J Korean Neurosurg Soc.  2018 Jan;61(1):1-9. 10.3340/jkns.2017.0505.010.

Posttraumatic Delayed Vertebral Collapse : Kummell's Disease

Affiliations
  • 1Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea. swchoi@cnu.ac.kr

Abstract

Posttraumatic delayed vertebral collapse, known as Kummell's disease, is increasing in number of patients. This disease is already progressive kyphosis due to vertebral collapse at the time of diagnosis and it causes intractable pain or neurologic deficit due to intravertebral instability. Treatment is very difficult after progression of the disease, and the range of treatment, in hospital day, and cost of treatment are both increased. Clinical features, pathogenesis and radiologic findings of these disease groups were reviewed to determine risk factors for delayed vertebral collapse. The purpose of this article is to suggest appropriate treatment before vertebral collapse for patients with osteoporotic vertebral compression fracture who have risk factors for posttraumatic delayed vertebral collapse.

Keyword

Osteoporosis; Vertebral fracture; Osteonecrosis; Intravertebral cleft; Kummell's disease

MeSH Terms

Diagnosis
Fractures, Compression
Humans
Kyphosis
Neurologic Manifestations
Osteonecrosis
Osteoporosis
Pain, Intractable
Risk Factors
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