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Article: Direct internal kyphectomy for severe angular tuberculous kyphosis

TitleDirect internal kyphectomy for severe angular tuberculous kyphosis
Authors
Issue Date2007
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.corronline.com/
Citation
Clinical Orthopaedics And Related Research, 2007 n. 460, p. 124-129 How to Cite?
AbstractWe describe a direct internal kyphectomy through a modified costotransversectomy, an extrapleural approach to the kyphus that does not jeopardize already compromised pulmonary function. A curved longitudinal incision is made 6 to 8 cm lateral to the midline. The posterior 5 cm of the two to three crowded ribs at the apex are resected. The segmental intercostal nerves are preserved as a guide into the spinal canal. Two to three pedicles at the apex are resected. The pleura are elevated with blunt dissection leading to the internal kyphus. Removal of the posterior half of the collapsed vertebrae is performed with a high-speed burr; the posterior walls are removed last to avoid forward migration of the dural sac as the decompression progresses. Cortical strut grafting is then performed as far anteriorly as the exposure permits. We treated five patients with paraparesis of healed disease with this approach. Preoperatively the mean kyphosis was 114°. Neurological improvement was obtained in two patients. At a mean followup of 5 years, solid anterior fusion was achieved in four patients. One patient died 5 months after surgery because of chest infection. © 2007 Lippincott Williams & Wilkins, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/79611
ISSN
2015 Impact Factor: 3.127
2015 SCImago Journal Rankings: 2.094
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, YWen_HK
dc.contributor.authorLeong, JCYen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2010-09-06T07:56:36Z-
dc.date.available2010-09-06T07:56:36Z-
dc.date.issued2007en_HK
dc.identifier.citationClinical Orthopaedics And Related Research, 2007 n. 460, p. 124-129en_HK
dc.identifier.issn0009-921Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/79611-
dc.description.abstractWe describe a direct internal kyphectomy through a modified costotransversectomy, an extrapleural approach to the kyphus that does not jeopardize already compromised pulmonary function. A curved longitudinal incision is made 6 to 8 cm lateral to the midline. The posterior 5 cm of the two to three crowded ribs at the apex are resected. The segmental intercostal nerves are preserved as a guide into the spinal canal. Two to three pedicles at the apex are resected. The pleura are elevated with blunt dissection leading to the internal kyphus. Removal of the posterior half of the collapsed vertebrae is performed with a high-speed burr; the posterior walls are removed last to avoid forward migration of the dural sac as the decompression progresses. Cortical strut grafting is then performed as far anteriorly as the exposure permits. We treated five patients with paraparesis of healed disease with this approach. Preoperatively the mean kyphosis was 114°. Neurological improvement was obtained in two patients. At a mean followup of 5 years, solid anterior fusion was achieved in four patients. One patient died 5 months after surgery because of chest infection. © 2007 Lippincott Williams & Wilkins, Inc.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.corronline.com/en_HK
dc.relation.ispartofClinical Orthopaedics and Related Researchen_HK
dc.rightsClinical Orthopaedics and Related Research. Copyright © Lippincott Williams & Wilkins.en_HK
dc.titleDirect internal kyphectomy for severe angular tuberculous kyphosisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0009-921X&volume=460&spage=124&epage=129&date=2007&atitle=Direct+internal+kyphectomy+for+severe+angular+tuberculous+kyphosisen_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/BLO.0b013e31805470dben_HK
dc.identifier.scopuseid_2-s2.0-34447341969en_HK
dc.identifier.hkuros145172en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34447341969&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.issue460en_HK
dc.identifier.spage124en_HK
dc.identifier.epage129en_HK
dc.identifier.isiWOS:000248076800020-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWong, YW=36247941700en_HK
dc.identifier.scopusauthoridLeong, JCY=35563743000en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK

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