A Case of Osteoporotic Thoracic Burst Fracture Treated by Posterolateral Decompression without Spinal Instrumentation.

DOI

Bibliographic Information

Other Title
  • 骨粗しょう症による胸椎破裂骨折の治療経験

Search this article

Description

Osteoporotic thoracolumbar burst fractures are rarely complicated by neurological deficits. Recently the treatment of these fractures has been controversial. A 69-year-old woman developed paraparesis in June 1991 with no previous history of trauma. Radiograph demonstrated a burst fracture of the 11th thoracic vertebra and myelography disclosed incomplete blockage of contrast column at this level. The CT scan demonstrated retropulsion of vertbral fragment into the spinal canal. The patient had a past medical history of chronic viral hepatitis type C. If the patient's general condition permited, anterior decompression and stabilization seemed to be the most reasonable treatment at that time. However, we had to chose a minor invasive surgery because of the complications. We planned and carried out a modified decompression surgery without spinal instrumentation. Two years and five months after the surgery she recovered from Frankel grade C to D despite her kyphosis not being corrected nor stabilized. The kyphosis was assessed using the Cobb method on the lateral radiograph. Her preoperative kyphotic angulation was 16° and progressed to 21° at the time of the follow-up. Anterior decompression is an essential factor for neurological recovery, however, in exceptional cases stabilization is omissible.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282679326260864
  • NII Article ID
    130003437533
  • DOI
    10.11360/jcsoa1989.6.279
  • ISSN
    13475606
    09152695
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

Report a problem

Back to top