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.

Percutaneous Image-Guided Screw Fixation of Bone Lesions in Cancer Patients: Double-Centre Analysis of Outcomes including Local Evolution of the Treated Focus

“…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.…”

The Michel Benoist and Robert Mulholland Yearly European Spine Journal Review: a survey of the “surgical and research” articles in the European Spine Journal, 2013

“…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.…”

Combined posterior percutaneous pedicle screw fixation with delayed anterior monosegmental column reconstruction for unstable thoracolumbar burst fractures

“…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.…”

“…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.…”