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Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone

BACKGROUND: An already cemented vertebral body rarely refractures and its occurrence may be signaled by the reappearance of pain and/or significant vertebral collapse/kyphosis resulting in canal compromise and neurological deterioration. CASE DESCRIPTION: An 81-year-old male originally underwent an...

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Autor principal: Rahimizadeh, Abolfazl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826297/
https://www.ncbi.nlm.nih.gov/pubmed/31768292
http://dx.doi.org/10.25259/SNI_456_2019
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author Rahimizadeh, Abolfazl
author_facet Rahimizadeh, Abolfazl
author_sort Rahimizadeh, Abolfazl
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description BACKGROUND: An already cemented vertebral body rarely refractures and its occurrence may be signaled by the reappearance of pain and/or significant vertebral collapse/kyphosis resulting in canal compromise and neurological deterioration. CASE DESCRIPTION: An 81-year-old male originally underwent an L1 kyphoplasty for an osteoporotic compression fracture. Nine months later, he presented with the late onset of recurrent collapse of the cemented vertebral body, leading to pain, kyphosis, and canal compromise. Surgery warranted total L1 corpectomy, reconstruction of the anterior column, and a posterior fixation through a purely posterior approach (posterior vertebral column resection [pVCR]). CONCLUSION: Here, we presented the safety/efficacy of utilizing a purely posterior approach (e.g., including L1 corpectomy, reconstruction of the anterior column, and posterior fusion: pVCR) in the management of a repeated fracture of a cemented L1 vertebra resulting in kyphosis and canal compromise.
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spelling pubmed-68262972019-11-25 Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone Rahimizadeh, Abolfazl Surg Neurol Int Case Report BACKGROUND: An already cemented vertebral body rarely refractures and its occurrence may be signaled by the reappearance of pain and/or significant vertebral collapse/kyphosis resulting in canal compromise and neurological deterioration. CASE DESCRIPTION: An 81-year-old male originally underwent an L1 kyphoplasty for an osteoporotic compression fracture. Nine months later, he presented with the late onset of recurrent collapse of the cemented vertebral body, leading to pain, kyphosis, and canal compromise. Surgery warranted total L1 corpectomy, reconstruction of the anterior column, and a posterior fixation through a purely posterior approach (posterior vertebral column resection [pVCR]). CONCLUSION: Here, we presented the safety/efficacy of utilizing a purely posterior approach (e.g., including L1 corpectomy, reconstruction of the anterior column, and posterior fusion: pVCR) in the management of a repeated fracture of a cemented L1 vertebra resulting in kyphosis and canal compromise. Scientific Scholar 2019-11-01 /pmc/articles/PMC6826297/ /pubmed/31768292 http://dx.doi.org/10.25259/SNI_456_2019 Text en Copyright: © 2019 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rahimizadeh, Abolfazl
Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title_full Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title_fullStr Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title_full_unstemmed Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title_short Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
title_sort kyphosis and canal compromise due to refracturing of an l1 cemented vertebra managed with posterior surgery alone
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826297/
https://www.ncbi.nlm.nih.gov/pubmed/31768292
http://dx.doi.org/10.25259/SNI_456_2019
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