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Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 3

Perkütan transpediküler vida tespiti ve vertebroplasti ile tedavi edilen lomber vertebra paget hastalığı: Olgu sunumu

Lumbar vertebra paget's disease treated with percutaneous transpedicular screw fixation and vertebroplasty

Ahmet KARAKAŞLI
İSMAİL SAFA SATOĞLU
Ömer AKÇALI
Pages
219–224
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Posterior spinal instrumentation with lordotic rods and ver- tebroplasty may reduce the pain and dissolve the neurologic deficits in patients with Paget’s disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: We describe a case with monostotic Paget’s Disease (PD) suffering from lumbar radiculopathy due to L4-L5 insta- bility and vertebral body collapse.
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Key Findings & Data:Methods: In the present paper, a case of monostotic Paget’s Disease (PD) suffering from lumbar radiculopathy due to L4-L5 instability and vertebral body collapse.
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Conclusion & Impact:Posterior spinal instrumentation with lordotic rods and ver- tebroplasty may reduce the pain and dissolve the neurologic deficits in patients with Paget’s disease.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: We describe a case with monostotic Paget’s Disease (PD) suffering from lumbar radiculopathy due to L4-L5 insta- bility and vertebral body collapse. Paget’s disease is a chronic, focal skeletal disorder that usually affects the pelvis and spine. Spinal cases are generally asymptomatic; in the symptoma- tic cases, the neurological dysfunctions are related to non- compressive vascular defects, hemorrhage, sarcomatous de- generation, spinal stenosis, or pathological fractures, primarily in the lumbar region. Methods: In the present paper, a case of monostotic Paget’s Disease (PD) suffering from lumbar radiculopathy due to L4-L5 instability and vertebral body collapse. Results: He was treated with hybrid surgical procedure combi- ning 30 percutaneous transpedicular screw fixation and ver- tebroplasty. Conclusions: Paget’s Disease may lead to vertebral body col- lapse and foraminal narrowing leading to radiculopathy. Posterior spinal instrumentation with lordotic rods and ver- tebroplasty may reduce the pain and dissolve the neurologic deficits in patients with Paget’s disease.

Özet

Amaç: Bu yazıda L4-L5 instabilitesi ve vertebra çökme kırığına bağlı radikulopati bulguları olan bir monostotik Paget Hastalığı olgusu tanımlanmıştır. Paget Hastalığı genellikle pelvis ve omurgayı etkileyen kronik, fokal bir iskelet bozukluğudur. Omurga vakaları genellikle asemptomatiktir; semptomatik vakalarda nörolojik bozukluklar çoğunlukla lomber bölgenin nonkompresif vasküler defektlerine, hemorajiye, sarkomatöz dejenerasyona, spinal darlığa ve patolojik kırıklara bağlıdır. Metod: Bu makalede L4-L5 instabilitesi ve vertebra çökme kırığına bağlı radikulopati bulguları olan bir monostotik Pajet Hastalığı olgusu sunulmuştur. Sonuç: Hasta cerrahi olarak perkütan transpediküler vida fksasyonu ve vertebroplasti ile tedavi edildi. Çıkarımlar: Paget Hastalığı vertebra korpusunda çökmeye ve foraminal daralmaya yol açarak radikülopati sebebi olabilir. Lordotik rodlarla posterior spinal enstrümantasyon ve vertebroplasti ağrıyı azaltabilir ve nörolojik kayıpların düzelmesini sağlayabilir.

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Cite This Article

KARAKAŞLI, A., SATOĞLU, İ. S., AKÇALI, Ö. (2014). Perkütan transpediküler vida tespiti ve vertebroplasti ile tedavi edilen lomber vertebra paget hastalığı: Olgu sunumu. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 3, 219–224. https://ajindex.com/articles/271391

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References (13)

  1. Dell’Atti C, Cassar-Pullicino VN, Lalam RK, Tins BJ, Tyrrell PN. The spine in Paget’s disease. Skeletal Radiol 2007; 36: 609–626
  2. Eck JC, Nachtigall D, Humphreys SC, Hodges SD. Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta- analysis of the literature. Spine J 2008; 8: 488–497
  3. Hadjipavlou AG, Gaitanis IN, Katonis PG, Tzer- miadianos MN, Tsoukas GM, Sapkas G. Paget’s disease of the spine and its management. Eur Spine J 2001; 10: 370–384
  4. Karaoglan A, Akdemir O, Erdogan H, Colak A. A rare emergency condition in neurosurgery: foot drop due to Paget’s disease. Turk Neurosurgery 2009; 19(2): 208- 210
  5. Lim TH, Brebach GT, Renner SM, Kim WJ, Kim JG, Lee RE. Biomechanical evaluation of an inject- able calcium phosphate cement for vertebroplasty. Spine 2002; 27: 1297–1302
  6. Orgera G, Krokidis M, Matteoli M, Varano GM, David V, Rossi M. Percutaneous vertebroplasty for pain management in patients with multiple myeloma: is radi- ofrequency ablation necessary? Cardiovasc Intervent Ra- diol 2013; DOI 10.1007/s00270-013-0624-0 7. Pestka JM, Seitz S, Zustin J, Puschel K, Amling M, Barvencik F. Paget disease of the spine: an evaluation of 101 patientswith a histomorphometric analysis of 29 cases. Eur Spine J 2012; 21: 999–1006
  7. Ralston SH, Langston AL, Reid IR. Pathogenesis and management of Paget’s disease of bone. Lancet 2008; 372: 155–163
  8. Saifuddin A, Hassan A. Paget’s disease of the spine: unusual features and complications. Clin Radiology 2003; 58: 102–111
  9. Tancioni F, Ieva AD, Levi D, Aimar E, Debernardi A, Colombo P, Gaetani P, Baena RR.Spinal decompres- sion and vertebroplasty in Paget’s disease of the spine. Surgical Neurology 2006; 66: 189–191
  10. Tessitore E, Luzi M, Lobrinus JA, Samaras N, Trombetti A. Cervical Paget disease of bone with spinal cord compression due to atlanto-axial instability. Spine 2008; 33: 85–89
  11. Wang WC, Cheng YSL, Chen CH. Paget’s disease of bone in a Chinese patient: A case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 727-733
  12. Wu J, Xu YQ, Chen HF, Su YY, Zhu M, Zhu CT. Percutaneous kyphoplasty combined with the posterior screw-rod system in treatment of osteoporotic thoracolumbar fractures. Indian J Orthop 2013; 47(3): 230– 233
  13. Wu LC, Tseng CH, Chiang YF, Tsuang YH. Monostotic vertebral Paget’s disease of the lumbar spine. J Chin Med Assoc 2009; 72(1): 52-55.