Abstract:
:Osteoporotic thoracolumbar compression fracture occasionally occurs in patients with Parkinson's disease and can lead to neural compromise due to delayed vertebral body collapse, requiring surgical treatment. Surgical treatment and postoperative care are difficult because of poor bone quality, involuntary exercise, and postural imbalance. Due to such difficulties in treatment, few reports exist about surgery for osteoporotic thoracolumbar compression fracture in patients with Parkinson's disease. Anterior decompression and posteroanterior reconstructive stabilization were performed for 3 patients with Parkinson's disease and osteoporotic vertebral body collapse. To prevent instrument-related complications, it is important to achieve initial rigid stability. Regarding the stabilization of the posterior elements, laminar hooks were used. Two pedicle screws and 1 hook were placed at 1 level above and 1 level below the injured vertebra. As for the stabilization of the anterior part, a titanium cage was used. All patients resumed their activities of daily living postoperatively. Two of 3 patients experienced sinking of the rib cage after commencement of ambulation with a hard brace postoperatively. After these patients wore a body cast for 2 months, they were able to resume activities of daily living under careful treatment. In all patients, junctional kyphosis improved postoperatively and progressed postoperatively. None experienced recurrent neural deterioration or backache related to the fracture through >3 years of postoperative follow-up. Combined posteroanterior reconstruction surgery was useful for osteoporotic thoracolumbar compression fracture with Parkinson's disease. However, maintenance of postoperative alignment was difficult to achieve. Careful postoperative management was important for good clinical results.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Nakashima H,Yukawa Y,Ito K,Horie Y,Machino M,Kato Fdoi
10.3928/01477447-20090818-21subject
Has Abstractpub_date
2009-10-01 00:00:00issue
10eissn
0147-7447issn
1938-2367pii
orthopedics.43776journal_volume
32pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Cementless total knee arthroplasty (TKA) implants were designed to provide long-term fixation without the risk of cement-associated complications. The purpose of this study was to evaluate the outcome of titanium-coated cementless implants compared with hybrid TKA implants with a cemented tibial and a cementless femor...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130327-16
更新日期:2013-04-01 00:00:00
abstract::Though originally designed to facilitate the management of primary malignant bone tumors, the indications for the Howmedica Oncology modular endoprostheses have expanded to include the reconstruction of metastatic lesions, failed internal fixation of difficult trauma problems, and failed conventional and custom tumor ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::Antimicrobial resistance has been problematic since the advent of antibiotics. Patients with prosthetic joint infections often require prolonged courses of antibiotic therapy, with resistance commonly being the consequence. The rapid evolution of resistance poses a serious challenge in the treatment of infections and ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120327-42
更新日期:2012-04-01 00:00:00
abstract::Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder rec...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20191001-01
更新日期:2019-11-01 00:00:00
abstract::Nonunion is uncommon after proximal humerus fracture surgery. There is no agreement about preferred method of treatment. Traditional approaches have included laterally based locking plates, autogenous grafting, and endosteal support to provide improved biomechanical stability. Open reduction and internal fixation (ORI...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131120-22
更新日期:2013-12-01 00:00:00
abstract::Obesity has become a leading public health issue in the United States. The goal of this study was to examine whether patients experience a significant change in body mass index (BMI) or weight after total joint arthroplasty. Previous studies have not corrected for the natural, annual positive BMI change in North Ameri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100429-13
更新日期:2010-06-09 00:00:00
abstract::This article describes a case of a 23-year-old man who sustained a far medial fracture dislocation of the medial clavicle. We performed an open reduction and internal fixation of the fragment back to the remaining medial fragment using a small locking plate. This fracture can be problematic and usually requires reduct...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090501-08
更新日期:2009-05-01 00:00:00
abstract::Patients with displaced patellar fractures typically present with disruption to the extensor mechanism requiring acute surgical intervention. Chronic patellar fractures with disruption of the extensor mechanism are uncommon, and few surgical options are available. The authors present a patient who sustained a fracture...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170810-07
更新日期:2018-01-01 00:00:00
abstract::Hematogenous gram negative infection of the long bones can present a confusing clinical picture that may delay treatment or lead to an inappropriate choice of initial treatment, and thereby compromise the resuit. This report emphasizes the common clinical features of this condition: previous urinary or gastrointestina...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19830701-09
更新日期:1983-07-01 00:00:00
abstract::Postoperative inflammation and stiffness, as well as the struggle to achieve full range of motion (ROM), following knee surgery is a significant clinical challenge. Interleukin-1 is a crucial mediator of the inflammatory response and development of pathological conditions leading to chronic inflammation. We hypothesiz...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101021-09
更新日期:2010-12-01 00:00:00
abstract::Endoprosthetic reconstructions of the hip and knee are currently reimbursed as primary hip and knee arthroplasty according to Current Procedural Terminology (CPT) coding guidelines. The purpose of this study was to compare hospital resources consumed by patients undergoing endoprosthetic reconstruction with those cons...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20201012-02
更新日期:2021-01-01 00:00:00
abstract::With the increasing duration of follow up on total knee arthroplasties, more revision arthroplasties are being performed. When revision is not advisable, a salvage procedure such as arthrodesis or resection arthroplasty is indicated. This article provides a comprehensive review of the literature regarding arthrodesis ...
