Wedge vertebrae

Classification according to ICD-10
M80.-	Osteoporotic vertebral compression and wedge vertebrae
M40.2	Other and unspecified kyphosis
M48.5	Vertebral compression onA
ICD-10 online (WHO version 2019)

The term wedge vortex means that a vortex deviates from the normal shape. A healthy vertebra has an approximately rectangular cross-section in both the side and the front view of an X-ray . The front and rear edges are the same height, the base and cover plates are straight. If the leading edge is significantly lower than the trailing edge, this is called a wedge vortex. It is less common for a vertebra to be significantly lower on one side than on the other, then it is a lateral wedge vertebra . Wedge vertebrae can lead to the development of a curvature of the spine (the Düsseldorf surgeon Emil Karl Frey operated on such a scoliosis for the first time successfully by removing the wedge vertebra).

causes

Wedge formation as a result of Scheuermann's disease , often seen
Sintering fracture in osteoporosis , also quite common
Consequences of an accident (fracture), in adults after the use of force, more frequently in children
congenital deformations, rather rare
with vertebral malformations
as part of Calvé's disease (osteonecrosis of a vertebral body)
Lateral wedge vertebrae in neurofibromatosis , rare

therapy

The necessary treatment depends on the underlying disease.

Scheuermann changes can make a wide range of measures necessary, from physiotherapy and trunk orthotics to surgical correction.

Wedge fractures caused by osteoporosis initially require treatment of the underlying disease, while kyphoplasty is now (2005) established to correct the deformation .

Accidental injuries can often be brought under control with immobilization and subsequent plaster treatment; depending on the location of the injury, a diadem plaster, a plaster of paris according to Risser or according to Böhler is required.

Congenital malformations require surgical correction, depending on their severity.

Wedge vertebrae in dogs

Wedges also occur in dogs in some breeds. Hereditary predisposition is the subject of molecular genetic studies at the University of Veterinary Medicine, Hanover . Polygenic inheritance is suspected .

literature

F. Hefti: Children's orthopedics in practice . Springer 1998, ISBN 3-540-61480-X .

Individual evidence

↑ Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 444
↑ Hans Rudolf Berndorff : A life for surgery. Obituary for Ferdinand Sauerbruch. In: Ferdinand Sauerbruch: That was my life. Kindler & Schiermeyer, Bad Wörishofen 1951; used: license edition Bertelsmann, Munich 1956, pp. 456–478, here: p. 459.
^ Foundation of the University of Veterinary Medicine Hannover: Wedge vertebrae

[1] Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 444

[2] Hans Rudolf Berndorff : A life for surgery. Obituary for Ferdinand Sauerbruch. In: Ferdinand Sauerbruch: That was my life. Kindler & Schiermeyer, Bad Wörishofen 1951; used: license edition Bertelsmann, Munich 1956, pp. 456–478, here: p. 459.

[3] Foundation of the University of Veterinary Medicine Hannover: Wedge vertebrae