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KMID : 1146020120050020037
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Journal of Critical Spine Cases
2012 Volume.5 No. 2 p.37 ~ p.40
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Modified Pedicle Subtraction Osteotomy for the Treatment of Post-Traumatic Thoracic Kyphosis
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Choi Jeong-Hoon
Cheh Gene
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Abstract
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A 57-year-old woman presented with back pain, pain in both buttocks, and leg pain on the left side which had persisted for 2 years. She also had progressive kyphotic posture which started 10 years ago of slip down. She underwent many kinds of conservative therapy, however, her symptoms were not improved. On image studies, she had T12 compression fracture, 34 degree of local rigid kyphosis between T11 and L1, and ossified ligamentum flavum at T10-11 level. We performed posterior lumbar interbody fusion at T11-12 level, modified pedicle subtraction osteotomy at T12 level, posterior pedicle screw fixation at T11 and L1 level with kyphosis correction, and bilateral partial hemilaminectomies at T10-11 level. Postoperatively, the local kyphosis between T11 and L1 was corrected to 0 degree. Patient’s symptoms improved.
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KEYWORD
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Modified pedicle subtraction osteotomy, Post-traumatic kyphosis, Sacroiliac joint block, Thoracolumbar kyphosis
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