Percutaneous vertebroplasty for treatment of thoracolumbar spine bursting fracture

Chen, Jyi-Feng; Lee, Shih‐Tseng

doi:10.1016/j.surneu.2003.10.049

Cited by 79 publications

(67 citation statements)

References 13 publications

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“…In the context of traumatology, the risk of cement leaking into the spinal canal is greater when the posterior wall has been damaged, as in the case of burst A3 [12] type fractures. In a study by Ryu [13], the risk of leakage was assessed depending on the volume of cement injected and the level treated.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous kyphoplasty and pedicle screw fixation for the management of thoraco-lumbar burst fractures

et al. 2010

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The study design includes prospective evaluation of percutaneous osteosynthesis associated with cement kyphoplasty on 18 patients. The objective of the study is to assess the efficacy of a percutaneous method of treating burst vertebral fractures in patients without neurological deficits. Even if burst fractures are frequent, no therapeutic agreement is available at the moment. We report in this study the results at 2 years with a percutaneous approach for the treatment of burst fractures. 18 patients were included in this study. All the patients had burst vertebral fractures classified type A3 on the Magerl scale, between levels T9 and L2. The patients' mean age was 53 years (range 22-78 years) and the neurological examination was normal. A percutaneous approach was systematically used and a kyphoplasty was performed via the transpedicular pathway associated with percutaneous short-segment pedicle screw osteosynthesis. The patients' follow-up included CT scan analysis, measurement of vertebral height recovery and local kyphosis, and clinical pain assessments. With this surgical approach, the mean vertebral height was improved by 25% and a mean improvement of 11.28°in the local kyphotic angle was obtained. 3 months after the operation, none of the patients were taking class II analgesics. The mean duration of their hospital stay was 4.5 days (range 3-7 days) and the mean follow-up period was 26 months (range 17-30 months). No significant changes in the results obtained were observed at the end of the follow-up period. Minimally invasive methods of treating burst vertebral fractures can be performed via the percutaneous pathway. This approach gives similar vertebral height recovery and kyphosis correction rates to those obtained with open surgery. It provides a short hospital stay, however, and might therefore constitute a useful alternative to open surgical methods.

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Section: Discussionmentioning

confidence: 99%

Percutaneous kyphoplasty and pedicle screw fixation for the management of thoraco-lumbar burst fractures

et al. 2010

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“…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.…”

mentioning

confidence: 99%

“…6 Of particular concern is the potential for traumatic vertebral fractures to have more endplate fracturing, leading to increased cement leakage. 5 Additionally, the characteristics of the nonosteoporotic bone itself may influence the efficacy of vertebroplasty. Due to the lack of knowledge about this patient population, this study serves to evaluate the use of vertebroplasty for traumatic compression fracture repair through a retrospective study.…”

mentioning

confidence: 99%

Vertebroplasty for the Treatment of Traumatic Nonosteoporotic Compression Fractures

Knavel

Thielen

Kallmes³

2008

AJNR Am J Neuroradiol

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“…In fact, high thoracic lesions have a risk of absconding up to 85.7% [25]. In spinal traumatology, this risk of passage of cement in the canal then compressing the nerve structures is also high given the fracture of the vertebral body that goes to the posterior wall in a burst fracture A3 [6]. Kyphoplasty decreases the risk of cement passage in the canal.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment allows for better reduction and faster ambulation of patients [5]. Percutaneous vertebroplasty or kyphoplasty techniques can treat A1 compression fractures and even A3 burst fractures [6] [7] and can be performed in addition to pedicle screw osteosynthesis [8].…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Lumbar and Thoracolumbar Spinal Fractures: Indications, Surgical Technique and Evaluation on a Series of 64 Patients Treated with Percutaneous Posterior Osteosynthesis Combined with Kyphoplasty or Anterior Arthrodesis

Kouitcheu¹,

Landry²,

Adonis³

et al. 2018

OJMN

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Introduction: Fractures of the lumbar spine and thoracolumbar junction are common in spinal trauma. The aim of this work is to analyze the nature of the indications, the morbidity as well as the results of these treatment regimens.Patients and Methods: A retrospective, single-center study, based on a review of 64 patients with lumbar spine and thoracolumbar junction fractures (T10-L2) without neurological disorders, was collected in the neurosurgery department of the North Hospital and University Hospital (CHU), Marseille over a period of 2 years from January 2015 to December 2016. Posterior percutaneous osteosynthesis were more or less associated with kyphoplasty preceded anterior arthrodesis. Clinical and radiological endpoints were collected at least 6 months later. Results: The mean follow-up was 9.5 months (6 -24).The clinical evaluation found a mean VAS at last follow-up at 14/100 (0 -30) and an average Oswestry score at the last follow-up at 88%. The initial average vertebral kyphosis went from 13˚ to 4˚ at the last follow-up with a correction loss of 1˚, an absolute gain of 8˚. No postoperative neurological complications were noted in our series. Conclusion: The implementation of a two-step therapeutic strategy with anterior reconstruction in Magerl's lumbar spine or A3.3 thoracolumbar junction fractures allows effective and long-lasting correction of lumbar lordosis and thoracic kyphosis, and obtaining a balanced

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Percutaneous vertebroplasty for treatment of thoracolumbar spine bursting fracture

Cited by 79 publications

References 13 publications

Percutaneous kyphoplasty and pedicle screw fixation for the management of thoraco-lumbar burst fractures

Percutaneous kyphoplasty and pedicle screw fixation for the management of thoraco-lumbar burst fractures

Vertebroplasty for the Treatment of Traumatic Nonosteoporotic Compression Fractures

Surgical Management of Lumbar and Thoracolumbar Spinal Fractures: Indications, Surgical Technique and Evaluation on a Series of 64 Patients Treated with Percutaneous Posterior Osteosynthesis Combined with Kyphoplasty or Anterior Arthrodesis

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