| Analysis of the Efficacy for Posterior Spinal Shortening Osteotomy in Kummell's Disease |
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Jinwon Kwon , Hyoung Kyun Rha , Hae Kwan Park , Chung Kee Chough , Won Il Joo , Sung Hun Cho , Wonmo Ku , Wonjun Moon , Jaesung Han |
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Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Midicine, Seoul, Korea |
| Kummell씨 병에서의 후방감압/경척추경 절골술(추체 단축술) 및 후방 유합/기기고정술의 유효성 분석 |
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권진원·나형균·박해관·조정기·주원일·조성훈·구원모·문원준·한재성 |
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가톨릭대학교 의과대학 여의도성모병원 신경외과학교실 |
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| Abstract |
Objective
Kummell’s disesase is an uncommon and complicated spinal condition first described in 1895. Patients develop a kyphosis in the lower thoracolumbar spinal region months to years after sustaining an otherwise asymptomatic minor spinal trauma. Treatment options include non-surgical and surgical treatment, and percutaneous vertebral augmentation. Vertebral body collapse with delayed neurological deficit is more complicated and difficult.
Methods
We analyzed 5 patients who were diagnosed with Kummell’s disease and vertebral body collapsed. They received a posterior spinal shortening osteotomy operation.
Results
2 patients were showed good and 3 patients were execellent by Modified MacNab’s criteria. The mean of local kyphotic angulation significantly improved at one month postoperative state from 24.98° to 11.48°, and the improvement sustained at the 1 year follow up.
Conclusion
Posterior spinal shortening osteotomy operation is a good option that provides restoration of regional kyphosis and pain relief for the treatment of Kummell’s disease. |
| Key Words:
Intravertebral vacuum cleft, Kummell’s disease, Vertebral body collapse, Osteoporosis, Kyphosis |
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