2007
DOI: 10.1302/0301-620x.89b2.17928
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A biomechanical comparison of kyphoplasty using a balloon bone tamp versus an expandable polymer bone tamp in a deer spine model

Abstract: We performed a biomechanical study to compare the augmentation of isolated fractured vertebral bodies using two different bone tamps. Compression fractures were created in 21 vertebral bodies harvested from red deer after determining their initial strength and stiffness, which was then assessed after standardised bipedicular vertebral augmentation using a balloon or an expandable polymer bone tamp. The median strength and stiffness of the balloon bone tamp group was 6.71 kN (sd 2.71) and 1.885 kN/mm (sd 0.340)… Show more

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Cited by 16 publications
(12 citation statements)
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“…The present findings, together with those from future in vitro determinations of other cement properties as a function of PLMR, notably, the extent of extravasation of the cement outside the treated VB (a major complication, especially in VP7, 8, 45) in an appropriate animal spine model, such as spines of skeletally mature sheep46 and red deer,47 should inform clinicians in making decisions regarding the manipulation of the PLMR to be used in VP or BKP. It is realized, however, that the significance/implications of these findings can only be established through randomized, prospective, long‐term, multicentered clinical studies in which all variables (in particular, patient characteristics, notably, time between occurrence of compression VB fractures, and performance of VP or BKP), with the exception of the PLMR used, are the same between the study groups.…”
Section: Discussionmentioning
confidence: 72%
“…The present findings, together with those from future in vitro determinations of other cement properties as a function of PLMR, notably, the extent of extravasation of the cement outside the treated VB (a major complication, especially in VP7, 8, 45) in an appropriate animal spine model, such as spines of skeletally mature sheep46 and red deer,47 should inform clinicians in making decisions regarding the manipulation of the PLMR to be used in VP or BKP. It is realized, however, that the significance/implications of these findings can only be established through randomized, prospective, long‐term, multicentered clinical studies in which all variables (in particular, patient characteristics, notably, time between occurrence of compression VB fractures, and performance of VP or BKP), with the exception of the PLMR used, are the same between the study groups.…”
Section: Discussionmentioning
confidence: 72%
“…Currently, large animal models, such as sheep, pig, calf, baboon, deer, goat and dog spines have been used to substitute for human spine [1,7,11,12,17,18,21,22]. Before using animal models, it is necessary to study how the parameters of interest differ between species to be aware of the limitations of any particular animal model and to ensure conclusions reached are applicable to human.…”
Section: Discussionmentioning
confidence: 99%
“…Various large animals, such as pig, calf, sheep, baboon, deer, goat and dog spines as models have been used for in vivo and in vitro spinal research [1,7,11,12,17,18,21,22]. In vitro models consisting of cadaveric spine specimens are useful in providing basic understanding of the functioning of the spine.…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, it is necessary to identify suitable animal models as alternatives to the cadaveric human spine. In the past, the spines of various quadrupeds, such as pig, calf, sheep, goat, and dog, have been used as alternative models (Gurwitz et al, 1993;Nagata et al, 1993;Scifert et al, 1999;Baramki et al, 2000;van Dijk et al, 2002;Wilcox et al, 2004;Nuckley et al, 2007;Seel & Davies, 2007).…”
Section: Introductionmentioning
confidence: 99%