Kümmell씨 병의 정의, 진단, 병태생리 및 치료
Definition, Diagnosis, Pathophysiology and Treatment of Kümmell’s Disease
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초록
Over 100 years ago, Hermann Kümmell described a clinical condition in which patients sustained a trivial trauma, had essentially asymptomatic period lasting weeks to months, then developed a painful, progressive angular kyphosis. Since then, many post-traumatic delayed kyphosis have been reported as a Kümmell’s disease. As a radiologic finding of intravertebral cleft sign was related to this delayed collapse, this abnormal gas or fluid signal in the involved vertebral body was considered as a pathognomic sign. However, recent evidences indicate this delayed progressive collapse and kyphosis of the spine is related to osteoporotic spine fracture in many reports. At this point, by defining and reviewing the definition and etiology of Kümmell’s disease, we have to look into whether Kümmell’s disease is a distinct or rare pathophysiologic entity or a complicated clinical result of osteoporotic spine fracture. In this review, author tried to clearly define the definition and diagnosis criteria to diagnose Kümmell’s disease as a complicated osteoporotic spine fracture and review treatment modalities for this complicated clinical condition.
Abstract
Over 100 years ago, Hermann Kümmell described a clinical condition in which patients sustained a trivial trauma, had essentially asymptomatic period lasting weeks to months, then developed a painful, progressive angular kyphosis. Since then, many post-traumatic delayed kyphosis have been reported as a Kümmell’s disease. As a radiologic finding of intravertebral cleft sign was related to this delayed collapse, this abnormal gas or fluid signal in the involved vertebral body was considered as a pathognomic sign. However, recent evidences indicate this delayed progressive collapse and kyphosis of the spine is related to osteoporotic spine fracture in many reports. At this point, by defining and reviewing the definition and etiology of Kümmell’s disease, we have to look into whether Kümmell’s disease is a distinct or rare pathophysiologic entity or a complicated clinical result of osteoporotic spine fracture. In this review, author tried to clearly define the definition and diagnosis criteria to diagnose Kümmell’s disease as a complicated osteoporotic spine fracture and review treatment modalities for this complicated clinical condition.
참고문헌 (26)
- Steel HH, "Kümmell's disease", Am J Surg, 81, pp.161~167 (1951)
- Schulz, Carl, "Weitere Erfahrugen Uber traumatische Wirbelerkrankugen (Spondylitis traumatica)", BeitrzklinChir, 27, pp.363~378 (1911)
- Ma R, "Kümmell's disease: delayed post-traumatic osteonecrosis of the vertebral body", Eur Spine J, 19, pp.1065~1070 (2010)
- Matzaroglou C, "Kümmell's disease: A rare spine entity in a young adult", Hll J Nucl Med, 13, pp.52~55 (2010)
- Swartz K, "Kümmell's disease: a case report and literature review", Spine, 33, pp.152~155 (2008)
- Yang H, "Kyphoplasty for the treatment of Kümmell's disease", Orthopedics, 33, pp.479~ (2010)
- Verneuil A, "Vertebral collapse following strenous muscular exertion", Bull Acad de med Paris, 28, pp.496~ (1892)
- Hashidate H, "Pseudoarthrosis of vertebral fracture: radiographic and characteristic clinical features and natural history", J Orthop Sci, 11, pp.28~33 (2006)
- Kumpan W, "The intravertebral vacuum phenomenon", Skeletal Radiol, 15, pp.444~447 (1986)
- Maldague BE, "The intravertebral vacuum cleft: a sign of ischemic vertebral collapse", Radiology, 129, pp.23~29 (1978)
- Sarli M, "The vacuum cleft sign: an uncommon radiological sign", Osteoporosis Int, 16, pp.1210~1214 (2005)
- McKiernan F, "Intravertebral clefts in osteoporotic vertebral compression fractures", Arthritis Rheum, 48, pp.1414~1419 (2003)
- Benedek TG, "Delayed traumatic vertebral body compression fracture", Semin Arthritis Rheum, 10, pp.271~277 (1981)
- Chou LH, "Idiopathic avascular necrosis of a vertebral body. Case report and literature review", Spine, 22, pp.1928~1932 (1997)
- Prakash LV, "Vertebral body integrity: a review of various anatomical factors involved in the lumbar region", Osteoporosis Int, 18, pp.891~903 (2007)
- Hasegawa K, "Vertebral pseudarthrosis in the osteoporotic spine", Spine, 23, pp.2201~2206 (1998)
- Thomsen JS, "Zonedependent changes in human vertebral trabecular bone: clinical implications", Bone, 30, pp.664~669 (2002)
- 손종민, "진행성 골다공증성 척추골절의 위험인자", 대한척추외과학회지, 16(3), pp.153~159 (2009), 대한척추외과학회
- Fabbriciani G, "Osteoanabolic therapy: a non-surigcal option of treatment for Kümmell's disease", Rheumatol Int (2010)
- van der Schaaf I, "Percutaneous vertebroplasty as treatment for Kümmell's disease", JBR-BTR, 92, pp.83~85 (2009)
- Hee Sun Wang, "Delayed Bone Cement Displacement Following Balloon Kyphoplasty", 대한신경외과학회지, 43(4), pp.212~214 (2008), 대한신경외과학회
- Yoon ST QA, "Kyphoplasty for salvage of a failed vertebroplasty in osteoporotic vertebral compression fractures: case report and surgical technique", J Spinal Disord Tech, 18, pp.129~134 (2005)
- Ha KY, "Revision surgery after vertebroplasty or kyphoplasty", Clin Orthop Surg, 2, pp.203~208 (2010)
- Lee SH, "Cement augmented anterior reconstruction with short posterior instrumentation: a less invasive surgical option for Kümmell's disease with cord compression", J Clin Neurosci, 18, pp.509~514 (2011)
- Suk SI, "Anterior-posterior surgery versus posterior closing wedge osteotomy in posttraumatic kyphosis with neurologic compromised osteoporotic fracture", Spine, 28, pp.2170~2175 (2003)
- Uchida K, "Anterior versus posterior surgery for osteoporotic vertebral collapse with neurological deficit in the thoracolumbar spine", Eur Spine J, 15, pp.1759~1767 (2006)