Treatment of kyphotic deformity in Kummell's disease through vertebral body screw fixation and intertransverse process grafting: A case report

作者全名："Kang, Hui; Wei, Tanjun; Zeng, Wenbo; Lan, Shenghui"

作者地址："[Kang, Hui; Wei, Tanjun; Lan, Shenghui] Wuhan Gen Hosp Guangzhou Command, Gen Hosp Cent Theater Command, Dept Orthopaed, 627 Wuluo Rd, Wuhan 430030, Hubei, Peoples R China; [Zeng, Wenbo] Chongqing Med Univ, Affiliated Hosp 3, Dept Orthopaed, Chongqing, Peoples R China; [Lan, Shenghui] Jiangsu Univ, Peoples Hosp 8, Dept Orthopaed, 8 Caobao Rd, Shanghai 200235, Peoples R China"

通信作者："Lan, SH (通讯作者)，Wuhan Gen Hosp Guangzhou Command, Gen Hosp Cent Theater Command, Dept Orthopaed, 627 Wuluo Rd, Wuhan 430030, Hubei, Peoples R China.; Lan, SH (通讯作者)，Jiangsu Univ, Peoples Hosp 8, Dept Orthopaed, 8 Caobao Rd, Shanghai 200235, Peoples R China."

来源：MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001152001100007

JCR分区：Q2

影响因子：1.6

年份：2024

卷号：103

期号：4

开始页：　

结束页：　

文献类型：Article

关键词：injured vertebral body screw fixation; intertransverse process grafting; Kummell's disease; kyphotic deformity

摘要："Rationale: Kummell's disease, also well acknowledged as delayed posttraumatic vertebral body collapse, it is a rare condition which mainly occurs in elderly people more than 50 years old, with the thoracolumbar junction being mostly affected. Patient concerns: In this research, we employed posterior short-segment screw fixation within the injured vertebral region, coupled with intertransverse process bone grafting, to address Kummell's disease. A 57-year-old female was admitted to our institution with incapacitating back pain and obvious kyphotic deformity. Diagnoses: The diagnosis of Kummell disease was mainly depended on clinical symptoms and imaging examinations. Interventions: In this research, we employed posterior short-segment screw fixation within the injured vertebral region, coupled with intertransverse process bone grafting, to address Kummell's disease. Outcomes: The patient could walk independently with the help of a thoracolumbosacral orthosis brace on postoperative Day 2. No pains, kyphotic deformity and neurological deficits were observed during the 36 months of postoperative follow-up. These improvements can be visualized through postoperative magnetic resonance imaging and CT scans. Short-segment screw fixation provides short-term stability to the fracture site and accelerates fracture healing. Subsequently, the healed intervertebral and transverse process grafts offer long-term stability, a fact corroborated by postoperative CT scans. Lessons: In summary, for Kummell's disease patients exhibiting kyphotic deformity without neurological deficits or compression, posterior short-segment vertebral screw fixation with intertransverse process bone grafting stands as a viable alternative treatment approach."

基金机构：National Natural Science Foundation of China [81601902]; Natural Science Foundation of Hubei Province [2015CFB240]; China Postdoctoral Science Foundation [2015M572817]; Research Fund of Shanghai Municipal Health Commission for Clinical Research in Medical Science [202040084]

基金资助正文："This study was funded by the support of National Natural Science Foundation of China (Grant No.81601902), Natural Science Foundation of Hubei Province (Grant No.2015CFB240), China Postdoctoral Science Foundation (Grant No.2015M572817) and Research Fund of Shanghai Municipal Health Commission for Clinical Research in Medical Science (Grant No. 202040084)."