Posterior Vertebral Column Resection in Clinical Practice

Ozgur Aksan; Nail Ozdemir

doi:10.61091/jpms2024130612

Author(s)

Ozgur Aksan Department of Neurosurgery, Istanbul Aydın University,Istanbul,Turkey

Nail Ozdemir Department of Neurosurgery, Istanbul Aydın University,Istanbul,Turkey

Abstract

Our objectives are to share our experience, go over the side effects, and evaluate the longterm results of posterior vertebral column resection (PVCR) with deformity resulting from different causes. Materials and Methods:: A retrospective analysis of 12 patients who had PVCR between 2012 and 2016 was conducted. Posttraumatic deformity in six patients, rigid kyphotic deformity in two patients, metastasis in two patients, Pott's disease in one patient; and osteoporotic fracture in one patient. We analysed surgical characteristics, complications, and the need for revision procedures. Results: The mean follow-up period was 6.18 years. The mean operative time was 315.83minutes. The estimated blood loss was 1591.67m/L. No patient has required revision surgery for any hemopneumothorax, hematoma, dural tear, vascular injury, wound problem, infection, and recurrence of deformity. We have not seen any additional neurological deficits related to the surgical procedure. One patient developed a radiological pseudoarthrosis and was not reoperated. There was a breakage of the rod in one patient, and this patient reoperated. One patient developed arachnoiditis ossificans and reoperated. Conclusion: Although PVCR is a highly risk of blood loss and complications, it is an effective surgery. Surgical experience is very important to prevent operation-related complications.

Publication Details

Page(s) 96-104

DOI 10.61091/jpms2024130612

Published Journal: Journal of Pioneering Medical Sciences, Volume: 13, Issue: 6, Year: 2024

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Keywords

Pott's disease, Metastasis, Deformity, osteoporotic fracture, posterior vertebral column resection

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