Laminektomi Sonrası Kifoz
Özet
C4-5 kitle tanısı sonrası yapılan laminektomi neticesinde gelişen servikal kifoz ve implant yetmezliği, hastada şiddetli boyun ağrısı ve dislokasyona neden olmuştur. Tedavi sürecinde 360 derece füzyon stratejisi izlenerek; önce posterior bölge serbestleştirilmiş, ardından anterior korpektomi ve kafes uygulamasıyla dizilim düzeltilmiş, son olarak da kapsamlı bir posterior enstrümantasyonla stabilizasyon sağlanmıştır. Cerrahi müdahale sonrası hastanın nörolojik durumu korunurken ağrıları belirgin şekilde azalmış ve 3. yıl takibinde omurga dengesinin kalıcı olarak sağlandığı gözlemlenmiştir.
Cervical kyphosis and implant failure developed following a laminectomy performed for a C4-5 mass, leading to severe neck pain and dislocation. A 360-degree fusion strategy was employed for treatment, involving posterior release, anterior corpectomy with cage placement to restore alignment, and final posterior instrumentation for stabilization. Postoperatively, the patient's neurological status remained normal, pain significantly decreased, and stable spinal balance was maintained throughout a 3-year follow-up period.
Referanslar
Lonstein JE. Post-laminectomy kyphosis. Clinical Orthopaedics and Related Research. 1977 Oct(128):93-100. PMID:598179.
Albert, Todd J. MD; Vacarro, Alexander MD Postlaminectomy Kyphosis, Spine: December 15, 1998 - Volume 23 – Issue 24 - p 2738-2745
Kaptain, G. J., Simmons, N. E., Replogle, R. E., and Pobereskin, L. (2000). Incidence and outcome of kyphotic deformity following laminectomy for cervical spondylotic myelopathy. Journal of Neurosurgery: Spine 93, 2, 199-204
Han, K., Lu, C., Li, J. et al. Surgical treatment of cervical kyphosis. Eur Spine J 20, 523–536 (2011). https://doi.org/10.1007/s00586-010-1602-8
James C. Butler, Thomas S. Whitecloud, Postlaminectomy Kyphosis: Causes and Surgical Management, Orthopedic Clinics of North America, Volume 23, Issue 3, 1992, Pages 505-511
Lonstein JE. Post-laminectomy kyphosis. Clinical Orthopaedics and Related Research. 1977 Oct(128):93-100. PMID:598179.
Albert, Todd J. MD; Vacarro, Alexander MD Postlaminectomy Kyphosis, Spine: December 15, 1998 - Volume 23 – Issue 24 - p 2738-2745
Kaptain, G. J., Simmons, N. E., Replogle, R. E., and Pobereskin, L. (2000). Incidence and outcome of kyphotic deformity following laminectomy for cervical spondylotic myelopathy. Journal of Neurosurgery: Spine 93, 2, 199-204
Han, K., Lu, C., Li, J. et al. Surgical treatment of cervical kyphosis. Eur Spine J 20, 523–536 (2011). https://doi.org/10.1007/s00586-010-1602-8
James C. Butler, Thomas S. Whitecloud, Postlaminectomy Kyphosis: Causes and Surgical Management, Orthopedic Clinics of North America, Volume 23, Issue 3, 1992, Pages 505-511
