2013
DOI: 10.1007/s00586-013-2972-5
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Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial

Abstract: Compared with simple PKP, percutaneous internal fixation with PKP is a valuable surgical option for the treatment of selected elderly patients with thoracolumbar burst fractures.

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Cited by 38 publications
(36 citation statements)
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“…Although theoretically more likely for InF/PF than ImF, we did not encounter any clinically relevant leakage in either group similar to other series [30]. Additionally, several biomechanical and clinical studies suggest that cementoplasty may enhance screw fixation and optimise biomechanics [25][26][27][28][29]; and all our unfavourable local cement augmentation evolution rated at imaging follow-up occurred in non-cemented cases. Although definitive proof is lacking [24], it is probably an effective and safe option to optimise screw fixation with PMMA injection when it is performed under continuous fluoroscopic guidance.…”
Section: Discussionsupporting
confidence: 65%
“…Although theoretically more likely for InF/PF than ImF, we did not encounter any clinically relevant leakage in either group similar to other series [30]. Additionally, several biomechanical and clinical studies suggest that cementoplasty may enhance screw fixation and optimise biomechanics [25][26][27][28][29]; and all our unfavourable local cement augmentation evolution rated at imaging follow-up occurred in non-cemented cases. Although definitive proof is lacking [24], it is probably an effective and safe option to optimise screw fixation with PMMA injection when it is performed under continuous fluoroscopic guidance.…”
Section: Discussionsupporting
confidence: 65%
“…The combination of kyphoplasty with percutaneous pedicle fixation described by He et al [40] is very persuasive. This was a prospective randomised trial comparing the two treatments.…”
Section: Kyphoplasty and Vertebroplastymentioning
confidence: 99%
“…Currently, most authors prefer an anterior-only or posterior-only approach surgical technique to treat unstable thoracolumbar burst fractures and good results had been reported [17][18][19][20]. Hitchon et al [21] reported that a 5% (2/38) failure rate treated by anterior instrumentation alone and a repeated surgery that involved posterior instrumentation-augmented with fusion was required, and a rate of 8% (2/25) with posterior instrumentation complications necessitating repeated operation in unstable thoracolumbar burst fractures.…”
Section: Discussionmentioning
confidence: 99%
“…The procedure of PPSF has been described in further detail in our previous study ( Fig. 1) [17]. Using the percutaneous instruments, adequate distraction of the posterior column was performed and then instruments were locked.…”
Section: Surgical Techniquementioning
confidence: 99%