Spontaneous Compression Fracture on the Instrumented End Vertebra - A Case Report - (척추경 나사못 고정부위 말단 추체에서 자연 발생한 압박 골절 - 1례 보고 -)

김희수; 김홍식; Park Ye-Soo (박예수)

Spontaneous Compression Fracture on the Instrumented End Vertebra - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2013, 20(2), pp.58-63
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

김희수 ¹, 김홍식 ¹, Park Ye-Soo ²

¹한양대학교 의과대학 구리병원 정형외과학교실
²한양대학교

Accredited

ABSTRACT

Study Design: A case report. Objectives: This case report presents an elderly male who sustained compression fractures twice on the instrumented end vertebra following a spinal fusion with pedicle screws. Summary of Literature Review: Because of its low incidence, there is considerable debate regarding an optimal treatment of adjacent segment fracture after long lumbar fusion. Almost all of the reports about adjacent segment fracture are about adjacent vertebral fractures rather than the instrumented vertebral fractures. Materials and Methods: A 69 year-old male who was admitted with low back pains of no apparent physical injury underwent pedicle subtraction osteotomy and posterolateral fusion for L3 vertebral fracture and post-traumatic kyphosis. Extension of the fusion segment was performed two months after the initial operation to correct his compression fracture of the instrumented end vertebra, followed by conservative treatments due to a second compression fracture of the instrumented end vertebra two months after the second surgery. Results: Conservative treatment was performed with TLSO brace, after which the fracture was gradually stabilized. Conclusions: Further research via additional case studies is required to better understand its cause and to develop effective treatment options.

KEYWORDS

The instrumented end vertebra, Vertebral compression fracture

Citation status

* References for papers published after 2023 are currently being built.

[journal] Glattes RC / 2005 / Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion : incidence, outcomes, and risk factor analysis / Spine(Phila Pa 1976) 30 : 1643~1649

[journal] Hibbs RA / 1911 / An operation for progressive spinal deformity / New York Med J 21 : 1013~1016

[journal] Park P / 2004 / Adjacent segment disease after lumbar or lumbosacral fusion : review of the literature / Spine(Phila Pa 1976) 29 : 1938~1944

[journal] Watanabe K / 2010 / Proximal junctional vertebral fracture in adults after spinal deformity surgery using pedicle screw constructs: analysis of morphological features / Spine (Phila Pa 1976) 35 : 138~145

[journal] Etebar S / 1993 / Risk factors for adjacent-segment failure following lumbar fixation with rigid instrumentation for degenerative instability / J Neurosurg 90(2) : 163~169

[journal] Lewis S / 2012 / Upper Instrumented Vertebral Fractures in Long Lumbar Fusions: What Are the Associated Risk Factors? / Spine (Phila Pa 1976) 37 : 1407~1414

[journal] Yang SC / 2012 / Clinical evaluation of percutaneous vertebroplasty for symptomatic adjacent vertebral compression fracture / J Spinal Disord Tech

[journal] Hart RA / 2008 / Proximal junctional acute collapse cranial to multi-level lumbar fusion : a cost analysis of prophylactic vertebral augmentation / Spine J 8 : 875~881

[journal] Sorge O / 2007 / Two times unlucky : treatment of repeated adjacent vertebral fractures following posterolateral interbody fusion / Arch Orthop Trauma Surg 126 : 346~349

KJCKorea
Journal Central

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03