Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2022; 10(21): 7531-7538
Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7531
Traditional Chinese medicine manipulative reduction combined with percutaneous vertebroplasty for treating type III Kummell's disease: A case report
Shen-Shen Hao, Rui-Jun Zhang, Sheng-Li Dong, Hong-Ke Li, Shuai Liu, Rui-Fang Li, Hui-Hui Ren, Li-Yan Zhang
Shen-Shen Hao, Sheng-Li Dong, Hong-Ke Li, Shuai Liu, Rui-Fang Li, Hui-Hui Ren, Li-Yan Zhang, Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
Rui-Jun Zhang, Department of Medical, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
Author contributions: Hao SS and Zhang RJ were the major contributors and wrote the first draft of the article; Dong SL critically reviewed and edited drafts; Li HK diagnosed the patients; Li HK and Liu S treated the patient; Li RF, Ren HH and Zhang LY made substantial contributions to the conception and designed of the manuscript; all authors read and approved the final manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng-Li Dong, Chief Doctor, Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, No. 1 South Yard, Middle Section of Kuanggong Road, Xinhua District, Pingdingshan 467000, Henan Province, China. dong0375@126.com
Received: January 10, 2022
Peer-review started: January 10, 2022
First decision: April 8, 2022
Revised: May 17, 2022
Accepted: June 17, 2022
Article in press: June 17, 2022
Published online: July 26, 2022
Processing time: 182 Days and 2.5 Hours
Abstract
BACKGROUND

A patient with type III Kummell's disease had a ruptured posterior cortex of the fractured vertebral body, which caused spinal cord compression. An open surgery was considered the best choice of operation. However, the patient and her family refused open surgery and instead demanded a minimally invasive surgical treatment such as percutaneous vertebroplasty (PVP). After preoperative discussion, we finally adopted the novel therapy of traditional Chinese medicine manipulative reduction (TCMMR) combined with PVP.

CASE SUMMARY

A patient with type III Kummell's disease exhibiting bone block-induced spinal cord compression was admitted to our hospital. She suffered from a variety of medical disorders but refused open surgery, and instead asked for PVP surgery. TCMMR, in parallel with PVP, was used to restore the height of the compressed vertebral body and reduce the symptoms of spinal cord compression by the bone block in order to strengthen the vertebral body and prevent further collapse. The surgery was very successful. The height of the compressed vertebra was restored, and the symptom of spinal cord compression by bone block was reduced successfully via TCMMR. The fractured vertebra was solidified by the PVP. The pain visual analog score declined from preoperative 7 scores to postoperative 2 scores, and the Frankel spinal cord scale increased from preoperative D degree to postoperative E degree.

CONCLUSION

The new method has advantages in treating patients with type III Kummell's disease who cannot be treated with open surgery.

Keywords: Type III Kummell's disease; Spinal cord compression by bone block; Traditional Chinese medicine manipulative reduction; Percutaneous vertebroplasty; Case report

Core Tip: We introduced a novel method to treat type III Kummell's disease with spinal cord compression by bone block using traditional Chinese medicine manipulative reduction (TCMMR) combined with percutaneous vertebroplasty (PVP). The combination method could integrate the advantages of the two methods while avoiding open surgery. TCMMR combined with PVP for the treatment of type III Kummell's disease with spinal cord compression by bone block has the advantages of being a simple operation with high safety, and good curative effect.