Aktueller Stand der Vertebroplastie und Kyphoplastie in Deutschland

Krüger, Antonio; Hierholzer, J.; Bergmann, Martin; Oberkircher, Ludwig; Ruchholtz, Steffen

doi:10.1007/s00113-012-2185-0

Cited by 6 publications

(2 citation statements)

References 35 publications

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“…In cases of insufficient conservative treatment, surgical approach should be considered [23]. The best results of VB fracture reduction is achieved when the surgical procedure is performed in first the 6 weeks after injury; therefore, 71 % of the surgeons operate patients within the first 2 weeks after injury [5]. Furthermore, surgical treatment should be considered when directly after injury, 20 % or more in VB height reduction or progressive VC imbalance is diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous extrapedicular vertebroplasty with expandable intravertebral implant in compression vertebral body fracture in pediatric patient—technical note

et al. 2016

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PurposeThe aim of the article is to present the new extrapedicular percutaneous technique for posttraumatic vertebral column fracture.MethodsA 15-year-old boy needed a surgical Th8 posttraumatic vertebral body (VB) compressive fracture reduction due to insufficient conservative treatment and consistent severe clinical symptoms. After 6 months of external Jevett long-roll brace stabilization, progressive sagittal balance disturbance of thoracic kyphosis was measured and persistent clinical symptoms were observed. It was decided to present a surgical technique method allowing to attempt to reduce VB fracture, rebalance the vertebral column (VC) without any motion limitation, and decrease clinical symptoms. The procedure was performed percutaneously from extrapedicular approach with intravertebral implant (Spine Jack®—Vexim™) and cement (Interface®—Vexim™) under fluoroscopic imaging (Ziehm™ 8000®).ResultsThe whole procedure was uneventful. Now, the child is free from clinical symptoms and the partial reduction of VB fracture was achieved. The patient has been followed for 3 months. In the control CT scans, the VB fracture reduction is stable and no progression of thoracic kyphosis angle is observed. Furthermore since the surgical procedure, the patient is clinical symptom free.ConclusionThe extrapedicular percutaneus technique of VB fracture reduction with intravertebral fixation allowed to partially reduce the VB compressive fracture, rebalance the VC without any motion limitation, avoid external long-roll brace, and eliminate clinical symptoms. The procedure is minimally invasive, fast, and clinically effective. However, the technique should be restricted only to carefully selected clinical cases.

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Section: Discussionmentioning

confidence: 99%

Percutaneous extrapedicular vertebroplasty with expandable intravertebral implant in compression vertebral body fracture in pediatric patient—technical note

et al. 2016

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“…Fractures of the vertebral body have a prevalence of approximately 10–15% in patients over 50 years of age. They may be treated by a vertebroplasty and/or kyphoplasty as accepted procedures in this clinical setting [1–3]. Kyphoplasty provides a minimally invasive method for the stabilisation of fractured vertebral bodies with the largest extent of decompression through a balloon system.…”

Section: Introductionmentioning

confidence: 99%

Properties and clinical application safety of antibiotic-loaded bone cement in kyphoplasty

Opalko¹,

Bösebeck

Vogt

2019

J Orthop Surg Res

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Background Evidence on antibiotic-loaded bone cement remains too vague to guide kyphoplasty in patient care. We clinically evaluated the properties and benefits of a new low viscosity polymethylmethacrylate (PMMA) bone cement loaded with gentamicin. Methods In this non-randomised, monocentric, prospective open trial, 50 consecutively enrolled patients with fractures of the vertebral body (TH7-L4) due to osteoporosis or trauma were investigated between 2010 and 2013, with a 1-year post-op follow-up per patient. The antibiotic-loaded PMMA bone cement was administered to patients during the surgery according to the standard procedure established on site for one-staged kyphoplasty. The clinical outcome was assessed according to function and pain by standardised anamnesis, clinical investigation, validated visual analogue scale (VAS) vertebral spine score, Oswestry Low-Back-Pain (ODI) Disability score, and Short Form (SF)-36 score. We further performed X-ray and magnetic resonance imaging with radiomorphometric assessment. Results The patients showed beneficial effects concerning low back pain disability (mean ODI score; screening, 68.0 ± 15.8% vs month 12, 42.8 ± 24.5%). The pain level was decreased (VAS vertebral spine score; screening, 68.8 ± 17.6 vs month 12, 43.8 ± 22.2) and the general health state was improved (SF-36; especially ‘role limitations due to emotional problems’ (51.9 ± 44.7; month 6), followed by ‘role limitations due to physical health’ (36.1 ± 42.4; month 6), and ‘pain’ (34.6 ± 35.3; month 6)). No vertebral infection did occur during the hospital stay or the 1-year follow-up. The stabilisation and restoration of the fractured bodies were radiologically confirmed. A reduced rate of leakage was observed, combined with a decreased risk of infection and an improved patient safety after a 1-year follow-up period. Conclusion Requirements for bone cement in a kyphoplasty setting were excellently fulfilled. Application technique and cement properties may influence the success of the surgery. Trial registration Deutsche Institut für Medizinische Dokumentation und Information (DIMDI), HM-KS-0901, Registered 14 September 2009, https://www.dimdi.de/dynamic/de/medizinprodukte/datenbankrecherche/

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Zementaugmentation an der Wirbelsäule

et al. 2015

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Aktueller Stand der Vertebroplastie und Kyphoplastie in Deutschland

Abstract: Nationwide kyphoplasty and vertebroplasty are widely used by surgeons. The number of users as well as the annual number of cases in each center are increasing continuously. The partially incomplete present state of the studies must be validated by future high-quality, randomized studies.

Cited by 6 publications

References 35 publications

Percutaneous extrapedicular vertebroplasty with expandable intravertebral implant in compression vertebral body fracture in pediatric patient—technical note

Percutaneous extrapedicular vertebroplasty with expandable intravertebral implant in compression vertebral body fracture in pediatric patient—technical note

Properties and clinical application safety of antibiotic-loaded bone cement in kyphoplasty

Zementaugmentation an der Wirbelsäule

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