Clinical Observations of <scp>Kümmell</scp> Disease Treatment Through Percutaneous Fixation Combined with Vertebroplasty

Gan, Donghao; Fang, Meng-Ze; Han, Xue; Tan, Guoqing; Li, Nianhu; Li, Zhichao; Xu, Zuojun

doi:10.1111/os.12935

Cited by 12 publications

(14 citation statements)

References 41 publications

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“…Once the patient's spinal cord or cauda equina nerve is compressed, it can also affect the function of the rectum or bladder to a certain extent. Therefore, the occurrence of osteoporosis will seriously affect the quality of life of elderly patients [ 4 ]. With the acceleration of the aging of the population, the proportion of osteoporosis is increasing year by year, which indirectly leads to the increase of the incidence of osteoporotic spinal compression fracture, and the thoracolumbar vertebral body is the most common spine fracture due to the large load bearing.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] Analysis of the Effect of Percutaneous Cone Shaping in Patients with Osteoporotic Vertebral Fractures

Fan

Bao

et al. 2022

Contrast Media & Molecular Imaging

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Objective. To study and analyze the clinical effect of percutaneous cone shaping in patients with osteoporotic vertebral fractures. Methods. A total of 100 patients with vertebral osteoporotic fracture treated in our hospital from June 2019 to September 2020 were selected, and there were 50 patients with vertebral osteoporotic fracture in each group. Patients could be divided into two groups according to different treatment plans: one group was vertebroplasty patients for group A, and the other group was nonsurgical treatment patients for group B. The incidence of complications during treatment and follow-up was recorded in both groups. Results. According to a study, both groups of patients completed the treatment and follow-up, no patients lost to follow-up or death, the VAS scores and ADL scores of patients before treatment were higher, and there was no significant difference at baseline ( P > 0.05 ). After different treatment methods, the VAS score and ADL score of group A showed good improvement after treatment compared with that before treatment, and there were certain differences within the group, with statistical significance ( P < 0.05 ). Intragroup comparison. The VAS scores of group B at 1 week, 1 month, 3 months, and 12 months after treatment were all superior to those before treatment, and the ADL scores at 1 month, 3 months, and 12 months after treatment were all superior to those before treatment, with statistically significant differences ( P < 0.05 ). VAS scores and ADL scores showed good improvement 1 day, 1 week, and 1 month after treatment compared with those before treatment. However, there were no significant differences in the VAS score and ADL score between the two groups at 3 and 12 months after treatment. The incidence of complications in group A is lower than that in group B. The incidence of complications in group A is as follows: there was 1 case of recurrent vertebral fracture and 1 case of urinary tract infection, and the overall incidence of complications was 4.00%. In group B, there were 1 case of recurrent fracture, 3 cases of bedsore, 2 cases of urinary tract infection, and 2 cases of pulmonary infection, and the incidence of total complications was 16.00%. After comparison between groups, there was a significant difference in the incidence of complications between the two groups, and the difference was statistically significant ( P < 0.05 ). Conclusions. Percutaneous cone plasty can provide rapid relief of pain symptoms in patients with osteoporotic vertebral fractures and significantly improve their daily activities. However, there was no significant difference in long-term recovery from group B. In terms of the incidence of complications, the incidence of complications in group A was lower than that in group B after certain treatment.

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Section: Introductionmentioning

confidence: 99%

[Retracted] Analysis of the Effect of Percutaneous Cone Shaping in Patients with Osteoporotic Vertebral Fractures

Fan

Bao

et al. 2022

Contrast Media & Molecular Imaging

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“…The vascular system of VB is extremely complicated ( 10 , 47 ). The central vascularity of the vertebral body which originated from vessels entering BF ( 48 , 49 ) is established during fetal development, while peripheral vessels persist after adolescence ( 50 ).…”

Section: Discussionmentioning

confidence: 99%

“…All the venous system is valveless, and it eventually drains to Vena Cava (7)(8)(9). Studies implied that BFs had a relationship with lots of diseases and phenomenons, such as tumor metastasis, postero-superior fragment in burst fracture of thoracolumbar spine and cement leakage of percutaneous vertebroplasty or kyphoplasty (type B cement leakage) (10). Our former research also revealed the presence of a connection between the basivertebral foramen and the intravertebral cleft (11), and the possibility of direct cement leakage into the spinal canal through the basivertebral foramen when PKP is performed in senior patients of osteoporotic vertebral fracture with intravertebral cleft (12).…”

