Height restoration and maintenance after treating unstable osteoporotic vertebral compression fractures by cement augmentation is dependent on the cement volume used

Krüger, Antonio; Baroud, Gamal; Noriega, David; Figiel, Jens; Dorschel, Christine; Ruchholtz, Steffen; Oberkircher, Ludwig

doi:10.1016/j.clinbiomech.2013.06.007

Cited by 46 publications

(46 citation statements)

References 20 publications

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“…The latest developments in kyphoplasty include different implants that remain within the vertebra and restore the achieved reduction height temporarily until the cement is injected and hardened (Kruger et al, 2013;Rotter et al, 2010). However, none of these new procedures works without the additive use of cement (Kruger et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…The augmented vertebrae were loaded by cyclic sinusoidal dynamic compression to simulate daily loads acting on the vertebra due to patient's activity. For this purpose, 10,000 cycles were performed between 200 N and 600 N with a frequency of 1 Hz (Kruger et al, 2013). Following the cyclical testing all vertebrae were examined by CT for the fourth time.…”

Section: Mechanical Testingmentioning

confidence: 99%

“…This "third" generation of augmentation system uses specific implants that remain within the vertebra (Rotter et al, 2010). However, these implants also rely on cement injection to stabilize the vertebra permanently (Kruger et al, 2013). Using the combination of a permanent implant plus cement, it is now conceivable that the amount of cement can be reduced and so this augmentation could be an attractive opportunity for use in traumatic fractures in young and middle-aged patients (Wikipedia, 2014).…”

Section: Introductionmentioning

confidence: 98%

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Minimum cement volume required in vertebral body augmentation—A biomechanical study comparing the permanent SpineJack device and balloon kyphoplasty in traumatic fracture

Rotter

Schmitt

Gierer

et al. 2015

Clinical Biomechanics

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Section: Discussionmentioning

confidence: 99%

Section: Mechanical Testingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Minimum cement volume required in vertebral body augmentation—A biomechanical study comparing the permanent SpineJack device and balloon kyphoplasty in traumatic fracture

Rotter

Schmitt

Gierer

et al. 2015

Clinical Biomechanics

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“…50 Other recent studies report that cement volume is of the utmost importance for correcting deformities and maintaining vertebral height. 51 Sun et al 40 recently published their experience with 43 patients with spinal metastasis and epidural compression treated with percutaneous vertebroplasty. In this report, they state that the stopping point is determined when the cement reaches the posterior quarter of the vertebral body.…”

Section: Indications and Contra-indicationsmentioning

confidence: 99%

Controversies on Vertebroplasty and Kyphoplasty for Vertebral Compression Fractures

Teles

Mattei²,

Righesso

et al. 2015

Coluna/Columna

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Vertebroplasty and kyphoplasty are widely used for osteoporotic and cancer-related vertebral compression fractures refractory to medical treatment. Many aspects of these procedures have been extensively discussed in the literature during the last few years. In this article, we perform a critical appraisal of current evidence on effectiveness and ongoing controversies regarding surgical technique, indications and contraindications, clinical outcomes and potential complications of these procedures.

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“…Posterior fixation was accomplished with high viscosity polymethyl methacrylate (PMMA) cement (400 Pa) with zirconium oxide to improve visibility (Figure 2A-C) (26,27).…”

Section: Surgical Techniquementioning

confidence: 99%

Long-term benifts of percutaneous anatomical restoration of vertebral compression fractures linked to malignancy

Noriega

Krüger²,

Ramajo³

et al. 2015

Turkish Neurosurgery

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ABSTRACTwill develop spine symptoms, and approximately 40% to 70% of these patients will have multiple-level involvement (1,28,34).The development of VCF associated with malignancy deteriorates quality of life and increases pain, sagittal imbalance and abdominal and respiratory problems (2, 41). All of these symptoms are of great importance when dealing with the osteoporotic population (18) and are even more relevant for the cancer population (13,19,20,22,33). █ INTRODUCTIONSpine disease due to malignant lesions is common among cancer patients. The incidence of spine malignant disease varies from 30% to 70%, depending on the primary tumor (14, 30), although not all of these cases are symptomatic. The incidence of vertebral compression fracture (VCF) in multiple myeloma is 24%, 14% in breast cancer and 6% among prostate cancer. Approximately 10% of lung cancer patients AIM: To evaluate the efficacy, feasibility and safety of a percutaneous anatomical vertebral body reduction for the treatment of VCF (vertebral compression fracture) linked to malignancy. Vertebroplasty and percutaneous kyphoplasty have played essential roles in the treatment of painful vertebral metastasis, although there are few reports with long survival that have evaluated the long-term efficacy, adjacent fractures and vertebral body (VB) re-collapse associated with these procedures. We aimed to evaluate the longterm efficacy and the complications associated with malignancy and changes in spinal biomechanics. MATERIAL and METHODS:The retrospective study examined 32 patients with osteolytic VCF due to malignant infiltration of the vertebral body. A visual analogue scale, the EQ5 and radiological analysis (i.e., X-ray and CT scan) were used to assess back pain, quality of life and complications.RESULTS: Statistically significant reductions in anterior and central vertebral body heights (6.2 mm-19.6 ± 4.2 mm-and 5.8 mm-16.7 ± 7.8 mm-, respectively) that resulted in reductions of the regional Cobb angles exceeding 30% were observed. There was also a statistically significant improvement in quality of life. The average survival was longer than those reported in most published articles, and the average follow-up period was 30.9 months. CONCLUSION:Anatomical restoration (i.e., cortical ring reduction with endplate rebalancing) is potentially beneficial for a wellselected group of patients with spine metastases and long life expectancies because this procedure avoids the complications typical of these types of treatments (e.g., leakage, adjacent fractures and re-collapse).

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Height restoration and maintenance after treating unstable osteoporotic vertebral compression fractures by cement augmentation is dependent on the cement volume used

Cited by 46 publications

References 20 publications

Minimum cement volume required in vertebral body augmentation—A biomechanical study comparing the permanent SpineJack device and balloon kyphoplasty in traumatic fracture

Minimum cement volume required in vertebral body augmentation—A biomechanical study comparing the permanent SpineJack device and balloon kyphoplasty in traumatic fracture

Controversies on Vertebroplasty and Kyphoplasty for Vertebral Compression Fractures

Long-term benifts of percutaneous anatomical restoration of vertebral compression fractures linked to malignancy

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