journal_title:Orthopedics
pub_type: 杂志文章,meta分析
doi:
更新日期:1995-04-01 00:00:00
abstract::The purpose of this study was to assess (1) the prevalence of the fracture of ceramic heads implanted on used trunnions of well-fixed stems without using a titanium adapter sleeve; (2) the prevalence of trunnionosis secondary to fretting and/or corrosion at the trunnion of the well-fixed stem; and (3) clinical and rad...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180501-03
更新日期:2018-05-01 00:00:00
abstract::Open arthrolysis is an effective way to treat elbow stiffness. However, previous approaches led to significant surgical trauma. The goal of the current study was to evaluate the outcome of open arthrolysis with limited medial and lateral approaches combined with hinged external fixation to treat elbow stiffness. A tot...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150603-55
更新日期:2015-06-01 00:00:00
abstract::The number of primary anterior cruciate ligament (ACL) tears is rapidly increasing. In patients who wish to return to their preoperative level of function, specifically as it pertains to participation in sports, the gold standard of treatment following an ACL tear remains an anterior cruciate ligament (ACL) reconstruc...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160324-01
更新日期:2016-05-01 00:00:00
abstract::One hundred ten fractures due to gunshots were reviewed to examine the medical, social, and financial implants of such injuries. The population was predominantly male (91%), unemployed (56%), and uninsured (79%). Sixty-eight percent were documented substance abusers, and 65% of the injuries appeared to be related to i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract::Many studies have described the diversity of synovial sarcoma in terms of its biological characteristics and clinical features. Moreover, much effort has been expended on the identification of prognostic factors because of unpredictable behaviors of synovial sarcomas. However, with the exception of tumor size, publish...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090922-12
更新日期:2009-11-01 00:00:00
abstract::This study examined the axial and torsional stiffness of polyaxial locked plating techniques compared with fixed-angle locked plating techniques in a distal tibia pilon fracture model. The effect of using a polyaxial screw to cross the fracture site was examined to determine its ability to control relative fracture si...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150804-51
更新日期:2015-08-01 00:00:00
abstract::The purposes of the current investigation are to evaluate the epidemiology of water sport injuries at a coastal tertiary trauma center and to determine the association of these activities with spinal column injury and to determine whether aquatic trauma injuries differ significantly from those that occur terrestrially...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150902-60
更新日期:2015-09-01 00:00:00
abstract::Distal femoral medial closing wedge osteotomy is useful for mechanical axis realignment to unload the lateral compartment of the valgus knee. The primary indication for unloading the lateral compartment is lateral unicompartmental osteoarthritis. Alternative treatment options include lateral unicompartment or total kn...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110714-37
更新日期:2011-09-09 00:00:00
abstract::Trochanteric nonunion associated with total hip arthroplasty (THA) may result from 1 of 3 situations: 1) isolated fracture of the greater trochanter; 2) complication of trochanteric osteotomy; or 3) fracture secondary to cystic formation or osteolysis from wear debris post-THA. Isolated fracture of the greater trochan...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::Multiligamentous knee injuries with simultaneous patellar tendon ruptures are rare. Surgeons must be prepared to address injured structures of the knee to allow return of knee function. Restoring motion while protecting repairs is important. The authors present 2 cases and discuss treatment strategy for preoperative e...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150105-06
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Pat...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120222-29
更新日期:2012-03-07 00:00:00
abstract::The Balanced Budget Act of 1997 mandated reductions in physician reimbursement. This reduction in payments could be envisioned to limit expenditures on 2 counts: first, individual fees would be lower, producing inherent savings. Furthermore, reducing fees should depress the incentive to work, thereby generating additi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121120-28
更新日期:2012-12-01 00:00:00
abstract::The early effect of reaming the medullary cavity prior to intramedullary nailing using Küntscher's method, on human cortical bone vascularization in the femur is discussed. In sections of the femur where the medullary tissue had been totally reamed, the inner two-thirds of the cortical bone tube was completely avascul...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract::From November 1989 to September 1994, a total of 26 patients (18 men and 8 women) with acute displaced femoral neck fractures were treated with closed reduction and Knowles pinning combined with vascularized iliac bone grafting. Mean patient age was 37.5 years (range: 24-48 years). The mean time interval from injury t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::In 1973 a workshop sponsored by the National Academy of Sciences recommended that "efforts to develop prescription criteria for use of the numerous variants of the BK prosthesis should be intensified." This paper provides a review of the important considerations in the prescription of a below-knee prosthesis. It is in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-02-01 00:00:00
abstract::Free vascularized fibular grafting (FVFG) is an effective method to treat corticosteroid-induced osteonecrosis of the femoral head (ONFH). Some patients continued to receive maintenance doses of corticosteroids to treat the primary disease postoperatively. This study was performed to evaluate outcomes of FVFG for cort...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140401-56
更新日期:2014-04-01 00:00:00
abstract::This study assesses femoral neck shortening and its effect on gait pattern and muscle strength in patients with femoral neck fractures treated with internal fixation. Seventy-six patients from a multicenter randomized controlled trial participated. Patient characteristics and Short Form 12 and Western Ontario and McMa...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20130624-13
更新日期:2013-07-01 00:00:00
abstract::Femoral head fractures often result in damage to the articular cartilage. This article describes a patient who sustained a femoral head fracture-dislocation with significant damage to the articular cartilage of the weight-bearing portion of his femoral head (A). After anatomic reduction of the fracture, a 2×4-cm osteo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121217-27
更新日期:2013-01-01 00:00:00