Viewing 1 post (of 1 total)
  • Author
    Posts
  • gm1973
    Participant
    Post count: 10

    Dear Dr. Corenman

    I have contacted you before about this matter. I am interested to hear your opinion about the operative technique to correct a 30 degree T12 PTK.
    I am a young, previously very fit and active, male. I broke T12 over two years ago in a ski accident. In the last couple of years, I have also been diagnosed with osteoporosis, have had 7 more fractures at L5 and T6-T11 (all treated with kyphoplasties), have had xlif fusion at L2-L3, and several rounds of injections. My osteoporosis is apparently due to indolent systemic mastocytosis and a pituitary tumour so I guess when my parents told me I was one in a million, they weren’t lying…
    I have had pamidronate and then zoledronic acid infusions for the osteoporosis and I also take vitamin D and calcium and do lots of walking for exercise. I don’t actually have an awful lot of pain any more and I don’t take painkillers regularly. Despite all the other injuries, it is just the T12 kyphosis that still bothers me now. I have plenty of discomfort and driving is often hard. I have lost about 7cm height and my abdomen is distended giving me a beer-belly look despite having lost weight. The kyphotic deformity around T12 measures about 30 degrees and there is what looks like foraminal stenosis on left side of T12-L1.
    At some point, when my bone health has shown signs of improvement, I would like to get myself straightened out. I understand it is a big ordeal but I would rather get it done when I am younger and better able to recover. My surgeon is trying to avoid it but has proposed a corpectomy with expandable cage reconstruction done through a lateral extracavitary approach. Another surgeon suggested pedicle subtraction osteotomy. I would like to know if you have any opinion on the best surgical technique to correct a thoracolumbar PTK? What is the recovery time and will I be able to ski again? (That is my motivation to keep going!)

    thank you!

Viewing 1 post (of 1 total)
  • You must be logged in to reply to this topic.