Pedikelsubtraktionsosteotomie mit dorsaler Wedge-Osteotomie |
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| Authors: | PD Dr CK Klostermann K Hette R Pflugmacher |
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| Institution: | 1. Klinik für Unfall- und Wiederherstellungschirurgie und Orthop?dische Chirurgie, Klinikum Lippe-Lemgo, Rintelner Stra?e 85, 32657, Lemgo, Deutschland
2. Centrum für Muskuloskelettale Chirurgie, Charité Universit?tsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Deutschland
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| Abstract: | Background The purpose of the study was to evaluate the clinical and radiological follow-up of patients suffering from fixed post-traumatic and postinflammatory kyphotic deformities of the thoracic and lumbar spine and treated by posterior transpedicular wedge resection osteotomy of the spine. Methods A total of 28 patients received a posterior transpedicular wedge resection osteotomy. A prospective follow-up was performed preoperatively, postoperatively and after 3, 6 and 12 months. The kyphotic angle of the fractured segment was evaluated as well as the clinical parameters the self-reported visual analog scale (VAS) and the Oswestry score. Results The median pain scores (VAS) and the Oswestry disability scores (p<0.05) decreased significantly from pretreatment to post-treatment. Postoperatively a significant correction of the kyphotic angle could be achieved with a mean of 28° (range 14-44°). In the follow-up after 1 year there was a 7° increase in kyphosis. Conclusions Transpedicular wedge resection osteotomy of the thoracic and lumbar spine offers a safe surgical technique for the treatment of fixed postinflammatory kyphotic deformities. |
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