Posttraumatic thoracolumbar kyphosis

被引:3
作者
Kandziora, F. [1 ]
Schnake, K. J. [1 ]
Pingel, A. [1 ]
Hoffmann, R. [1 ]
机构
[1] BG Unfallklin Frankfurt Main, Zentrum Wirbelsaulenchirurg & Neurotraumatol, Friedberger Landstr 430, D-60389 Frankfurt, Germany
关键词
Posttraumatic kyphosis; Spine surgery; Thoracolumbar spine; Fractures; Osteotomy;
D O I
10.1007/s10039-009-1487-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The surgeon's treatment strategies and the patient's behavior are crucial regarding the development of posttraumatic kyphosis. Prophylaxis through optimal primary treatment of spinal fractures is essential. After failure of conservative treatment, indications for surgical correction are based on pain and dysfunction due to sagittal imbalance. Spinal alignment is extremely important for surgical treatment. Posttraumatic kyphosis is a complex disease that necessitates individualized planning of the approach and the sur-gical procedure. In addition to 180 degrees and 360 degrees approaches, osteotomies are often useful. If osteotomies are necessary, segment subtraction osteotomy is the method of choice. Because of the condition's infrequency and complexity, posttraumatic kyphosis should be treated only in specialized centers.
引用
收藏
页码:80 / 86
页数:7
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