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Failed percutaneous kyphoplasty in treatment of stage 3 Kummell disease: A case report and literature review.

Abstract Albeit it is rare, the authors report a stage 3 Kummell disease case. It is diagnosed by dynamic thoracic magnetic resonance imaging (MRI). Because there is no established strategy on stage 3 Kummell disease, we performed percutaneous kyphoplasty at first, but unfortunately made a revision surgery to remove the polymethylmethacrylate (PMMA) cement after the failure of percutaneous kyphoplasty.
PMID
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A rare complication of kyphoplasty is PMMA-cement loosening - case report and literature review.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29382020
OWN - NLM
STAT- MEDLINE
DCOM- 20180207
LR  - 20180207
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Failed percutaneous kyphoplasty in treatment of stage 3 Kummell disease: A case
      report and literature review.
PG  - e8895
LID - 10.1097/MD.0000000000008895 [doi]
AB  - RATIONALE: Albeit it is rare, the authors report a stage 3 Kummell disease case. 
      It is diagnosed by dynamic thoracic magnetic resonance imaging (MRI). Because
      there is no established strategy on stage 3 Kummell disease, we performed
      percutaneous kyphoplasty at first, but unfortunately made a revision surgery to
      remove the polymethylmethacrylate (PMMA) cement after the failure of percutaneous
      kyphoplasty. PATIENT CONCERNS: A 73-year-old lady with severe back pain due to
      osteoporosis vertebral fracture was admitted to our hospital on June 23, 2016.
      She underwent percutaneous kyphoplasty with the back pain improved shortly.
      Unfortunately, she went back to our hospital due to aggravated back pain and
      partial paralysis on July 25, 2016. DIAGNOSES: Kummell disease, lumbar stenosis, 
      lacunar infarction. OUTCOMES: Specially, the compression of spinal cord was
      obvious in the hyperflexion position on dynamic MRI. Even though there was no
      improvement in muscle strength, the patient was satisfied with the back pain
      relief after percutaneous kyphoplasty. But, the same back pain reappeared after
      about 1 month. Then, we took out the PMMA cement and performed posterior
      vertebral column resection. At last, the back pain was relieved again but the
      muscle strength was improved not obviously after operation. At the same time, the
      kyphosis was corrected and the intravertebral stability was achieved. LESSONS:
      Dynamic MRI is helpful in Kummell disease with neurologic symptoms, even if there
      is no obvious compression in the neutral position. Furthermore, the
      intravertebral instability is probably the main reason of the neurologic symptoms
      in this case. Percutaneous kyphoplasty could not reconstruct the intravertebral
      stability. Stage 3 Kummell disease with obvious intravertebral instability should
      be treated by open surgery.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Zhang, Chenggui
AU  - Zhang C
AD  - Department of Spine, Shandong Provincial Hospital Affiliated to Shandong
      University,Shandong Province.
FAU - Wang, Guodong
AU  - Wang G
AD  - Department of Spine, Shandong Provincial Hospital Affiliated to Shandong
      University,Shandong Province.
FAU - Liu, Xiaoyang
AU  - Liu X
AD  - Department of Spine, Shandong Provincial Hospital Affiliated to Shandong
      University,Shandong Province.
FAU - Li, Yang
AU  - Li Y
AD  - Anatomical Institute of Minimally Invasive Surgery, Southern Medical University, 
      Guangdong Province,China.
FAU - Sun, Jianmin
AU  - Sun J
AD  - Department of Spine, Shandong Provincial Hospital Affiliated to Shandong
      University,Shandong Province.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Bone Cements)
RN  - 9011-14-7 (Polymethyl Methacrylate)
SB  - AIM
SB  - IM
MH  - Aged
MH  - Bone Cements
MH  - Female
MH  - Humans
MH  - Kyphoplasty/*adverse effects/methods
MH  - Kyphosis/etiology/*surgery
MH  - Osteoporotic Fractures/complications
MH  - Polymethyl Methacrylate
MH  - Reoperation/*methods
MH  - Spinal Fractures/*complications
MH  - Treatment Failure
PMC - PMC5709019
EDAT- 2018/02/01 06:00
MHDA- 2018/02/08 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/08 06:00 [medline]
AID - 10.1097/MD.0000000000008895 [doi]
AID - 00005792-201711270-00111 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8895. doi: 10.1097/MD.0000000000008895.