Is kyphoplasty reliable for osteoporotic vertebral compression fracture with vertebral wall deficiency?

Injury
Jun ZouHui-Lin Yang

Abstract

Vertebral compression fractures are a common clinical manifestation of osteoporosis. The introduction of kyphoplasty has allowed minimally invasive treatment of these fractures. However, in patients with loss of vertebral wall integrity, balloon kyphoplasty is contraindicated due to the possibility of extruding wall fragments into the canal and cement extravasation. We evaluated the efficacy and safety of kyphoplasty in the treatment of vertebral compression fractures in patients with compromised vertebral walls using individualised surgical techniques to avoid cement extravasation. Symptomatic vertebral fractures (59 fractures in 55 patients) were treated by kyphoplasty. In levels with compromised anterior vertebral walls, two distinct sequential applications of cement were performed to avoid anterior leakage. In levels that demonstrated posterior or lateral wall deficiencies, the cement was injected under live fluoroscopy to monitor lateral or posterior extravasation. Radiographic outcomes were evaluated by comparing pre- and postoperative anterior/middle vertebral body height and local kyphotic angle. Clinical outcomes were evaluated by comparing Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) values preopera...Continue Reading

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Citations

Feb 3, 2012·Operative Orthopädie und Traumatologie·D KrappingerR Schmid
Apr 6, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Huilin YangYan Yang
Apr 22, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Zhonglai QianGuizhong Wu
Jul 9, 2010·Orthopedics·Huilin YangLiang Chen
Nov 5, 2014·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Anchalee ChurojanaGuillaume Saliou
Sep 23, 2016·Spine·Huilin YangTao Liu
Nov 19, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Junxin ZhangTao Liu

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