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Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression

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Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression. / Dreimann, Marc; Hempfing, Axel; Stangenberg, Martin; Viezens, Lennart; Weiser, Lukas; Czorlich, Patrick; Eicker, Sven Oliver.

In: NEUROSURG REV, Vol. 41, No. 1, 01.2018, p. 221-228.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Dreimann, M, Hempfing, A, Stangenberg, M, Viezens, L, Weiser, L, Czorlich, P & Eicker, SO 2018, 'Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression', NEUROSURG REV, vol. 41, no. 1, pp. 221-228. https://doi.org/10.1007/s10143-017-0840-1

APA

Dreimann, M., Hempfing, A., Stangenberg, M., Viezens, L., Weiser, L., Czorlich, P., & Eicker, S. O. (2018). Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression. NEUROSURG REV, 41(1), 221-228. https://doi.org/10.1007/s10143-017-0840-1

Vancouver

Dreimann M, Hempfing A, Stangenberg M, Viezens L, Weiser L, Czorlich P et al. Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression. NEUROSURG REV. 2018 Jan;41(1):221-228. https://doi.org/10.1007/s10143-017-0840-1

Bibtex

@article{ff9a3e6e57e148aa84000a9bd52f6a2c,
title = "Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression",
abstract = "Osteoporotic fractures with severe kyphosis and neurologic deficits often require decompression and stabilisation. To reduce the risk of procedure-related complications, single-stage posterolateral vertebrectomy and a 360-degree fusion can be performed. An adequate reduction of kyphotic deformity through this approach has not been reported. The aim of this study is to investigate the efficacy of kyphotic deformity reduction by this approach in osteoporotic situation. A retrospective analysis and chart review was performed for 10 consecutive patients who underwent posterolateral decompression and posterior vertebrectomy with dorsal mesh stabilisation and reduction of kyphotic deformity. Preoperative back pain was 8.6 on a visual analogue scale; it was reduced to 5.5 at discharge and 3.7 at the latest follow-up (18 months). The Frankel score improved from D to E (three patients) or was equal (E). Radiological segmental kyphosis was corrected from a mean of 25° to 5° (p < 0.008) postoperatively with a loss of 3° at follow-up (p < 0.005). Single-stage posterolateral vertebrectomy allow for a fast and safe reconstitution/preservation of neurological function in patients with osteoporotic fracture and kyphotic deformity. A significant correction of often-accompanied hyperkyphosis is possible without neurological deterioration and with an improved sagittal profile and good pain reduction.",
keywords = "Journal Article",
author = "Marc Dreimann and Axel Hempfing and Martin Stangenberg and Lennart Viezens and Lukas Weiser and Patrick Czorlich and Eicker, {Sven Oliver}",
year = "2018",
month = jan,
doi = "10.1007/s10143-017-0840-1",
language = "English",
volume = "41",
pages = "221--228",
journal = "NEUROSURG REV",
issn = "0344-5607",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Posterior vertebral column resection with 360-degree osteosynthesis in osteoporotic kyphotic deformity and spinal cord compression

AU - Dreimann, Marc

AU - Hempfing, Axel

AU - Stangenberg, Martin

AU - Viezens, Lennart

AU - Weiser, Lukas

AU - Czorlich, Patrick

AU - Eicker, Sven Oliver

PY - 2018/1

Y1 - 2018/1

N2 - Osteoporotic fractures with severe kyphosis and neurologic deficits often require decompression and stabilisation. To reduce the risk of procedure-related complications, single-stage posterolateral vertebrectomy and a 360-degree fusion can be performed. An adequate reduction of kyphotic deformity through this approach has not been reported. The aim of this study is to investigate the efficacy of kyphotic deformity reduction by this approach in osteoporotic situation. A retrospective analysis and chart review was performed for 10 consecutive patients who underwent posterolateral decompression and posterior vertebrectomy with dorsal mesh stabilisation and reduction of kyphotic deformity. Preoperative back pain was 8.6 on a visual analogue scale; it was reduced to 5.5 at discharge and 3.7 at the latest follow-up (18 months). The Frankel score improved from D to E (three patients) or was equal (E). Radiological segmental kyphosis was corrected from a mean of 25° to 5° (p < 0.008) postoperatively with a loss of 3° at follow-up (p < 0.005). Single-stage posterolateral vertebrectomy allow for a fast and safe reconstitution/preservation of neurological function in patients with osteoporotic fracture and kyphotic deformity. A significant correction of often-accompanied hyperkyphosis is possible without neurological deterioration and with an improved sagittal profile and good pain reduction.

AB - Osteoporotic fractures with severe kyphosis and neurologic deficits often require decompression and stabilisation. To reduce the risk of procedure-related complications, single-stage posterolateral vertebrectomy and a 360-degree fusion can be performed. An adequate reduction of kyphotic deformity through this approach has not been reported. The aim of this study is to investigate the efficacy of kyphotic deformity reduction by this approach in osteoporotic situation. A retrospective analysis and chart review was performed for 10 consecutive patients who underwent posterolateral decompression and posterior vertebrectomy with dorsal mesh stabilisation and reduction of kyphotic deformity. Preoperative back pain was 8.6 on a visual analogue scale; it was reduced to 5.5 at discharge and 3.7 at the latest follow-up (18 months). The Frankel score improved from D to E (three patients) or was equal (E). Radiological segmental kyphosis was corrected from a mean of 25° to 5° (p < 0.008) postoperatively with a loss of 3° at follow-up (p < 0.005). Single-stage posterolateral vertebrectomy allow for a fast and safe reconstitution/preservation of neurological function in patients with osteoporotic fracture and kyphotic deformity. A significant correction of often-accompanied hyperkyphosis is possible without neurological deterioration and with an improved sagittal profile and good pain reduction.

KW - Journal Article

U2 - 10.1007/s10143-017-0840-1

DO - 10.1007/s10143-017-0840-1

M3 - SCORING: Journal article

C2 - 28281189

VL - 41

SP - 221

EP - 228

JO - NEUROSURG REV

JF - NEUROSURG REV

SN - 0344-5607

IS - 1

ER -