Section: Introductionmentioning

confidence: 99%

Morphological features of basivertebral foramen among different age groups: Recognition in spine

2023

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BackgroundBasivertebral foramen (BF) is a vessel and nerve passage in the posterior wall of vertebral body (VB). Our goal was to report BF's morphological characteristics in different age groups of mainland Chinese adults and to evaluate the relationship between BF's morphology and factors such as age, gender, heavy work, size and level of VB.MethodsWe enrolled 300 adults among persons who came to our hospital for health examination. We measured BFs and VBs’ parameters on T1 weighted sagittal lumbar spine MR images. We also assessed following potential predictors: gender, body height, body weight, body mass index, alcohol use, habits of smoking and drinking, type of work (physical work or non-physical work). A stepwise multivariate linear regression analysis was conducted to identify predictors of BF's height.ResultsPeople above 60 have significantly bigger BFHr than those in young adulthood and in the middle ages at all five levels, while they have shallowest BFs, especially at L3. Multiple linear regression resulted in a formula that accounted for 30.1% of the variability in the height of basivertebral foramen. Significant predictors included: gender, age, level, vertebral height and heavy work.ConclusionAge is the highest weight in all factors on the height of BF. BF is closer to the upper endplate. The BF was relatively higher and deeper in the female lumbar spine. Heavywork results in lower BF. Last but not the least, as we supposed, BF gets shallower and higher compare to VB with age.Level of evidencePrognostic level III. See instructions for authors for a complete description of levels of evidence.

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“…Surgical treatment is more effective at quickly relieving pain, correcting kyphosis deformity, and reducing the complications resulting from long-term bed rest, and is therefore widely employed. Surgical treatment mainly includes PVP, PKP, and open anterior and posterior surgery (16)(17)(18)(19)(20)(21)(22). However, it remains unclear as to which type of surgery is most suitable for each type of Kümmell disease (23,24).…”

Section: Discussionmentioning

confidence: 99%

Analysis of strategy and efficacy clinical treatments of Kümmell disease: a cohort study

Xu¹,

Ding²,

Xu³

et al. 2022

Ann Transl Med

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Background: Most clinical reports on the surgical treatment of kümmell disease lack consistency between classification and treatment protocol. In this study, we investigate the most appropriate and effective clinical treatment strategies according to the characteristics of different types of Kümmell disease.Methods: A retrospective analysis was performed of 48 patients with Kümmell disease treated in Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China for which complete follow-up data were available. All cases were classified into six types: type I, vertebral body height loss less than 20% and no intervertebral disc degeneration from adjacent segments; type II, vertebral body height loss more than 20% and accompanied by degeneration or mild instability of intervertebral discs at adjacent segments; type III, posterior vertebral cortical rupture and dural sac compression, and some accompanied by spinal cord nerve injury. Type III includes type IIIA (recoverable stable type), type IIIB (recoverable unstable type), type IIIC (spinal stenosis type), and type IIID (kyphosis type). Methods of surgery: patients of types I, II, and IIIA were treated with percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP), type IIIB were treated with posterior fixation and fusion, type IIIC were treated with posterior decompression and fixation fusion, and type IIID were treated with posterior osteotomy, orthopedic fixation, and fusion. All patients were followed up for 10-44 months (mean, 20.5±4.5 months). The preoperative and postoperative visual analog scale (VAS) scores, Owestry disability index (ODI) scores, secondary height loss and kyphosis, and neurological improvement were followed up and statistically analyzed. Results:The VAS and ODI scores of all cases were improved compared with those pre-surgery (P<0.05).A total of 8 cases showed loss of vertebral height or secondary kyphosis. The American Spinal Injury Association (ASIA) grades of patients with neural impairment were all improved at the last follow-up.Conclusions: According to the characteristics of different types of Kümmell disease, appropriate clinical treatment strategies can achieve satisfactory curative effects and reduce the occurrence of complications.This study is only a retrospective study, lacks a control group, and the sample size is small. Therefore, it has limitations and does not provide guidance.

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Clinical Observations of Kümmell Disease Treatment Through Percutaneous Fixation Combined with Vertebroplasty

Cited by 12 publications

References 41 publications

[Retracted] Analysis of the Effect of Percutaneous Cone Shaping in Patients with Osteoporotic Vertebral Fractures

[Retracted] Analysis of the Effect of Percutaneous Cone Shaping in Patients with Osteoporotic Vertebral Fractures

Morphological features of basivertebral foramen among different age groups: Recognition in spine

Analysis of strategy and efficacy clinical treatments of Kümmell disease: a cohort study

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