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Anterior stabilization, instrumentation, and decompression for post-traumatic kyphosis
1F.P. Dewar Spinal Unit, Toronto General Hospital, Ontario, Canada.
Spine
|April 1, 1989
Summary
This study shows anterior correction surgery effectively treats late post-traumatic kyphosis, relieving pain and improving spinal stenosis symptoms. Some patients with paraparesis also experienced significant neurologic recovery.
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Background:
- Late post-traumatic kyphosis can cause significant pain, deformity, and neurologic deficits.
- Surgical intervention is often necessary for progressive deformity and associated complications.
Observation:
- Thirty-seven patients with late post-traumatic kyphosis underwent anterior correction surgery.
- Indications included increasing deformity, pain, neurologic deficit (paraparesis), and spinal stenosis.
Findings:
- 36 of 37 patients achieved stable arthrodesis with deformity correction.
- Significant pain reduction occurred in 78% of patients.
- All spinal stenosis patients were relieved of symptoms; 3 of 8 paraparetic patients showed functional neurologic improvement.
Implications:
- Anterior correction with Kostuik-Harrington instrumentation is a viable surgical option for late post-traumatic kyphosis.
- This approach effectively addresses pain, deformity, and spinal stenosis.
- Positive neurologic outcomes are possible in select cases of paraparesis.