Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis

Background Data: One of the worst complications of spine fracture is posttraumatic kyphosis, and beside pain and disability, new neurological deficit may develop and need surgical interference, that is challenging. Purpose: To assess the technique of pedicle subtraction osteotomy as a single poster...

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Autores principales:	Ahmed Arab, Mohamed Elmaghrabi, Mohamed Eltantawy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	postraumatic kyphosis pedicle subtraction osteotomy Trauma deformity Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f767596949f54859877cc7a1c20878f1
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spelling	oai:doaj.org-article:f767596949f54859877cc7a1c20878f12021-12-02T03:27:18ZPedicle Subtraction Osteotomy in Treatment of Posttraumatic KyphosisDOI:10.21608/ESJ.2017.55232314-89502314-8969https://doaj.org/article/f767596949f54859877cc7a1c20878f12017-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5523.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: One of the worst complications of spine fracture is posttraumatic kyphosis, and beside pain and disability, new neurological deficit may develop and need surgical interference, that is challenging. Purpose: To assess the technique of pedicle subtraction osteotomy as a single posterior approach in treatment of posttraumatic kyphosis. Study Design: A prospective clinical cohort study. Patients and Methods: we recruited for this study 12 patients, 8 males and 4 females. The mean was age (31.25±9.39 years). All patients suffered symptomatic posttraumatic kyphosis and were treated surgically using pedicle subtraction technique at the Neurosurgery Department of Benha University Hospital through the period from February 2013 to April 2015. The mean period of follow up was (24.08±6.89 months). Analysis was performed with use of before-and-after pain scale, disability scale, and degree of correction. Complications and radiographic findings, and personal satisfaction from surgery were analyzed. Results: Statistically significant correction of kyphotic angle was obtained from (28.25° to 43.50°) to (3.25° to 10.25°) (P=0.002). Patients showed improvement in pain scale from (6.13 to 7.5) to (1.0 to 2.0) (P=0.002). Disability scale improved from (6.0 to 8.0) to (1.25 to 3.0) (P=0.003). No neurological complication had occurred. 91.6% of patients were satisfied from surgery. Conclusion: Pedicle subtraction osteotomy is a safe and effective technique for management of posttraumatic kyphosis, and can obtain satisfactory result. According to our results, a safe degree of 45 of correction could be obtained. (2016ESJ136)Ahmed Arab Mohamed Elmaghrabi Mohamed EltantawyEgyptian Spine Associationarticlepostraumatic kyphosispedicle subtraction osteotomyTraumadeformityNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 21, Iss 1, Pp 33-41 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	postraumatic kyphosis pedicle subtraction osteotomy Trauma deformity Neurology. Diseases of the nervous system RC346-429
spellingShingle	postraumatic kyphosis pedicle subtraction osteotomy Trauma deformity Neurology. Diseases of the nervous system RC346-429 Ahmed Arab Mohamed Elmaghrabi Mohamed Eltantawy Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
description	Background Data: One of the worst complications of spine fracture is posttraumatic kyphosis, and beside pain and disability, new neurological deficit may develop and need surgical interference, that is challenging. Purpose: To assess the technique of pedicle subtraction osteotomy as a single posterior approach in treatment of posttraumatic kyphosis. Study Design: A prospective clinical cohort study. Patients and Methods: we recruited for this study 12 patients, 8 males and 4 females. The mean was age (31.25±9.39 years). All patients suffered symptomatic posttraumatic kyphosis and were treated surgically using pedicle subtraction technique at the Neurosurgery Department of Benha University Hospital through the period from February 2013 to April 2015. The mean period of follow up was (24.08±6.89 months). Analysis was performed with use of before-and-after pain scale, disability scale, and degree of correction. Complications and radiographic findings, and personal satisfaction from surgery were analyzed. Results: Statistically significant correction of kyphotic angle was obtained from (28.25° to 43.50°) to (3.25° to 10.25°) (P=0.002). Patients showed improvement in pain scale from (6.13 to 7.5) to (1.0 to 2.0) (P=0.002). Disability scale improved from (6.0 to 8.0) to (1.25 to 3.0) (P=0.003). No neurological complication had occurred. 91.6% of patients were satisfied from surgery. Conclusion: Pedicle subtraction osteotomy is a safe and effective technique for management of posttraumatic kyphosis, and can obtain satisfactory result. According to our results, a safe degree of 45 of correction could be obtained. (2016ESJ136)
format	article
author	Ahmed Arab Mohamed Elmaghrabi Mohamed Eltantawy
author_facet	Ahmed Arab Mohamed Elmaghrabi Mohamed Eltantawy
author_sort	Ahmed Arab
title	Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
title_short	Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
title_full	Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
title_fullStr	Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
title_full_unstemmed	Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis
title_sort	pedicle subtraction osteotomy in treatment of posttraumatic kyphosis
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/f767596949f54859877cc7a1c20878f1
work_keys_str_mv	AT ahmedarab pediclesubtractionosteotomyintreatmentofposttraumatickyphosis AT mohamedelmaghrabi pediclesubtractionosteotomyintreatmentofposttraumatickyphosis AT mohamedeltantawy pediclesubtractionosteotomyintreatmentofposttraumatickyphosis
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Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis

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