A case of surgery for kyphosis of the thoracolumbar spine in an elderly patient with dysphagia

Kazuo Nakanishia, Kentarou Yamane, Masato Tanaka, Haruo Misawa, Kenta Saiga, Toshifumi Ozaki

Research output: Contribution to journalArticle

Abstract

Here we report a case of surgery for kyphosis of the thoracolumbar spine in an elderly patient, in whom surgery was performed because the patient had developed intractable digestive symptoms. The case was that of a 76-year-old female with complaints of back pain and dysphagia. When videofluoroscopicexamination (VF) of swallowing was performed in the cardia of the stomach, images that indicatedstagnation and the reflux of food were observed. It was easier for the patient to swallow food in the extension position. We performed corrective fusion of the posterior spine. After the surgery, the kyphosis angle was improved to 27°, the patient's back pain was alleviated, and it became easier for the patient to swallow food. VF also showed that the patient's difficulties with the passage of food had improved. We believe that surgery is a good treatment option for cases of kyphosis with digestive symptoms and deteriorating activities of daily living (ADL), even in the absence of pain and paralysis. VF is also useful for performing evaluations before and after surgery.

Original languageEnglish
Pages (from-to)211-214
Number of pages4
JournalActa medica Okayama
Volume65
Issue number3
Publication statusPublished - Jun 1 2011

Keywords

  • Dysphagia
  • Fusion
  • Kyphosis
  • Videofluoroscopic examination of swallowing (VF)

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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