Modified posterior vertebral column resection for Kümmell disease

Rationale: Kümmell's disease is defined as delayed traumatic vertebral collapse disease in which patients develop a kyphosis after asymptomatic minor spinal trauma. Both anterior approach and posterior approach have been reported, however, there is no standard treatment for Kümmell's disease. Patient concerns: We described a successful modified posterior vertebral column resection in a patient with Kümmell's disease. A 65-year-old woman reported persistent back pain for almost three months. Diagnoses: Kümmell's disease was diagnosed based on computer tomography (CT) and magnetic resonance imaging (MRI). Interventions: Modified posterior vertebral column resection combined with short-segment fixation was designed to treat this disease. Outcomes: The procedure was successful without any complications. Patient reported that symptoms were obviously improved in one week after operation. Lessons: Modified posterior vertebral column resection combined with short-segment fixation is an effective treatment option for Kümmell's disease.

[1]  Z. Wang,et al.  An Effective Treatment Option for Kümmell Disease With Neurological Deficits: Modified Transpedicular Subtraction and Disc Osteotomy Combined With Long-Segment Fixation , 2016, Spine.

[2]  Jun Dong,et al.  Comparative Study of Modified Posterior Operation to Treat Kümmell's Disease , 2015, Medicine.

[3]  W. Ding,et al.  Unilateral posterior vertebral column resection for severe thoracolumbar kyphotic deformity caused by old compressive vertebrae fracture: a technical improvement. , 2015, International journal of clinical and experimental medicine.

[4]  Liming Wang,et al.  Value of forceps biopsy and kyphoplasty in Kümmell's disease. , 2013, Orthopedics.

[5]  Yanzheng Gao,et al.  Posterior decompression and short segmental pedicle screw fixation combined with vertebroplasty for Kümmell’s disease with neurological deficits , 2012, Experimental and therapeutic medicine.

[6]  C. Liang,et al.  Kümmell's Disease, an Uncommon and Complicated Spinal Disorder: A Review , 2012, The Journal of international medical research.

[7]  Genlin Wang,et al.  Kyphoplasty for the treatment of Kümmell's disease. , 2010, Orthopedics.

[8]  A. Saridis,et al.  Kümmell' s disease: A rare spine entity in a young adult. , 2010, Hellenic journal of nuclear medicine.

[9]  K. Swartz,et al.  Kümmell’s Disease: A Case Report and Literature Review , 2008, Spine.

[10]  Ting-Hua Liao,et al.  Another option to treat Kümmell’s disease with cord compression , 2007, European Spine Journal.

[11]  J. Clarke,et al.  Medicine , 1907, Bristol medico-chirurgical journal.