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traditional chinese medicine manipulative reduction combined with percutaneous vertebroplasty for treating type Ⅲ Kummell's disease: A case report

引用

World Journal of Clinical Cases 2022年第21期10卷 7531-7538页

作者： Shen-Shen Hao Rui-Jun Zhang Sheng-Li Dong Hong-Ke Li Shuai Liu Rui-Fang Li Hui-Hui Ren Li-Yan Zhang Department of Spine and Bone Oncology General Hospital of Pingmei Shenma Medical GroupPingdingshan 467000Henan ProvinceChina Department of Medical General Hospital of Pingmei Shenma Medical GroupPingdingshan 467000Henan ProvinceChina

BACKGROUND A patient with type Ⅲ Kummell’s disease had a ruptured posterior cortex of the fractured vertebral body, which caused spinal cord compression. An open surgery was considered the best choice of operation. However, the patient and her family refused open surgery and instead demanded a minimally invasive surgical treatment such as percutaneous vertebroplasty(PVP). After preoperative discussion, we finally adopted the novel therapy of traditional chinese medicine manipulative reduction(TCMMR) combined with *** SUMMARY A patient with type Ⅲ Kummell’s disease exhibiting bone block-induced spinal cord compression was admitted to our hospital. She suffered from a variety of medical disorders but refused open surgery, and instead asked for PVP surgery. TCMMR, in parallel with PVP, was used to restore the height of the compressed vertebral body and reduce the symptoms of spinal cord compression by the bone block in order to strengthen the vertebral body and prevent further collapse. The surgery was very successful. The height of the compressed vertebra was restored, and the symptom of spinal cord compression by bone block was reduced successfully via TCMMR. The fractured vertebra was solidified by the PVP. The pain visual analog score declined from preoperative 7 scores to postoperative 2 scores, and the Frankel spinal cord scale increased from preoperative D degree to postoperative E *** The new method has advantages in treating patients with type Ⅲ Kummell’s disease who cannot be treated with open surgery.

关键词： Type III Kummell's disease Spinal cord compression by bone block traditional chinese medicine manipulative reduction Percutaneous vertebroplasty Case report

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