Treatment of Post-Traumatic Kyphosis of the Spine with Pedicle Subtraction Osteotomy: Case Report:: Science Publishing Group

Treatment of Post-Traumatic Kyphosis of the Spine with Pedicle Subtraction Osteotomy: Case Report

Shuchi Lv, Jianyu Zou, Guowei Zhang, Hua Yang, Zhisheng Ji, Hongsheng Lin

Corresponding Author: Zhisheng Ji

Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China

International Journal of Neurosurgery, Volume 7, Issue 2, December 2023

Pages: 36-40

Received: Sep. 11, 2023

Accepted: Oct. 09, 2023

Published: Oct. 31, 2023

DOI: 10.11648/j.ijn.20230702.14

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Abstract

Kyphosis refers to a deformity in which the spine protrudes abnormally backwards, which involves changes in the anatomical shape of the vertebral body itself and its subsidiary tissues. Kyphosis can cause abnormal appearance, inability to look up and lie down, psychological disturbance, and severe cases can cause dyspnea. We have reported a 40-year-old female patient who was admitted to the hospital due to a 37-year history of kyphosis following a fall. The measurement of preoperative imaging parameters indicated: pelvic incidence (PI) = 40°, pelvic tilt (PT) = 9°, sacral slope (SS) = 31°, lumbar lordosis (LL) = 80°, thoracic kyphosis (TK) = 57°, local kyphosis angle = 137.7°. Based on thorough preoperative planning and discussion, we performed deformed Complex vertebral osteotomy (DCVO). After the surgery, the patient's height was 151cm, which increased by 5cm compared to preoperative height. The postoperative measurements were as follows: pelvic incidence (PI) = 35°, pelvic tilt (PT) = 4.8°, sacral slope (SS) = 40°, lumbar lordosis (LL) = 73°, thoracic kyphosis (TK) = 63°, and local kyphosis angle = 59°. After the operation, the patient recovered well, the treatment effect was satisfactory, and the quality of life was significantly improved. The DCVO technique is a high-risk, demanding procedure that needs to be performed by an experienced spinal surgery team.

Keywords

Kyphosis, Pedicle Subtraction Osteotomy, Deformed Compound Vertebra, Sagittal Balance, Case Report

To cite this article

Shuchi Lv, Jianyu Zou, Guowei Zhang, Hua Yang, Zhisheng Ji, et al. (2023). Treatment of Post-Traumatic Kyphosis of the Spine with Pedicle Subtraction Osteotomy: Case Report. International Journal of Neurosurgery, 7(2), 36-40. https://doi.org/10.11648/j.ijn.20230702.14

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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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