Transpedicular decancellation osteotomy in the treatment of peridural fibrosis
From 1992 to 1997 a series of 12 multiply operated (averaging 2.5 previous operations) patients with recurrent peridural fibrosis and postlaminectomy kyphosis underwent surgery at our clinic. The surgery was designed to restore the physiological lordosis and relax tethered cord and epidural veins by...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2001-10, Vol.121 (9), p.517-520 |
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| creator | GÜVEN, O BEZER, M GÖKKUS, K TETIK, C GÜVEN, Z |
| description | From 1992 to 1997 a series of 12 multiply operated (averaging 2.5 previous operations) patients with recurrent peridural fibrosis and postlaminectomy kyphosis underwent surgery at our clinic. The surgery was designed to restore the physiological lordosis and relax tethered cord and epidural veins by transpedicular decancellation osteotomy at a vertebra other than the vertebra with peridural fibrosis. This paper presents the long-term functional outcome of these 12 patients. Clinical assessments were conducted pre-operatively and at 3-month intervals postoperatively and included X-ray assessment and evaluation of the patients' functional status by Oswestry Disability Index (ODI) and of pain by visual analogue scale (pain VAS). All symptoms and the pain due to peridural fibrosis disappeared in the early postoperative period. Patients had tower disability and pain scores at their early and long-term follow-ups (follow-up period 24-74 months, mean 36.3 months). For patients with failed medical therapy for peridural fibrosis accompanied by lumbar kyphosis or hypolordosis, transpedicular decancellation osteotomy should be the surgical treatment of choice. |
| doi_str_mv | 10.1007/s004020100286 |
| format | Article |
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The surgery was designed to restore the physiological lordosis and relax tethered cord and epidural veins by transpedicular decancellation osteotomy at a vertebra other than the vertebra with peridural fibrosis. This paper presents the long-term functional outcome of these 12 patients. Clinical assessments were conducted pre-operatively and at 3-month intervals postoperatively and included X-ray assessment and evaluation of the patients' functional status by Oswestry Disability Index (ODI) and of pain by visual analogue scale (pain VAS). All symptoms and the pain due to peridural fibrosis disappeared in the early postoperative period. Patients had tower disability and pain scores at their early and long-term follow-ups (follow-up period 24-74 months, mean 36.3 months). For patients with failed medical therapy for peridural fibrosis accompanied by lumbar kyphosis or hypolordosis, transpedicular decancellation osteotomy should be the surgical treatment of choice.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s004020100286</identifier><identifier>PMID: 11599754</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adult ; Biological and medical sciences ; Cranial nerves. Peripheral nerves. Autonomic nervous system ; Diskectomy - adverse effects ; Dura Mater - pathology ; Female ; Fibrosis ; Humans ; Laminectomy - adverse effects ; Male ; Medical sciences ; Middle Aged ; Neurosurgery ; Osteotomy - methods ; Pain ; Radiculopathy - etiology ; Radiculopathy - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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The surgery was designed to restore the physiological lordosis and relax tethered cord and epidural veins by transpedicular decancellation osteotomy at a vertebra other than the vertebra with peridural fibrosis. This paper presents the long-term functional outcome of these 12 patients. Clinical assessments were conducted pre-operatively and at 3-month intervals postoperatively and included X-ray assessment and evaluation of the patients' functional status by Oswestry Disability Index (ODI) and of pain by visual analogue scale (pain VAS). All symptoms and the pain due to peridural fibrosis disappeared in the early postoperative period. Patients had tower disability and pain scores at their early and long-term follow-ups (follow-up period 24-74 months, mean 36.3 months). For patients with failed medical therapy for peridural fibrosis accompanied by lumbar kyphosis or hypolordosis, transpedicular decancellation osteotomy should be the surgical treatment of choice.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cranial nerves. Peripheral nerves. Autonomic nervous system</subject><subject>Diskectomy - adverse effects</subject><subject>Dura Mater - pathology</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Laminectomy - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Osteotomy - methods</subject><subject>Pain</subject><subject>Radiculopathy - etiology</subject><subject>Radiculopathy - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Peripheral nerves. Autonomic nervous system</topic><topic>Diskectomy - adverse effects</topic><topic>Dura Mater - pathology</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Humans</topic><topic>Laminectomy - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Osteotomy - methods</topic><topic>Pain</topic><topic>Radiculopathy - etiology</topic><topic>Radiculopathy - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GÜVEN, O</creatorcontrib><creatorcontrib>BEZER, M</creatorcontrib><creatorcontrib>GÖKKUS, K</creatorcontrib><creatorcontrib>TETIK, C</creatorcontrib><creatorcontrib>GÜVEN, Z</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GÜVEN, O</au><au>BEZER, M</au><au>GÖKKUS, K</au><au>TETIK, C</au><au>GÜVEN, Z</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transpedicular decancellation osteotomy in the treatment of peridural fibrosis</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>121</volume><issue>9</issue><spage>517</spage><epage>520</epage><pages>517-520</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>From 1992 to 1997 a series of 12 multiply operated (averaging 2.5 previous operations) patients with recurrent peridural fibrosis and postlaminectomy kyphosis underwent surgery at our clinic. The surgery was designed to restore the physiological lordosis and relax tethered cord and epidural veins by transpedicular decancellation osteotomy at a vertebra other than the vertebra with peridural fibrosis. This paper presents the long-term functional outcome of these 12 patients. Clinical assessments were conducted pre-operatively and at 3-month intervals postoperatively and included X-ray assessment and evaluation of the patients' functional status by Oswestry Disability Index (ODI) and of pain by visual analogue scale (pain VAS). All symptoms and the pain due to peridural fibrosis disappeared in the early postoperative period. Patients had tower disability and pain scores at their early and long-term follow-ups (follow-up period 24-74 months, mean 36.3 months). For patients with failed medical therapy for peridural fibrosis accompanied by lumbar kyphosis or hypolordosis, transpedicular decancellation osteotomy should be the surgical treatment of choice.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11599754</pmid><doi>10.1007/s004020100286</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Cranial nerves. Peripheral nerves. Autonomic nervous system Diskectomy - adverse effects Dura Mater - pathology Female Fibrosis Humans Laminectomy - adverse effects Male Medical sciences Middle Aged Neurosurgery Osteotomy - methods Pain Radiculopathy - etiology Radiculopathy - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Vertebrae |
| title | Transpedicular decancellation osteotomy in the treatment of peridural fibrosis |
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