{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:15:38Z","timestamp":1783016138814,"version":"3.54.6"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["51877097"],"award-info":[{"award-number":["51877097"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004761","name":"Natural Science Foundation of Hainan Province","doi-asserted-by":"publisher","award":["824MS165"],"award-info":[{"award-number":["824MS165"]}],"id":[{"id":"10.13039\/501100004761","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>K\u00fcmmell disease is a prevalent spinal condition characterized by vertebral fractures and subsequent spinal nerve injury, significantly impacting patients' quality of life and imposing a considerable economic burden on society. Current treatment modalities, including percutaneous vertebroplasty (PVP) and kyphoplasty (PKP), often fail to alleviate symptoms or restore vertebral height in advanced stages of the disease, highlighting the urgent need for improved surgical interventions. This study aims to evaluate the surgical outcomes of short\u2010segment fixation combined with leverage reduction technique in patients with K\u00fcmmell disease accompanied by kyphosis deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on 22 patients who were treated with short\u2010segment fixation and leverage reduction technique between 2020 and 2023. Clinical evaluation, including operation time, blood loss volume, and postoperative complications, were collected. The visual analog scale (VAS) score for pain and Frankel classification were used to evaluate the patients' functional outcome. The radiographic analysis included local kyphotic angle (LKA), regional kyphotic angle (RKA), anterior vertebral height (AVH), posterior vertebral height (PVH), and sagittal compression (SC). The student\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test and the\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2010test (or the Fisher exact test) were used to compare the outcome measures between the preoperative group and postoperative group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results demonstrate that the surgical technique led to limited intro\u2010operative blood loss (average 85.7\u2009\u00b1\u200929.4\u2009mL) and short surgery duration (average 100.1\u2009\u00b1\u200936.3\u2009min), and significantly improved pain status postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Average vertebral height restoration reached 83%\u2009\u00b1\u200914% of predicted normal height, with mean kyphotic angle correction of 19.32\u00b0\u2009\u00b1\u20096.27\u00b0. Notably, the proportion of patients classified as Frankel grade D and E improved significantly at the last follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), indicating favorable neurological recovery. Although there was an instance of cement leakage, no severe complications such as internal fixation failure or neurological damage occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results suggest that short\u2010segment fixation combined with leverage reduction technique is a promising surgical strategy for patients with K\u00fcmmell disease and kyphosis deformity, effectively alleviating pain, restoring vertebral height, and promoting neurological recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70337","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:04:51Z","timestamp":1781247891000},"page":"1518-1528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Combine Short\u2010Segment Fixation and Leverage Reduction Technique to Correct Kyphotic Angle in K\u00fcmmell's Disease"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4052-1000","authenticated-orcid":false,"given":"Yunwei","family":"Long","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangzi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delu","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Wenchang Hospital Huazhong University of Science and Technology  Wenchang Hainan People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7079-9212","authenticated-orcid":false,"given":"Xiangyu","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaoxu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.13004\/kjnt.2023.19.e13"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198\u2010006\u20100172\u20104"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234\u2010018\u20102042\u20100"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650070413"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010128\u201010\u2010199805150\u201000001"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010013\u20102686\u20108"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010008\u20100753\u20103"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2017.0505.010"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2010.07.139"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2817"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.04.013"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115204"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220984129"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.52312\/jdrs.2024.1834"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2024.1395197"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.7507\/1002\u20101892.202205081"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.14065"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00024720\u2010200608000\u201000008"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2015.58.1.54"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/147323001204000202"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2024.09.116"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.01.124"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000035177"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010022\u201003038\u2010z"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1515\/med\u20102024\u20100983"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201082132\u20100"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2347274.637"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.14187"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.35235"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2024.1498882"}],"container-title":["Orthopaedic 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