Intravertebral insertion of interbody fusion cage via transpedicular approach for the treatment of stage III Kümmell disease: a technical note and case presentation

Chen, Changjun; Gao, Xianlei; Li, Hao; Pan, Xin; Wang, Songgang

doi:10.1080/02688697.2021.1892590

Cited by 12 publications

(7 citation statements)

References 26 publications

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“…Several surgical techniques, including fixation combined with vertebroplasty, open reduction, posterior osteotomy, and anterior vertebrectomy, have been used to treat stage III KD. [25][26][27][28][29][30][31] Based on Li staging, Wang further divided stage III KD into 3 subtypes according to the presence of preoperative neurological symptoms and source of neurological compression in patients. [32] Spinal canal decompression is required for KD at stage IIIc, which results in substantial nerve compression.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Guo,

Qiu,

Liu

et al. 2024

Medicine

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The objective of this study was to evaluate the safety and efficacy of percutaneous pedicle screw fixation combined with bone cement augmentation in the management of stage III Kümmell disease without nerve deformity. A retrospective analysis was conducted on 17 patients diagnosed with stage III Kümmell disease without nerve deformity, who underwent treatment with percutaneous pedicle screw fixation combined with bone cement augmentation between April 2019 and 2022. Preoperative, postoperative, and final follow-up clinical outcome measures were collected, including Visual Analog Scale scores and Oswestry Disability Index scores. Additionally, lateral radiography was used to measure the Cobb angle and height of the anterior border of the affected vertebral body. Operative time, volume of injected bone cement, intraoperative cement leakage, and other complications were recorded. All patients underwent successful surgery, resulting in significant reductions in Visual Analog Scale scores, Oswestry Disability Index scores, and Cobb angle postoperatively; meanwhile there was a significant increase in height of the anterior border of the affected vertebral body. No major complications occurred during the follow-up period. In conclusion, percutaneous pedicle screw short-segment fixation combined with bone cement augmentation appears to be an effective surgical option for treating stage III Kümmell disease without nerve deformities.

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Section: Discussionmentioning

confidence: 99%

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Guo,

Qiu,

Liu

et al. 2024

Medicine

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“…LDH is one of the most common causes of low back pain, and its pathogenesis includes various factors, such as stress, nutritional status, strain, and trauma, as well as hereditary, developmental, and degenerative factors [ 8 , 9 ]. In our case, the patient progressed to radiculopathy, and her symptoms and physical findings mimicked LDH.…”

Section: Discussionmentioning

confidence: 99%

Inflammatory Myofibroblastic Tumor of the Sciatic Nerve Mimicking Lumbar Disc Herniation: A Diagnostic Challenge

Chen,

Yin,

Zhao

et al. 2024

World J Oncol

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Inflammatory myofibroblastic tumors (IMTs), which involve the proliferation of fibroblastic-myofibroblastic cells mixed with inflammatory infiltrates, are exceedingly rare in the extremities. There are no reported IMTs involving the sciatic nerve. This type of involvement may cause entrapment of the sciatic nerve, whose symptoms may mimic lumbar disc herniation (LDH), especially when it occurs in patients with lumbar degenerative disc disease. We describe the case of a 40-year-old male with lumbar degenerative disc disease accompanied by IMT involving the sciatic nerve whose symptoms mimicked LDH and posed a diagnostic challenge. We showed the course of the disease as well as the systematic imaging manifestations of IMTs involving the sciatic nerve and discussed their therapeutic management.

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“…Surgical treatment is more effective at quickly relieving pain, correcting kyphosis deformity, and reducing the complications resulting from long-term bed rest, and is therefore widely employed. Surgical treatment mainly includes PVP, PKP, and open anterior and posterior surgery (16)(17)(18)(19)(20)(21)(22). However, it remains unclear as to which type of surgery is most suitable for each type of Kümmell disease (23,24).…”

Section: Discussionmentioning

confidence: 99%

Analysis of strategy and efficacy clinical treatments of Kümmell disease: a cohort study

Xu¹,

Ding²,

Xu³

et al. 2022

Ann Transl Med

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Background: Most clinical reports on the surgical treatment of kümmell disease lack consistency between classification and treatment protocol. In this study, we investigate the most appropriate and effective clinical treatment strategies according to the characteristics of different types of Kümmell disease.Methods: A retrospective analysis was performed of 48 patients with Kümmell disease treated in Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China for which complete follow-up data were available. All cases were classified into six types: type I, vertebral body height loss less than 20% and no intervertebral disc degeneration from adjacent segments; type II, vertebral body height loss more than 20% and accompanied by degeneration or mild instability of intervertebral discs at adjacent segments; type III, posterior vertebral cortical rupture and dural sac compression, and some accompanied by spinal cord nerve injury. Type III includes type IIIA (recoverable stable type), type IIIB (recoverable unstable type), type IIIC (spinal stenosis type), and type IIID (kyphosis type). Methods of surgery: patients of types I, II, and IIIA were treated with percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP), type IIIB were treated with posterior fixation and fusion, type IIIC were treated with posterior decompression and fixation fusion, and type IIID were treated with posterior osteotomy, orthopedic fixation, and fusion. All patients were followed up for 10-44 months (mean, 20.5±4.5 months). The preoperative and postoperative visual analog scale (VAS) scores, Owestry disability index (ODI) scores, secondary height loss and kyphosis, and neurological improvement were followed up and statistically analyzed. Results:The VAS and ODI scores of all cases were improved compared with those pre-surgery (P<0.05).A total of 8 cases showed loss of vertebral height or secondary kyphosis. The American Spinal Injury Association (ASIA) grades of patients with neural impairment were all improved at the last follow-up.Conclusions: According to the characteristics of different types of Kümmell disease, appropriate clinical treatment strategies can achieve satisfactory curative effects and reduce the occurrence of complications.This study is only a retrospective study, lacks a control group, and the sample size is small. Therefore, it has limitations and does not provide guidance.

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Intravertebral insertion of interbody fusion cage via transpedicular approach for the treatment of stage III Kümmell disease: a technical note and case presentation

Cited by 12 publications

References 26 publications

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Inflammatory Myofibroblastic Tumor of the Sciatic Nerve Mimicking Lumbar Disc Herniation: A Diagnostic Challenge

Analysis of strategy and efficacy clinical treatments of Kümmell disease: a cohort study

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