Percutaneous kyphoplasty in the treatment of Kümmell disease in lumbar scoliosis:A case report  

作　　者：Saijilafu Jia-Wen Zhou Gen-Lin Wang Ke-Hong Sun Ji-Le Xie 

机构地区：[1]Department of Orthopaedic Surgery,Hangzhou Lin’an Traditional Chinese Medicine Hospital,Affiliated Hospital,Hangzhou City University,Hangzhou 311300,Zhejiang Province,China [2]Department of Orthopaedic Surgery,The First Affiliated Hospital of Soochow University,Suzhou 215006,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2024年第17期3123-3129,共7页世界临床病例杂志

基　　金：Supported by The Innovation and Entrepreneurship Program of Jiangsu Province,No.(2015)-159。

摘　　要：BACKGROUND Due to mechanical imbalance in the spine,elderly scoliosis patients tend to develop vertebral fracture nonunion,i.e.,Kümmell disease,when osteoporotic vertebral compression fractures occur.However,accompanying vertebral rotational deformities make surgical procedures challenging risky.Such patients are usually compelled to undergo conservative treatment and there are very few reports on minimally invasive surgeries for them.We first-time report a patient with Kümmell disease and lumbar scoliosis treated with percutaneous kyphoplasty(PKP)under O-arm guidance.CASE SUMMARY An 89-year-old female was admitted to the hospital due to delayed low back pain after a fall.She was diagnosed with Kümmell disease based on physical and radiologic examinations.The patient experienced severe scoliosis and subsequently underwent O-arm-guided kyphoplasty,resulting in a significant alleviation of low back pain.CONCLUSION PKP has good efficacy in treating Kümmell disease.However,surgical risks are elevated in scoliosis patients with Kümmell disease due to the abnormal anatomical structure of the spine.O-arm assisted operations play a crucial role in decreasing surgical risks.

关 键 词：Kümmell disease Vertebral compression fracture SCOLIOSIS KYPHOPLASTY Case report 

分 类 号：R687.3[医药卫生—骨科学]