OBJECTIVE: To evaluate the clinical effects of posterior spinal transpedicular wedge osteotomy for @entity1513 due to delayed @entity3604 in elderly. METHODS: From July 2009 to February 2014,26 @entity1 with @entity1513 caused by delayed @entity3604 were treated with transpedicular wedge osteotomy. There were 10 males and 16 females,aged from 55 to 75 years old with an average of 67 years. There were 1 @entity1514 in thoracolumbar vertebrae and 4 in lumbar vertebrae. Total 29 vertebrae were involved, 23 cases with single @entity174 and 3 cases with double vertebral fractures. Preoperative Cobb angles were 32  ~51   with the mean of (42.00    4.75)    and VAS scores were 6 to 9 points with an average of (8.40    0.75) points. According to the Frankel grade of spinal cord function, 4 cases were grade D and 22 cases were grade E. @entity954 , operation time and perioperative complications were recorded, and improvements of Cobb angle were evaluated by X-rays. VAS score and Frankel grade were respectively used to evaluate the @entity158 and nerve function. RESULTS: The average operation time were 155 min (ranged, 120 to 175) and the mean intraoperative bleeding were 1 100 ml (ranged,800 to 1 500). Postoperative at 2 days, Cobb angle and VAS score were (9.60    2.50)    and (4.00    1.00) points, respectively, ranged from 5   to 15   and 1 to 5 points. VAS score and Cobb angle improved obviously compared with preoperative (P < 0.05), and the improvement rate of Cobb angle was 76%. Frankel grade of 1 case changed from grade E to C, and the others did not become worse. The follow-up period ranged from 3 to 24 months with an average of 16.4 months. At the final follow-up, Cobb angles and VAS score were (11.00    3.50)   and (4.40    1.25) points, respectively, ranged from 5   to 19   and 1 to 6 points. The @entity1 whose Frankel grade E changed to C at 2 days after surgery and changed to grade D at the latest follow-up. @entity174 below the fusion level happened in 1 case at 3 months after surgery, vertebral body @entity174 above the fusion level happened in 1 case at 5 months after surgery, and their @entity662 symptoms were relieved after symptomatic treatment and anti @entity170 treatment. All osteotomy levels obtained fusion which confirmed by X-ray and no internal fixation loosening and breakage were found. CONCLUSION: The clinical effect of posterior transpedicular wedge osteotomy for @entity1513 due to delayed @entity3604 was satisfactory, but manipulation during the operation should be cautious and prevent adjacent vertebral body @entity174 should be pay attention to prevent.

[Posterior spinal transpedicular wedge osteotomy for XXXX due to delayed @entity3604 in elderly].

@entity3604 :: ('MESH:D058866', 'Disease') :: ['osteoporotic vertebral fracture'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture', 'vertebral fracture', 'Vertebral body fracture'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['kyphosis'] @entity170 :: ('MESH:D010024', 'Disease') :: ['osteoporosis'] @entity1514 :: ('MESH:D013896', 'Disease') :: ['osteotomy in thoracic vertebra,21 osteotomies'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity954 :: ('MESH:D016063', 'Disease') :: ['Intraoperative bleeding']
@entity1513 :: (MESH:D007738,Disease) :: ['kyphosis']
