38-215
Tratamiento quirúrgico de las hipecifosis postraumáticas
Surgical management of post-traumatic kyphosis
F. ALMEIDA HERRERO, F. GOMAR SANCHO, JA. MARTIN BENLLOCH SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. DEPARTAMENTO DE CIRUGÍA. UNIVERSIDAD DE VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
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Resumen (ES)
We report 11 cases of kyphosis after vertebral frature
thoracic and thoracolumbar with surgical treatment between
two months and two years after traumatic. The average
age was of 45,5 years with predominance of masculine
sex. The most frequence etiology was the accidental fall. The
location but frequents was T12 existing 3 cases of multiple
location. The average of previous deformity was of 32.6º. In 10
occasions it was used anterior and posterior approach, these
included anterior corpectomy, correction of deformity and a
strut graft or cage devices with graft followed posterior internal
fixation. In a case one took place decancelation and posterior
internal fixation by later route due to badly been general
that presented. The length of follow-up averaged 25
months. An average of correction of 18.4º was obtained persisting
an average deformity of 14.2º. To date, 9 of the 11
cases, have not presented persistent pain nor clinical neurological
companion as well as failure in the instrumentation.A
case with multiple fracture presented pain by failure of the
inferior segments to the artrodesis being necessary new
intervention.In the case with neurological clinic after the
intervention, the patient takes an independent life and rambles
with walking.
thoracic and thoracolumbar with surgical treatment between
two months and two years after traumatic. The average
age was of 45,5 years with predominance of masculine
sex. The most frequence etiology was the accidental fall. The
location but frequents was T12 existing 3 cases of multiple
location. The average of previous deformity was of 32.6º. In 10
occasions it was used anterior and posterior approach, these
included anterior corpectomy, correction of deformity and a
strut graft or cage devices with graft followed posterior internal
fixation. In a case one took place decancelation and posterior
internal fixation by later route due to badly been general
that presented. The length of follow-up averaged 25
months. An average of correction of 18.4º was obtained persisting
an average deformity of 14.2º. To date, 9 of the 11
cases, have not presented persistent pain nor clinical neurological
companion as well as failure in the instrumentation.A
case with multiple fracture presented pain by failure of the
inferior segments to the artrodesis being necessary new
intervention.In the case with neurological clinic after the
intervention, the patient takes an independent life and rambles
with walking.
Palabras clave (ES):
Postraumática
Hipercifosis
Cifosis
Torácica
Fractura
Vertebral
Columna
Raquis
Secuela
Corrección
Tratamiento
quirúrgico
Resumen (EN)
We report 11 cases of kyphosis after vertebral frature
thoracic and thoracolumbar with surgical treatment between
two months and two years after traumatic. The average
age was of 45,5 years with predominance of masculine
sex. The most frequence etiology was the accidental fall. The
location but frequents was T12 existing 3 cases of multiple
location. The average of previous deformity was of 32.6º. In 10
occasions it was used anterior and posterior approach, these
included anterior corpectomy, correction of deformity and a
strut graft or cage devices with graft followed posterior internal
fixation. In a case one took place decancelation and posterior
internal fixation by later route due to badly been general
that presented. The length of follow-up averaged 25
months. An average of correction of 18.4º was obtained persisting
an average deformity of 14.2º. To date, 9 of the 11
cases, have not presented persistent pain nor clinical neurological
companion as well as failure in the instrumentation.A
case with multiple fracture presented pain by failure of the
inferior segments to the artrodesis being necessary new
intervention.In the case with neurological clinic after the
intervention, the patient takes an independent life and rambles
with walking.
thoracic and thoracolumbar with surgical treatment between
two months and two years after traumatic. The average
age was of 45,5 years with predominance of masculine
sex. The most frequence etiology was the accidental fall. The
location but frequents was T12 existing 3 cases of multiple
location. The average of previous deformity was of 32.6º. In 10
occasions it was used anterior and posterior approach, these
included anterior corpectomy, correction of deformity and a
strut graft or cage devices with graft followed posterior internal
fixation. In a case one took place decancelation and posterior
internal fixation by later route due to badly been general
that presented. The length of follow-up averaged 25
months. An average of correction of 18.4º was obtained persisting
an average deformity of 14.2º. To date, 9 of the 11
cases, have not presented persistent pain nor clinical neurological
companion as well as failure in the instrumentation.A
case with multiple fracture presented pain by failure of the
inferior segments to the artrodesis being necessary new
intervention.In the case with neurological clinic after the
intervention, the patient takes an independent life and rambles
with walking.
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