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Short-segment fixation with a cement-augmented pedicle screw for Kummell disease: Case report
He-Xuan Di1, Feng-Yu Liu, Si-Dong Yang
1Department of Spinal Surgery, The Third Hospital of Hebei Medical University Hebei Provincial Key Laboratory of Orthopedic Biomechanics, Shijiazhuang, China.
Rationale:
Kummell disease is described as avascular necrosis of a vertebral body that occurred in a delayed fashion after a minor trauma. Anterior, posterior, and anterior-posterior approaches have been reported. Nevertheless, there is no standard treatment for patients with Kummell disease.
Patient Concerns:
We reported a successful cement-augmented pedicle screw placement in a patient with Kummell disease. A 63-year-old woman with serious osteoporosis complained persistent back pain with progressive lower extremities weakness for almost 2 years.
Diagnoses:
The diagnosis of Kummell disease was mainly depended on clinical symptoms and imaging examinations.
Interventions:
The application of a cement-augmented pedicle screw was designed to treat this illness.
Outcomes:
The operation was successful without any complications. The patient stated that symptoms were obviously improved in 1 week after operation.
Lessons:
The application of a cement-augmented pedicle screw is an effective treatment option for Kummell disease.
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