2007 NOV 6 -- Research findings, 'C7 decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis,' are discussed in a new report. "Our objective is to report on the clinical and radiological outcome following a decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis. The only treatment available for severe fixed flexion deformity of the cervical spine in these patients is an extension osteotomy," researchers in Nottingham, the United Kingdom report.
"Traditionally an anterior opening, posterior closing wedge osteotomy is performed with or without internal fixation. We describe a decancellisation closing wedge osteotomy of C7 accompanied by secure segmental internal fixation. Eight patients operated between 1990 and 2003 with mean age of 54 years and minimum follow up of 2 years were retrospectively evaluated. Restoration of normal forward gaze was achieved in all patients. No patient suffered spinal cord injury or permanent nerve root palsy. There was no loss of correction or pseudarthrosis at final follow up," wrote D.P. Tokala and colleagues, Nottingham University.
The researchers concluded: "C7 decancellisation closing wedge osteotomy supplemented with secure segmental internal fixation in experienced hands provides a safe and effective treatment for fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis."
Tokala and colleagues published their study in European Spine Journal (C7 decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis. European Spine Journal, 2007;16(9):1471-8).
For additional information, contact D.P. Tokala, Nottingham University Hospitals NHS Trust, The Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham, NG7 2UH, UK.
Publisher contact information for the European Spine Journal is: Springer, 233 Spring Street, New York, NY 10013, USA.
Keywords: United Kingdom, Nottingham, Kyphosis Therapy, Kyphosis, Orthopedics, Osteotomy, Surgery.
"Traditionally an anterior opening, posterior closing wedge osteotomy is performed with or without internal fixation. We describe a decancellisation closing wedge osteotomy of C7 accompanied by secure segmental internal fixation. Eight patients operated between 1990 and 2003 with mean age of 54 years and minimum follow up of 2 years were retrospectively evaluated. Restoration of normal forward gaze was achieved in all patients. No patient suffered spinal cord injury or permanent nerve root palsy. There was no loss of correction or pseudarthrosis at final follow up," wrote D.P. Tokala and colleagues, Nottingham University.
The researchers concluded: "C7 decancellisation closing wedge osteotomy supplemented with secure segmental internal fixation in experienced hands provides a safe and effective treatment for fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis."
Tokala and colleagues published their study in European Spine Journal (C7 decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis. European Spine Journal, 2007;16(9):1471-8).
For additional information, contact D.P. Tokala, Nottingham University Hospitals NHS Trust, The Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham, NG7 2UH, UK.
Publisher contact information for the European Spine Journal is: Springer, 233 Spring Street, New York, NY 10013, USA.
Keywords: United Kingdom, Nottingham, Kyphosis Therapy, Kyphosis, Orthopedics, Osteotomy, Surgery.
This article was prepared by Life Science Weekly editors from staff and other reports. Copyright 2007, Life Science Weekly via NewsRx.com.
With Thanks from Life Science Weekly.
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