Volume 2, Issue 3 (12-2016)                   Iran J Neurosurg 2016, 2(3): 15-18 | Back to browse issues page

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Hossein Pourfeizi H, Sadighi A, Sadeghpour A, Attar B, Azizian Z. The Effects of Posterior Spinal Fusion in Patients with Limitations of Anterior Approach: The Experience of Six Cases. Iran J Neurosurg 2016; 2 (3) :15-18
URL: http://irjns.org/article-1-60-en.html
The Effects of Posterior Spinal Fusion in Patients with Limitations of Anterior Approach: The Experience of Six Cases
Hojjat Hossein Pourfeizi1 , Ali Sadighi2 , Alireza Sadeghpour1 , Bahamin Attar * 3, Zahra Azizian4
1- Associate Professor of Orthopedic Surgery, Department of Orthopedics Surgery, Faculty of Medicine, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2- Professor of Orthopedic Surgery, Department of Orthopedics Surgery, Faculty of Medicine, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
3- Orthopedic Surgery Resident, Department of Orthopedics Surgery, Faculty of Medicine, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
4- Dermatology Resident, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (6682 Views)

Background & Importance: Spinal deformity is one of the most common disorders among the vertebral diseases that results from unnatural curvatures of spine, such as scoliosis and kyphosis. Spinal fusion surgery is used most commonly to treat certain types of spinal deformity. Herein, we reported the efficacy of posterior spinal fusion accompanied by instrumentation in patients with the limitations of the anterior approach.


Case Presentation: This case series study included six patients. There were three cases of severe gibbus deformities, a case of kyphosis deformity and two cases of both kyphosis and scoliosis. Two cases of gibbus deformities had undergone spinal fusion with instrumentation, and relatively satisfactory correction was observed for both patients. One patient, who had been treated with posterior decompression and fixation, returned to leading his normal active life. One case of severe deformities had no dynamic problems four years after receiving the instrumentation surgery.


Conclusion: The outcomes of posterior spinal fusion surgery were found to be satisfactory in patients with the limitations of the anterior approach.

Keywords: Spinal Deformity, Spinal Fusion, Anterior Approach
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Type of Study: Case report | Subject: Gamma Knife Radiosurgery
References
1. Good CR, Auerbach JD, O'Leary PT, Schuler TC. Adult Spine Deformity. Current Reviews in Musculoskeletal Medicine. 2011;4(4):159-67. [DOI:10.1007/s12178-011-9101-z] [PMID] [PMCID]
2. Youssef J, Orndorff D, Patty C, Scott M, Price H, Hamlin L, et al. Current status of adult spinal deformity. Global Spine Journal. 2013;3(01):051-62. [DOI:10.1055/s-0032-1326950] [PMID] [PMCID]
3. Debnath UK, Goel V, Harshavardhana N, Webb JK. Congenital scoliosis-Quo vadis? Indian Journal of Orthopaedics. 2010;44(2):137. [DOI:10.4103/0019-5413.61997] [PMID] [PMCID]
4. Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Age-related hyperkyphosis: its causes, consequences, and management. Journal of Orthopaedic & Sports Physical Therapy. 2010;40(6):352-60. [DOI:10.2519/jospt.2010.3099] [PMID] [PMCID]
5. Janicki JA, Alman B. Scoliosis: Review of diagnosis and treatment. Paediatrics & Child Health. 2007;12(9):771. [DOI:10.1093/pch/12.9.771]
6. Mak KC, Cheung KM. Surgical treatment of acute TB spondylitis: indications and outcomes. European Spine Journal. 2013;22(4):603-11. [DOI:10.1007/s00586-012-2455-0] [PMID] [PMCID]
7. Yau A, Hsu L, O'BRIEN J, Hodgson A. Tuberculous kyphosis. Journal of Bone & Joint Surgery American version. 1974;56(7):1419-34. [DOI:10.2106/00004623-197456070-00010]
8. Moon M-S, Kim S-S, Lee B-J, Moon J-L, Moon Y-W. Surgical management of severe rigid tuberculous kyphosis of dorsolumbar spine. International Orthopaedics. 2011;35(1):75-81. [DOI:10.1007/s00264-010-0999-3] [PMID] [PMCID]
9. Wang Y, Lenke LG. Vertebral column decancellation for the management of sharp angular spinal deformity. European Spine Journal. 2011;20(10):1703-10. [DOI:10.1007/s00586-011-1771-0] [PMID] [PMCID]
10. Chopko BW. Percutaneous thoracolumbar decompression combined with percutaneous pedicle screw fixation and fusion: a method for treating spinal degenerative pain in a biplane angiography suite with the avoidance of general anesthesia. Journal of Spine Surgery. 2016;2(2):122. [DOI:10.21037/jss.2016.06.03] [PMID] [PMCID]
11. Pourfeizi HH, Sales JG, Tabrizi A, Borran G, Alavi S. Comparison of the combined anterior-posterior approach versus posterior-only approach in scoliosis treatment. Asian Spine Journal. 2014;8(1):8-12. [DOI:10.4184/asj.2014.8.1.8] [PMID] [PMCID]
12. Pflugmacher R, Agarwal A, Kandziora F, Cyrus K. Balloon kyphoplasty combined with posterior instrumentation for the treatment of burst fractures of the spine-1-year results. Journal of Orthopaedic Trauma. 2009;23(2):126-31. [DOI:10.1097/BOT.0b013e318193dad5] [PMID]
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