Research progress on osteotomy methods for stage Ⅲ Kümmell disease
With the aging of Chinese population,osteoporosis is becoming more and more common in clinic practice.Even a mild trauma can lead to vertebral compression fracture in osteoporosis patients.Some patients who lack typical pain symptoms and concerns for timely treatment,and the delayed union of fractures eventually develop into Kümmell disease.Stage Ⅲ Kümmell disease can cause severe back pain and kyphosis in patients,and some patients are required for surgical correction of the deformity.With the deepening of disease understanding and the continuous development of orthopedic surgical techniques,various intraoperative osteotomy methods are optional for stage Ⅲ Kümmell disease,but unified standard and consensus are currently scant.The intraoperative osteotomy methods for stage Ⅲ Kümmell disease have also diversified.In addition to traditional osteotomy methods,many new osteotomy methods have been reported recently.These methods can not only achieve reliable orthopedic effects and precise nerve decompression,but also effectively reduce the operation time,intraoperative bleeding volume,and the incidence of complications during and after the operation,improving the surgery safety and providing more choices for patients with stage Ⅲ Kümmell disease.This article reviewed and analyzed the osteotomy methods for stage Ⅲ Kümmell disease,and summarized the advantages and disadvantages of different osteotomy methods and the scope of application,in order to provide references for clinical work.
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