Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
Journal of Korean Society of Spine Surgery
; : 103-108, 2017.
Article
em Ko
| WPRIM
| ID: wpr-20791
Biblioteca responsável:
WPRO
ABSTRACT
STUDY DESIGN: Case report. OBJECTIVES: To report a case of progressive kyphotic deformity after spinal fusion in a patient with diffuse idiopathic skeletal hyperostosis (DISH). SUMMARY OF LITERATURE REVIEW: DISH is characterized by spinal and peripheral enthesopathy, and is a completely different disease from ankylosing spondylitis (AS). Though DISH can be associated with thoracic kyphosis, no reports have described a progressive thoracolumbar kyphotic deformity after spinal fusion surgery in a DISH patient. MATERIALS AND METHODS: A 47-year-old male presented with pain in the thoracolumbar region. After excluding the possibility of AS and confirming the diagnosis of DISH, we performed spinal fusion for the treatment of a T11-T12 flexion-distraction injury. The kyphotic deformity was found to be aggravated after the first operation, and we then performed corrective osteotomy and additional spinal fusion. Results: The kyphotic deformity of the patient was corrected after the second operation. RESULTS: The kyphotic deformity of the patient was corrected after the second operation. CONCLUSIONS: In DISH patients in whom AS must be excluded in the differential diagnosis, a kyphotic deformity can become aggravated despite spinal fusion surgery, so regular and continuous follow-up is required.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Osteotomia
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Fusão Vertebral
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Espondilite Anquilosante
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Anormalidades Congênitas
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Doenças Reumáticas
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Seguimentos
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Diagnóstico
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Diagnóstico Diferencial
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Hiperostose Esquelética Difusa Idiopática
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Cifose
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limite:
Humans
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Male
Idioma:
Ko
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2017
Tipo de documento:
Article