CASE REPORT


Surgical Treatment of Angular Pott’s Kyphosis with Posterior Approach, Pedicular Wedge Osteotomy and Canal Widening



CV Kinkpe1, 4, *, M Onimus2, L Sarr1, MM Niane3, 4, MM Traore1, 4, M Daffe1, 4, AB Gueye1, 4
1 Faculté de Médecine, Pharmacie et Odontologie de l’Université Cheikh Anta DIOP, Dakar, Sénégal
2 8 chemin du cret F-25240 GELLIN, France
3 UFR Santé de Thiès, Sénégal
4 Centre Hospitalier de l’Ordre de Malte (CHOM), Dakar, Sénégal


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© 2017 Kinkpe et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Faculté de Médecine, Pharmacie et Odontologie de l’Université Cheikh Anta DIOP, Dakar, Sénégal; Tel: 00 221 77 450 26 46; E-mail: cvakinkpe@hotmail.com


Abstract

Background:

Methods:

Nine patients were reviewed after surgery (mean follow-up 18 months). There were 2 thoracic, 4 thoraco-lumbar and 3 lumbar kyphosis. The mean age at surgery was 23.

Clinical results were evaluated by the Oswestry Disability Index (ODI) and by the neurologic evaluation. Preoperative, postoperative and final follow-up X-rays were assessed.

The surgery included a posterior approach with cord release and correction by transpedicular wedge osteotomy and widening of the spinal canal.

Results:

Conclusion:

Keywords: Pott’disease, Angular kyphosis, Pedicle substraction osteotomy, Vertebral resection, Neurologic risk, Posterior approach.