دورية أكاديمية
Proximal Vertebral Body Fracture after 4-Level Fusion Using L1 as the Upper Instrumented Vertebra for Lumbar Degenerative Disease: Report of 2 Cases with Literature Review
| العنوان: | Proximal Vertebral Body Fracture after 4-Level Fusion Using L1 as the Upper Instrumented Vertebra for Lumbar Degenerative Disease: Report of 2 Cases with Literature Review |
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| المؤلفون: | Yasuhara, Takao, Takahashi, Yuichi, Kumamoto, Shinji, Nakahara, Masayuki, Yoneda, Kotaro, Niimura, Tatsuomi, Tanoue, Takashi, Kusumegi, Akira, Sennari, Takashi, Hijikata, Yasukazu, Manabe, Hiroaki, Miyoshi, Yasuyuki, Date, Isao, Ogawa, Koichi, Nishida, Kenki |
| المصدر: | Acta Medica Okayama |
| بيانات النشر: | Okayama University Medical School |
| سنة النشر: | 2016 |
| المجموعة: | Okayama University Scientific Achievement Repository / 岡山大学学術成果リポジトリ |
| مصطلحات موضوعية: | degenerative lumbar scoliosis, osteoporosis, pedicle fracture, posterior lumbar interbody fusion, vertebral body fracture |
| الوصف: | Some cases with lumbar degenerative diseases require multi-level fusion surgeries. At our institute, 27 and 4 procedures of 3- and 4-level fusion were performed out of a total 672 posterior lumbar interfusions (PLIFs) on patients with lumbar degenerative disease from 2005 to 2010. We present 2 osteoporotic patients who developed proximal vertebral body fracture after 4-level fusion. Both cases presented with gait disability for leg pain by degenerative lumbar scoliosis and canal stenosis at the levels of L1/2-4/5. After 4-level fusion using L1 as the upper instrumented vertebra, proximal vertebral body fractures were found along with the right pedicle fractures of L1 in both cases. One of these patients, aged 82 years, was treated as an outpatient using a hard corset for 24 months, but the fractures were exacerbated over time. In the other patient, posterolateral fusion was extended from Th10 to L5. Both patients can walk alone and have been thoroughly followed up. In both cases, the fracture of the right L1 pedicle might be related to the subsequent fractures and fusion failure. In consideration of multi-level fusion, L1 should be avoided as an upper instrumented vertebra to prevent junctional kyphosis, especially in cases with osteoporosis and flat back posture. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0386-300X |
| العلاقة: | info:pmid/23804144; https://ousar.lib.okayama-u.ac.jp/files/public/5/50414/20160528103205333030/67_3_197.pdfTest; AA00508441; https://ousar.lib.okayama-u.ac.jp/50414Test |
| DOI: | 10.18926/AMO/50414 |
| الإتاحة: | https://doi.org/10.18926/AMO/50414Test https://ousar.lib.okayama-u.ac.jp/files/public/5/50414/20160528103205333030/67_3_197.pdfTest https://ousar.lib.okayama-u.ac.jp/50414Test |
| حقوق: | CopyrightⒸ 2013 by Okayama University Medical School |
| رقم الانضمام: | edsbas.C823DC0E |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 0386300X |
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| DOI: | 10.18926/AMO/50414 |