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Post traumatic kyphosis a review of 48 surgically treated patients

, : Post traumatic kyphosis a review of 48 surgically treated patients. Journal of Bone & Joint Surgery American Volume 63(6): 891-899

The cases of 48 patients who were treated surgically for symptomatic post-traumatic kyphosis of the thoracic or lumbar spine were reviewed 6 mo. or longer after the initial injury. Presenting signs and symptoms included pain in 94%, progression of kyphosis in 46%, instability in 36% and increasing neural deficit in 27%. Twenty-four patients had a prior laminectomy. Posterior fusion (16 patients) and combined anterior and posterior fusion (20 patients) always resulted in primary fusion. Anterior fusion alone was attempted in 12 patients, but failed in 6. The average final correction of the deformity was 26%. Pain was reduced significantly in 31% of the patients and was relieved completely in 67%. Of the 48 patients, 14 also had an anterior decompression, of whom 5 were neurologically improved, 4 were unchanged or stabilized, and 4 were immediately worse after operation. One patient was neurologically stable for 23 mo. postoperatively but then deteriorated again. No patients were neurologically improved following posterolateral decompression or repeat exploratory laminectomy.

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