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

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 defor...

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Autores principales: Tanouchi, Tetsu, Shimizu, Takachika, Ino, Masatake, Toda, Naofumi, Manabe, Nodoka, Itoh, Kanako, Fueki, Keisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553497/
https://www.ncbi.nlm.nih.gov/pubmed/28825020
http://dx.doi.org/10.1055/s-0037-1601321
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author Tanouchi, Tetsu
Shimizu, Takachika
Ino, Masatake
Toda, Naofumi
Manabe, Nodoka
Itoh, Kanako
Fueki, Keisuke
author_facet Tanouchi, Tetsu
Shimizu, Takachika
Ino, Masatake
Toda, Naofumi
Manabe, Nodoka
Itoh, Kanako
Fueki, Keisuke
author_sort Tanouchi, Tetsu
collection PubMed
description 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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spelling pubmed-55534972017-08-18 Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report Tanouchi, Tetsu Shimizu, Takachika Ino, Masatake Toda, Naofumi Manabe, Nodoka Itoh, Kanako Fueki, Keisuke Surg J (N Y) 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. Thieme Medical Publishers 2017-03-20 /pmc/articles/PMC5553497/ /pubmed/28825020 http://dx.doi.org/10.1055/s-0037-1601321 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Tanouchi, Tetsu
Shimizu, Takachika
Ino, Masatake
Toda, Naofumi
Manabe, Nodoka
Itoh, Kanako
Fueki, Keisuke
Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title_full Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title_fullStr Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title_full_unstemmed Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title_short Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report
title_sort occipitosacral fusion for multiple vertebral fractures with kyphotic deformity in a patient with mutilating rheumatoid arthritis: a case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553497/
https://www.ncbi.nlm.nih.gov/pubmed/28825020
http://dx.doi.org/10.1055/s-0037-1601321
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