Abstract
Abstract
Background
Thoracic kyphosis is not so uncommon, which presents with devastating myelopathy. In the past, the surgical treatment for it had been somewhat controversial. Traditionally, it had been addressed by open decompression and stabilization with significant dissection and disruption of normal tissues and complications.
Main body
Recently, correction techniques have evolved as the standard of care. A substantial body of evidence now supports the benefits of correction but can be questioned in view of the fact that upper dorsal kyphosis is never a cosmetic concern in our part of the world. New technique has reduced complications, but it is not solely due to the technique but due to accessory gadgets like O-arm, navigation, and IONM making it safer. We describe a method of 360° decompression alone with the use of an Ultrasonic Bone Scalpel (UBS) that preserves maximum bony stability and achieves an optimum bone sculpting that negates the need for correction.
Conclusion
This technique of ventral sculpting decompression in the thoracic spine may be more utilized in the future to be applied for more wider indications.
Publisher
Springer Science and Business Media LLC
Reference27 articles.
1. Bozdogan E, Demir M, Konukoglu O, Karakas E. Reverse U-shaped horseshoe kidney accompanied by gibbus deformity and spina bifida. Jpn J Radiol. 2016;34(6):448–50.
2. Weaver P, Lifeso RM. The radiological diagnosis of tuberculosis of the adult spine. Skeletal Radiol. 1984;12(3):178–86.
3. Ghandi M, Aycock RD, Berwald N, Hahn B. Gibbus deformity. J Emerg Med. 2015;49(3):340–1.
4. Shono Y, Abumi K, Kaneda K. One-stage posterior hemivertebra resection and correction using segmental posterior instrumentation. Spine. 2001;26(7):752–7.
5. Shimode M, Kojima T. Sowa K. Spinal wedge osteotomy by a single posterior approach for correction of severe and rigid kyphosis or kyphoscoliosis Spine. 2002;27(20):2260–7.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献