2017
DOI: 10.1097/md.0000000000005955
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Modified posterior vertebral column resection for Kümmell disease

Abstract: Rationale:Kümmell's disease is defined as delayed traumatic vertebral collapse disease in which patients develop a kyphosis after asymptomatic minor spinal trauma. Both anterior approach and posterior approach have been reported, however, there is no standard treatment for Kümmell's disease.Patient concerns:We described a successful modified posterior vertebral column resection in a patient with Kümmell's disease. A 65-year-old woman reported persistent back pain for almost three months.Diagnoses:Kümmell's dis… Show more

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Cited by 6 publications
(4 citation statements)
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“…PUVCR, a modified modification of VCR, exposes the vertebral body through a unilateral approach, removes half of the vertebral body and the upper and lower intervertebral discs, shortens the operation time, and reduces the blood loss while restoring the sagittal sequence of the spine [ 13 ]. Some studies suggest that PUVCR can completely decompress and effectively restore deformity in the treatment of old thoracolumbar fractures [ 1 , 13 , 14 ]. Nevertheless, there is a lack of effective biomechanical verification as to whether only half of the vertebral body and the upper and lower intervertebral discs affect spinal biomechanics; there also remains debate as to the appropriate length of fixation.…”
Section: Discussionmentioning
confidence: 99%
“…PUVCR, a modified modification of VCR, exposes the vertebral body through a unilateral approach, removes half of the vertebral body and the upper and lower intervertebral discs, shortens the operation time, and reduces the blood loss while restoring the sagittal sequence of the spine [ 13 ]. Some studies suggest that PUVCR can completely decompress and effectively restore deformity in the treatment of old thoracolumbar fractures [ 1 , 13 , 14 ]. Nevertheless, there is a lack of effective biomechanical verification as to whether only half of the vertebral body and the upper and lower intervertebral discs affect spinal biomechanics; there also remains debate as to the appropriate length of fixation.…”
Section: Discussionmentioning
confidence: 99%
“…PUVCR, a modi ed modi cation of VCR, exposes the vertebral body through a unilateral approach, removes half of the vertebral body and the upper and lower intervertebral discs, shortens the operation time, and reduces the blood loss while restoring the sagittal sequence of the spine [13]. Some studies suggest that PUVCR can completely decompress and effectively restore deformity in the treatment of old thoracolumbar fractures [1,13,14]. Nevertheless, there is a lack of effective biomechanical veri cation as to whether only half of the vertebral body and the upper and lower intervertebral discs has any effect on spinal biomechanics; there also remains debate as to the appropriate length of xation.…”
Section: Discussionmentioning
confidence: 99%
“…Compared with the traditional anterior approach, this modified posterior operation offers equivalent effects on pain relief, kyphosis correction, and improvements in neurological function. Liu et al [ 16 ] performed bone graft and titanium mesh combined with short-segment fixation to treat this disease. The procedure was successful without any complications.…”
Section: Discussionmentioning
confidence: 99%