Turkish Neurosurgery 2021 , Vol 31 , Num 4
Improvement of Life After PVCR in Complete Paraplegic Patients with Posttraumatic Severe Kyphosis
1Ufuk University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey
2Baskent University, Faculty of Medicine, Istanbul Hospital, Department of Orthopeadics and Traumatology, Istanbul, Turkey
3Ankara Spine Center, Ankara, Turkey
4Gebze Medical Park Hospital, Department of Orthopeadics and Traumatology, Kocaeli, Turkey
5Amasya University, Faculty of Medicine, Department of Neurosurgery, Amasya, Turkey
DOI : 10.5137/1019-5149.JTN.32554-20.2 AIM: To determine the effect of posterior vertebral column resection (PVCR) in patients with paraplegia by using the American Spinal Injury Association (ASIA) score and Scoliosis Research Society (SRS)-22 questionnaire.

MATERIAL and METHODS: Twelve patients with posttraumatic paraplegia and severe angular kyphosis (>60?) had undergone PVCR between 6-24 months after the trauma for severe pain, persistent vertebral instability and difficulty in adherence to rehabilitation. ASIA scores and SRS-22 questionnaire results obtained in the preoperative and postoperative periods, and the last control were statistically compared to assess the presence of any change.

RESULTS: The average age of twelve patients included in this study was 35.6 ± 10.2 (21-51) years. Female/male ratio was 2/10 (20.0%). The mean follow-up duration was 50.3 ± 17.6 (24-86) months. None of the patients had additional changes in neuromonitoring records during surgery. The mean preoperative kyphotic angle of the patients was 66.58° ± 7.1? (60?-82?) which decreased to 7.0? ± 5.4? in the postoperative period (p<0.05). The mean ASIA score, which was 43.3 ± 5.1 preoperatively, increased to 44.4 ± 4.4 in the postoperative period. The SRS-22 score, which was 2.4 ± 0.3 in the preoperative period, increased to 4.2 ± 0.4 in the early postoperative period. This increase was found to be statistically significant (p<0.05). The SRS-22 score was 4.1 ± 0.4 at last follow-up and was not statistically different from the early postoperative value (p>0.05).

CONCLUSION: In the light of these data, it can be stated that PVCR is a safe and reliable procedure in paraplegic patients with rigid posttraumatic kyphosis and increases patient satisfaction. Keywords : Posttraumatic kyphosis, Paraplegia, ASIA score, SRS-22 questionnaire, PVCR

Corresponding author : I. Teoman BENLI, cutku@ada.net