ArticleFrontiers in neurology
Trans-intervertebral space osteotomy for post-traumatic thoracolumbar kyphosis: a minimum 2-year follow-up study.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: This study aims to evaluate the radiographic results and clinical efficacy of trans-intervertebral space osteotomy (TIO) in the treatment of post-traumatic thoracolumbar kyphosis (PTK). Study design/setting: This is a single-center retrospective cohort study. Methods: A retrospective analysis was conducted on clinical data from PTK patients who underwent TIO between January 2018 and December 2022. A total of 38 patients (18 males and 20 females) with an average age of 52.1 ± 9.2 years were included. According to the Frankel classification, 8 cases were grade D and 30 cases were grade E. Spinal-pelvic sagittal parameters (thoracic kyphosis [TK], thoracolumbar kyphosis [TLK], lumbar lordosis [LL], focal kyphosis [FK], pelvic incidence [PI], pelvic tilt [PT], sacral slope [SS], sagittal vertical axis [SVA]) were measured on lateral spinal X-rays preoperatively, postoperatively, and at the last follow-up. The Visual Analog Score (VAS) and Oswestry Disability Index (ODI) were recorded postoperatively and at the last follow-up, and perioperative/follow-up complications were documented. Results: The average operation time was 277.4 ± 33.9 min, with an average intraoperative blood loss of 704.5 ± 340.5 mL. All incisions achieved primary healing. The mean follow-up period was 35.1 ± 9.4 months (range: 24-56 months). Postoperatively, TK, TLK, LL, FK, and SVA were significantly improved ( Conclusion: TIO for PTK patients achieves satisfactory correction of spinal deformity and favorable clinical outcomes, with successful fusion and few complications.
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