Short-segment fixation with a cement-augmented pedicle screw for Kummell disease: Case report

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Abstract

Rationale:

Kummell disease is described as avascular necrosis of a vertebral body that occurred in a delayed fashion after a minor trauma. Anterior, posterior, and anterior–posterior approaches have been reported. Nevertheless, there is no standard treatment for patients with Kummell disease.

Patient concerns:

We reported a successful cement-augmented pedicle screw placement in a patient with Kummell disease. A 63-year-old woman with serious osteoporosis complained persistent back pain with progressive lower extremities weakness for almost 2 years.

Diagnoses:

The diagnosis of Kummell disease was mainly depended on clinical symptoms and imaging examinations.

Interventions:

The application of a cement-augmented pedicle screw was designed to treat this illness.

Outcomes:

The operation was successful without any complications. The patient stated that symptoms were obviously improved in 1 week after operation.

Lessons:

The application of a cement-augmented pedicle screw is an effective treatment option for Kummell disease.

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