Intervertebral bridging ossification after kyphoplasty in a Parkinson’s patient with Kummell’s disease:A case report
作者机构:Department of Orthopaedic SurgeryChongqing Emergency Medical Center(Chongqing University Central Hospital)Chongqing 400010China Department of RadiologyChongqing Emergency Medical Center(Chongqing University Central Hospital)Chongqing 400010China
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2022年第10卷第2期
页 面:677-684页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100204[医学-神经病学] 10[医学]
主 题:Kummell's disease Parkinson's disease Kyphoplasty Refracture Heterotopic ossification Case report
摘 要:BACKGROUND The short-term therapeutic efficacy of kyphoplasty on Kummell’s disease is ***,postoperative refracture and adjacent vertebral fracture occur occasionally and are difficult to *** s disease(PD)is a pathological disorder associated with heterotopic *** a patient with PD,an intervertebral bridge was formed in a short period of time after postoperative refracture and adjacent vertebral fracture,providing new *** SUMMARY A 78-year-old woman had been suffering from PD for more than 10 *** months before operation,she developed lower back pain and *** visual analog scale(VAS)score was 9 *** magnetic resonance imaging indicated collapse of the L2 *** was performed and significantly decreased the severity of intractable *** patient’s VAS score for pain improved from 9 to *** days postoperatively,the patient suddenly developed severe back pain,and the VAS score was 9 points.X-ray showed L2 vertebral body collapse,slight forward bone cement displacement,L1 vertebral compression fracture,and severe L1 *** patient was given calcium acetate capsules 0.6 g po qd and alfacalcidol 0.5ug po qd,and bed rest and brace protection were *** conservative treatment for 2 mo,the patient s back pain was alleviated,and the VAS score improved from 9 to *** tomography at the 7-mo follow-up indicated extensive callus formation around the T12-L2 vertebrae and intervertebral bridging ossification,providing new *** Kyphoplasty is currently a conventional treatment for Kummell s disease,with definite short-term ***,complications still occur in the long term,and these complications are difficult to address;thus,the treatment needs to be selected *** avoid refracture,an interlaced structure of bone cement with trabeculae should be created to the greatest extent possible during the injection of bone *** interven