Saijilafu, Zhou JW, Wang GL, Sun KH, Xie JL. Percutaneous kyphoplasty in the treatment of Kümmell disease in lumbar scoliosis: A case report. World J Clin Cases 2024; 12(17): 3123-3129 [PMID: 38898829 DOI: 10.12998/wjcc.v12.i17.3123]
Corresponding Author of This Article
Ji-Le Xie, MD, PhD, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. Jilexie@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Saijilafu, Ke-Hong Sun, Department of Orthopaedic Surgery, Hangzhou Lin’an Traditional Chinese Medicine Hospital, Affiliated Hospital, Hangzhou City University, Hangzhou 311300, Zhejiang Province, China
Jia-Wen Zhou, Gen-Lin Wang, Ji-Le Xie, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Co-first authors: Saijilafu and Jia-Wen Zhou.
Author contributions: Saijilafu and Zhou JW contributed equally to this work; Saijilafu and Zhou JW contributed to manuscript writing, editing and data collection; Wang GL and Sun KH contributed to data analysis; Xie JL contributed to conceptualization and supervision. All authors have read and approved the final manuscript.
Supported byThe Innovation and Entrepreneurship Program of Jiangsu Province, No. (2015)-159.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
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: Ji-Le Xie, MD, PhD, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. Jilexie@126.com
Received: December 25, 2023 Revised: March 17, 2024 Accepted: April 19, 2024 Published online: June 16, 2024 Processing time: 162 Days and 2.6 Hours
Abstract
BACKGROUND
Due to mechanical imbalance in the spine, elderly scoliosis patients tend to develop vertebral fracture nonunion, i.e., Kümmell disease, when osteoporotic vertebral compression fractures occur. However, accompanying vertebral rotational deformities make surgical procedures challenging risky. Such patients are usually compelled to undergo conservative treatment and there are very few reports on minimally invasive surgeries for them. We first-time report a patient with Kümmell disease and lumbar scoliosis treated with percutaneous kyphoplasty (PKP) under O-arm guidance.
CASE SUMMARY
An 89-year-old female was admitted to the hospital due to delayed low back pain after a fall. She was diagnosed with Kümmell disease based on physical and radiologic examinations. The patient experienced severe scoliosis and subsequently underwent O-arm-guided kyphoplasty, resulting in a significant alleviation of low back pain.
CONCLUSION
PKP has good efficacy in treating Kümmell disease. However, surgical risks are elevated in scoliosis patients with Kümmell disease due to the abnormal anatomical structure of the spine. O-arm assisted operations play a crucial role in decreasing surgical risks.
Core Tip: We reported a case of severe lumbar scoliosis combined with vertebral fracture nonunion with extremely high surgical risks due to severe vertebral deformity. We performed O-arm-guided kyphoplasty on the patient and achieved good results. This paper describes some of the experiences and techniques in performing Kyphoplasty for such patients.
