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20-Year-Follow up of Treatment Using Spine Osteotomy and Halo-pelvic Traction for Tuberculous Kyphosis - A Case Report -.

Authors
 Nam-Hyun Kim  ;  Ho-Joong Kim  ;  Seong-Hwan Moon  ;  Hwan-Mo Lee 
Citation
 ASIAN SPINE JOURNAL, Vol.3(1) : 27-31, 2009 
Journal Title
ASIAN SPINE JOURNAL
ISSN
 1976-1902 
Issue Date
2009
Keywords
Halo-pelvic traction ; Spine osteotomy ; Tuberculous kyphosis
Abstract
A 23-year-old male whose medical history included tuberculous spondylitis presented with a kyphotic deformity and incomplete paraplegia of twenty days duration. Preoperative radiographs demonstrated a T12-L4 kyphotic Cobb's angle of 100 degrees with a complete block showing on the lumbar myelogram at L4-5. The patient underwent anterior osteotomy and release. After the operation, a halo-pelvic apparatus was fit onto the patient, and distraction was begun. After distraction for 2 months, posterior osteotomy and release was performed for final correction, and distraction was maintained for another three weeks. Finally, the kyphotic deformity was corrected to a Cobb's angle of 62 degrees from T12 to L4. Supplementary anterior fusion was done, and the apparatus was removed after consolidation of the fusion mass.Even twenty years after correction of a tuberculous kyphosis, he had no neurological deterioration, and could work as a farmer using agricultural machines. Correction angle and sagittal balance were well maintained.
Files in This Item:
T200902545.pdf Download
DOI
10.4184/asj.2009.3.1.27
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Hyun(김남현)
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104300
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