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CC BY 4.0 · Surg J (N Y) 2017; 03(01): e48-e52
DOI: 10.1055/s-0037-1601321
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Occipitosacral Fusion for Multiple Vertebral Fractures with Kyphotic Deformity in a Patient with Mutilating Rheumatoid Arthritis: A Case Report

Tetsu Tanouchi
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Takachika Shimizu
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Masatake Ino
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Naofumi Toda
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Nodoka Manabe
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Kanako Itoh
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
,
Keisuke Fueki
1   Department of Orthopedic Surgery, Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan
› Author Affiliations
Further Information

Publication History

06 November 2016

15 February 2017

Publication Date:
20 March 2017 (online)

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Abstract

Osteoporotic vertebral fractures are well-known complications of rheumatoid arthritis. The management of multiple vertebral fractures with kyphotic deformity is controversial. We present a case of a patient with mutilating rheumatoid arthritis who had multiple vertebral fractures with kyphotic deformity after occipitothoracic fusion for rheumatoid cervical disorder. Occipitosacral fusion was effective to create stable spine with better sagittal alignment in this case, but careful clinical assessment for early detection and management of postoperative insufficient pelvic fracture were required.

Keywords

Kyphosis - osteoporosis - rheumatoid arthritis - thoracolumbar spine - vertebral compression fracture
 

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