For citation purposes: Jindal N, Sharma R, Jindal R, Garg SK. Kummell?s disease: literature update and challenges ahead. Hard Tissue 2013 Dec 30;2(5):45.

Case report

 
Spinal Surgery

Kummell’s disease: literature update and challenges ahead

N Jindal, R Sharma, R Jindal, SK Garg
 

Authors affiliations

(1) Department of Orthopaedics, Government Medical College Hospital, Sector 32, Chandigarh, India 160030

(2) Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India 160012

* Corresponding author Email: nipun17online@gmail.com

Abstract

Introduction

Osteonecrosis of the vertebral body, also known as Kummell’s disease, occurs relatively rarely after vertebral compression fractures. However, as the life expectancy and resulting osteoporosis are on the rise, the incidence of the disease is bound to increase. We attempt to review the literature and discuss the future challenges about this not so well-known entity. The update is accompanied by a representative case report.

Case Report

A 58-year-old physician presented with pain in mid-back region for a period of 15 days with a similar episode 5 months back lasting 3 weeks. Diagnosis of Kummell’s disease was established on history pattern and radiographic examination. Anterior decompression and posterior pedicle screw fixation was performed in same sitting.

Conclusion

A thorough knowledge of Kummell’s disease and index of suspicion in appropriate situations is necessary for detection and discharge of effective treatment.

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