A novel use of cement as a salvage process in sufferers with advanced spinal accidents with proximal junctional failure.
Ann R Coll Surg Engl. 2018 Apr 16;:e1-e4
Authors: Divani Ok, Selvadurai S, Molloy S
Lengthy-construct fixations could be difficult by proximal junctional kyphosis. In aged, high-risk sufferers with quite a few comorbidities, prolonged surgical instances and elevated blood loss related to revision osteotomies and extension of fusions usually are not typically tolerated and pose severe life-threatening dangers. We current a salvage method utilized in a affected person with proximal junctional failure and show its position in bettering signs and performance in these not deemed match for main surgical procedure. Pre- and postoperative ache scores in accordance with the visible analogue scale, strolling distances and radiographs have been reviewed in a affected person who underwent the salvage method to determine the subjective and goal distinction in ache and performance. The affected person confirmed marked enchancment in ache scores and strolling distances postoperatively. Moreover, the diploma of proximal junctional kyphosis was decrease on postoperative radiographs. Whereas holding dangers of its personal, our described method could be carried out in choose circumstances and is an efficient salvage process in high-risk sufferers. It prevents their publicity to the dangers that accompany massive revision operations and fusion fashions with additional potential to fail. We suggest that our method is carried out solely at specialist centres.
PMID: 29658340 [PubMed – as supplied by publisher]