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Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease

The present study aimed at examining the curative effect of modified posterior operation on treatment of Kümmell's disease. About 30 patients of Kümmell's disease with complete image and clinical data treated during June 2004 to July 2013 were conducted with anterior and posterior approach...

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Autores principales: Wang, Feng, Wang, Dachuan, Tan, Bingyi, Dong, Jun, Feng, Rongjie, Yuan, Zenong, Wang, Naiguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616816/
https://www.ncbi.nlm.nih.gov/pubmed/26426639
http://dx.doi.org/10.1097/MD.0000000000001595
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author Wang, Feng
Wang, Dachuan
Tan, Bingyi
Dong, Jun
Feng, Rongjie
Yuan, Zenong
Wang, Naiguo
author_facet Wang, Feng
Wang, Dachuan
Tan, Bingyi
Dong, Jun
Feng, Rongjie
Yuan, Zenong
Wang, Naiguo
author_sort Wang, Feng
collection PubMed
description The present study aimed at examining the curative effect of modified posterior operation on treatment of Kümmell's disease. About 30 patients of Kümmell's disease with complete image and clinical data treated during June 2004 to July 2013 were conducted with anterior and posterior approaches, respectively. Kyphotic Cobb angle, fractured vertebra wedge angle, and the anterior and posterior heights of fractured vertebra were all measured through x-ray before and after operation, and the pain visual analog scale (VAS) was determined for evaluating the effect of operations. The injury and restoration of neurological function were assessed using Frankel classification. Patients in group A were treated with anterior operation, whereas group B was posterior operation. Postoperatively, VAS score, kyphotic Cobb angle, anterior vertebra height, and pathologic vertebra wedge angle were all significantly improved in patients with Kümmell's disease receiving modified posterior operation (group B). Similar results were also observed in patients with anterior operation. The improvement of VAS and correction rate of kyphotic Cobb angle indicated equivalent effects of posterior and anterior operations. Meanwhile, alleviated neurological function damage was observed in 2 groups. Relevant factor analysis illustrated that there was no significant correlation of the severity and improvement rate of pain symptoms with age, medical history, anterior and posterior vertebra heights, kyphotic Cobb angle, and pathological vertebra wedge angle. Compared with traditional anterior approach, modified posterior operation, adopting transpedicular vertebral body grafting combined with vertebral pedicle screw fixation, could produce equivalent effects on kyphosis correction, pain relief, and improvement of neurological function in patients with Kümmell's disease.
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spelling pubmed-46168162015-10-27 Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease Wang, Feng Wang, Dachuan Tan, Bingyi Dong, Jun Feng, Rongjie Yuan, Zenong Wang, Naiguo Medicine (Baltimore) 5700 The present study aimed at examining the curative effect of modified posterior operation on treatment of Kümmell's disease. About 30 patients of Kümmell's disease with complete image and clinical data treated during June 2004 to July 2013 were conducted with anterior and posterior approaches, respectively. Kyphotic Cobb angle, fractured vertebra wedge angle, and the anterior and posterior heights of fractured vertebra were all measured through x-ray before and after operation, and the pain visual analog scale (VAS) was determined for evaluating the effect of operations. The injury and restoration of neurological function were assessed using Frankel classification. Patients in group A were treated with anterior operation, whereas group B was posterior operation. Postoperatively, VAS score, kyphotic Cobb angle, anterior vertebra height, and pathologic vertebra wedge angle were all significantly improved in patients with Kümmell's disease receiving modified posterior operation (group B). Similar results were also observed in patients with anterior operation. The improvement of VAS and correction rate of kyphotic Cobb angle indicated equivalent effects of posterior and anterior operations. Meanwhile, alleviated neurological function damage was observed in 2 groups. Relevant factor analysis illustrated that there was no significant correlation of the severity and improvement rate of pain symptoms with age, medical history, anterior and posterior vertebra heights, kyphotic Cobb angle, and pathological vertebra wedge angle. Compared with traditional anterior approach, modified posterior operation, adopting transpedicular vertebral body grafting combined with vertebral pedicle screw fixation, could produce equivalent effects on kyphosis correction, pain relief, and improvement of neurological function in patients with Kümmell's disease. Wolters Kluwer Health 2015-10-02 /pmc/articles/PMC4616816/ /pubmed/26426639 http://dx.doi.org/10.1097/MD.0000000000001595 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 5700
Wang, Feng
Wang, Dachuan
Tan, Bingyi
Dong, Jun
Feng, Rongjie
Yuan, Zenong
Wang, Naiguo
Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title_full Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title_fullStr Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title_full_unstemmed Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title_short Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease
title_sort comparative study of modified posterior operation to treat kümmell's disease
topic 5700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616816/
https://www.ncbi.nlm.nih.gov/pubmed/26426639
http://dx.doi.org/10.1097/MD.0000000000001595
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