Surgical correction of post-vertebroplasty kyphosis by pedicle substraction osteotomy. Regarding three cases

• Published in: Neuro-chirurgie 2016-12, Vol.62 (6), p.321-326
• Main Authors: Bachour, E, Coloma, P, Freitas, E, Messerer, R, Michel, F, Barrey, C
• Format: Article
• Language: fre
• Subjects: Aged; Analgesics - therapeutic use; Braces; Combined Modality Therapy; Disease Progression; Female; Humans; Kyphosis - diagnostic imaging; Kyphosis - etiology; Kyphosis - surgery; Kyphosis - therapy; Lumbar Vertebrae - surgery; Lymphoma, B-Cell - surgery; Middle Aged; Osteotomy - methods; Prosthesis Implantation; Spinal Fractures - surgery; Spinal Neoplasms - surgery; Thoracic Vertebrae - surgery; Vertebroplasty - adverse effects
• ISSN: 1773-0619
• DOI: 10.1016/j.neuchi.2016.07.006

We report a case of three patients treated with pedicle subtraction osteotomy for post-vertebroplasty kyphosis. These patients were initially treated with a vertebroplasty for vertebral fracture (two cases) and spinal lymphoma (1 case). All of these patients worsened progressively on a clinical and radiographic level with progression of the spinal deformity in the form of kyphosis. The surgery consisted of transpedicular osteotomy instrumented at the level of the vertebra cemented with maximum removal of intra-corporeal cement. One of the three patients required a supplementary anterior approach to achieve good quality bone fusion. In all three cases the post-vertebroplasty kyphosis was able to be reduced by at least 50 % emphasizing the feasibility and relevance of the pedicle subtraction osteotomy in a context of cemented vertebra.