conclusion, we have demonstrated that anterolateral interbody fusion using extended fixation can compensate for posterior corrective surgery. |
| format | Article |
| id | doaj-art-fe4e14b165e74ff6b5a65330818c00fc |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-fe4e14b165e74ff6b5a65330818c00fc2025-08-20T03:25:45ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/614757614757Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic KyphosisAtsuro Yamazaki0Sumihisa Orita1Takeshi Sainoh2Kazuyo Yamauchi3Miyako Suzuki4Yoshihiro Sakuma5Go Kubota6Yasuhiro Oikawa7Kazuhide Inage8Yukio Nakata9Gen Inoue10Yasuchika Aoki11Tomoaki Toyone12Junichi Nakamura13Masayuki Miyagi14Kazuhisa Takahashi15Seiji Ohtori16Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, JapanA 26-year-old paraplegic schizophrenic Japanese woman suffered from severe kyphosis and back pain derived from lumbar burst fractures caused by jumping. She had already undergone resection of the L1 and L2 spinous processes for sharp angular kyphosis, but she still had severe kyphosis and back pain at the L1 and L2. Radiographical examination revealed fused anterior columns at L1 and L2 with severe local kyphosis and a significantly decreased percutaneous distance in the back. The patient underwent anterior instrumented bony resection including an L2 vertebral osteotomy: bilateral L2-L3 facetectomy and partial posterior osteotomy of the L2 vertebrae via a posterior approach followed by an anterior corpectomy of the L2 vertebrae and insertion of a cylindrical cage. No posterior instrumentation was used owing to the presence of atrophied paraspinal soft tissues. Lumbar interbody fusion was performed with vertebral body screws extending from T12 to L4 and corresponding anterior distension and posterior compression. The procedure corrected the kyphosis by 15° and enhanced local stability. Postsurgical visual analogue scale improved from 9.0 to 2.0 and Oswestry Disability Index from 40 to 17.8, respectively. In conclusion, we have demonstrated that anterolateral interbody fusion using extended fixation can compensate for posterior corrective surgery.http://dx.doi.org/10.1155/2013/614757 |
| spellingShingle | Atsuro Yamazaki Sumihisa Orita Takeshi Sainoh Kazuyo Yamauchi Miyako Suzuki Yoshihiro Sakuma Go Kubota Yasuhiro Oikawa Kazuhide Inage Yukio Nakata Gen Inoue Yasuchika Aoki Tomoaki Toyone Junichi Nakamura Masayuki Miyagi Kazuhisa Takahashi Seiji Ohtori Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis Case Reports in Orthopedics |
| title | Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis |
| title_full | Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis |
| title_fullStr | Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis |
| title_full_unstemmed | Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis |
| title_short | Anterolateral Corrective Lumbar Corpectomy and Interbody Fusion by Using Extended Screw Fixation without Posterior Instrumentation for Posttraumatic Kyphosis |
| title_sort | anterolateral corrective lumbar corpectomy and interbody fusion by using extended screw fixation without posterior instrumentation for posttraumatic kyphosis |
| url | http://dx.doi.org/10.1155/2013/614757 |
| work_keys_str_mv | AT atsuroyamazaki anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT sumihisaorita anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT takeshisainoh anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT kazuyoyamauchi anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT miyakosuzuki anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT yoshihirosakuma anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT gokubota anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT yasuhirooikawa anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT kazuhideinage anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT yukionakata anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT geninoue anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT yasuchikaaoki anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT tomoakitoyone anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT junichinakamura anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT masayukimiyagi anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT kazuhisatakahashi anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis AT seijiohtori anterolateralcorrectivelumbarcorpectomyandinterbodyfusionbyusingextendedscrewfixationwithoutposteriorinstrumentationforposttraumatickyphosis |