Percutaneous vertebroplasty for the treatment of burst fractures

Abstract

<jats:p content-type="fine-print">✓ Percutaneous vertebroplasty is a useful procedure for patients with vertebral osteoporotic compression fractures; however, there has been no mention in the literature of the use of percutaneous vertebroplasty for the treatment of traumatic spinal fractures. The authors report the case of a 33-year-old man who harbored L-1, L-2, and L-5 burst fractures sustained in a work-related accident. The patient was successfully treated by percutaneous vertebroplasty with polymethylmethacrylate. The authors propose this procedure as a useful intervention in selected patients with lumbar burst fractures. The complications associated with major surgical procedures are absent.</jats:p>

Vertebroplasty for the Treatment of Traumatic Nonosteoporotic Compression Fractures

“…[24][25][26] Several small studies have demonstrated encouraging results for the use of vertebroplasty for the treatment of painful nonosteoporotic vertebral compression fractures. 2,5 A small study of patients with traumatic compression fractures found a decrease in pain in all subjects with limited extravasation of cement, all of which was asymptomatic. 3 Our results confirmed these results with a larger patient population and for a longer duration of follow-up.…”

“…1 However, the literature regarding the use of vertebroplasty for traumatic, nonosteoporotic, and/or non-neoplastic, compression fractures remains limited, with studies restricted to a small number of patients. [2][3][4][5] The use of vertebroplasty for patients with traumatic vertebral fractures is complicated by the complexity of the injuries and the multifaceted demographics of the patient population itself. 6 Of particular concern is the potential for traumatic vertebral fractures to have more endplate fracturing, leading to increased cement leakage.…”

Experimental and Computational Approach Investigating Burst Fracture Augmentation Using PMMA and Calcium Phosphate Cements

“…Vertebroplasty, involving the percutaneous injection of liquid bone cement into the fracture site, has only recently been considered as a possible alternative to traditional surgical treatment of burst fractures, and there is still only a limited number of clinical case studies reporting its use 1,9,10,15,26. These studies concluded that the treatment has the potential to reduce reliance on painkillers and increase mobility 26…”

Papel del refuerzo vertebral mediante cifoplastia en el tratamiento de las fracturas dorsolumbares de índole no osteoporótico: Revisión del tema y análisis de 40 casos

“…Únicamente apreciaron una fuga intradiscal del material de refuerzo (polimetilmetacrilato) a nivel L4-L5, sin clínica asociada, reiniciando el paciente las actividades de la vida diaria a los tres meses del procedimiento 15 . Del mismo modo, Burton et al 10 establecieron la posibilidad del uso del refuerzo vertebral mediante vertebroplastia en las fracturas en estallido de origen osteoporótico, a raíz de la experiencia comunicada por Nakano et al 55 .…”