Real-life results of balloon kyphoplasty for vertebral compression fractures from the SWISSspine registry

Hübschle, Lars Michael; Borgström, Fredrik; Olafsson, G.; Röder, Christoph; Moulin, Patrick; Popp, Albrecht; Külling, Fabrice; Aghayev, Emin

doi:10.1016/j.spinee.2013.12.019

Cited by 17 publications

(16 citation statements)

References 51 publications

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“…15,[20][21][22] In a large cohort from the SWISSspine registry, a 21% rate for new spine fractures during 1 postoperative year after BKP was observed. 12 In a subcohort with monosegmental osteoporotic fractures from the SWISSspine registry, Spross et al revealed a preoperative segmental kyphosis > 30°, or patients with comorbidities such as rheumatoid arthritis and a cardiovascular disease, to be at high risk of adjacent-segment fracture after BKP within 6 months after the index surgery. 28 Thirteen percent of our cohort had a segmental kyphosis over 30°, and therefore had a particularly higher risk of adjacent-segment fracture according to the study by Spross et al 28 It is known that the cemented vertebra alters the modulus of stiffness.…”

Section: Discussionmentioning

confidence: 99%

“…The cement leakage rate after BKP in the SWISSspine registry was 22%. 12 An assessment using CT would have probably resulted in a higher cement leakage rate.…”

Section: Discussionmentioning

confidence: 99%

“…Vertebroplasty, balloon kyphoplasty (BKP), and vertebral body stenting (VBS) are probably the most frequently reported and used approaches. 7,12 Despite successful pain relief in 80%-90% 1,10,26 and improvement of quality of life with these approaches, 9,27 they all have certain limitations. Vertebroplasty is the least expensive procedure but involves a limited restoration of vertebral body height and correction of the kyphotic deformity.…”

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confidence: 99%

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Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures

Hoppe

Budmiger

Bissig

et al. 2016

SPI

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OBJECTIVE Vertebroplasty and balloon kyphoplasty are effective treatment options for osteoporotic vertebral compression fractures but are limited in correction of kyphotic deformity. Lordoplasty has been reported as an alternative, cost-effective, minimally invasive, percutaneous cement augmentation technique with good restoration of vertebral body height and alignment. The authors report on its clinical and radiological midterm results. METHODS A retrospective review was conducted of patients treated with lordoplasty from 2002 to 2014. Inclusion criteria were clinical and radiological follow-up evaluations longer than 24 months. Radiographs were accessed regarding initial correction and progressive loss of reduction. Complications and reoperations were recorded. Actual pain level, pain relief immediately after surgery, autonomy, and subjective impression of improvement of posture were assessed by questionnaire. RESULTS Sixty-five patients (46 women, 19 men, age range 38.9–86.2 years old) were treated with lordoplasty for 69 vertebral compression and insufficiency fractures. A significant correction of the vertebral kyphotic angle (mean 13°) and segmental kyphotic angle (mean 11°) over a mean follow-up of 33 months (range 24–108 months) was achieved (p < 0.001). On average, pain was relieved to 90% of the initial pain level. In 24% of the 65 patients a second spinal intervention was necessary: 16 distant (24.6%) and 7 adjacent (10.8%) new osteoporotic fractures, 4 instrumented stabilizations (6.2%), 1 new adjacent traumatic fracture (1.5%), and 1 distant microsurgical decompression (1.5%). Cement leakage occurred in 10.4% but was only symptomatic in 1 case. CONCLUSIONS Lordoplasty appeared safe and effective in midterm pain alleviation and restoration of kyphotic deformity in osteoporotic compression and insufficiency fractures. The outcomes of lordoplasty are consistent with other augmentation techniques.

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Section: Discussionmentioning

confidence: 99%

“…The cement leakage rate after BKP in the SWISSspine registry was 22%. 12 An assessment using CT would have probably resulted in a higher cement leakage rate.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures

Hoppe

Budmiger

Bissig

et al. 2016

SPI

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“…Several nation-wide registration systems for spinal surgery have been established in Sweden (Swespine) (Strömqvist and Jönsson 1993;Jansson et al 2003Jansson et al , 2004Jansson et al , 2005Öhrn et al 2011;Strömqvist et al 2013;Fritzell et al 2015), in Norway (NORspine) (Solberg et al 2013;Fredø et al 2014;Grotle et al 2014), in Switzerland (SWISSspine) (Schluessmann et al 2009;Aghayev et al 2012;Hübschle et al 2014), in Turkey (Utku et al 2010) and United Kingdom (Breakwell et al 2015). Except Swespine since 1992, they have a relatively shorter history.…”

Section: Nation-wide Spinal Surgery Registrymentioning

confidence: 99%

Increasing Incidence of Degenerative Spinal Diseases in Japan during 25 Years: The Registration System of Spinal Surgery in Tohoku University Spine Society

Aizawa

Kokubun

Ozawa

et al. 2016

Tohoku J. Exp. Med.

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Spinal disorders affect mainly older people and cause pain, paralysis and/or deformities of the trunk and/or extremities, which could eventually disturb locomotive functions. For ensuring safe and high-quality treatment of spinal disorders, in 1987, the Tohoku University Spine Society (TUSS) was established by orthopedic departments in Tohoku University School of Medicine and its affiliated hospitals in and around Miyagi Prefecture. All spine surgeries have been enrolled in the TUSS Spine Registry since 1988. Using the data from this registration system between 1988 and 2012, we demonstrate here the longitudinal changes in surgical trends for spinal disorders in Japan that has rushed into the most advanced "aging society" in the world. In total, data on 56,744 surgeries were retrieved. The number of spinal surgeries has annually increased approximately 4-fold. There was a particular increase among patients aged ≥ 70 years and those aged ≥ 80 years, with a 20-to 90-fold increase. Nearly 90% of the spinal operations were performed for degenerative disorders, with their number increasing approximately 5-fold from 705 to 3,448. The most common disease for surgery was lumbar spinal stenosis (LSS) (35.9%), followed by lumbar disc herniation (27.7%) and cervical myelopathy (19.8%). In 2012, approximately half of the patients with LSS and cervical myelopathy were ≥ 70 years of age. In conclusion, the number of spinal operations markedly increased during the 25-year period, particularly among older patients. As Japan has a notably aged population, the present study could provide a near-future model for countries with aging population.

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“…Potential serious complications may occur with the intraosseous injection of cement. The risk of extraosseous cement leakage in various series ranged between 3 and 74 % [5][6][7][8], with resultant neurological deficits such as radiculopathy and cord compression occurring in 0-3.7 and 0-0.5 %, respectively [5,6,[8][9][10]. The risk of pulmonary cement embolism lies between 3.5 and 23 % [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Lavage prior to vertebral augmentation reduces the risk for cement leakage

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Real-life results of balloon kyphoplasty for vertebral compression fractures from the SWISSspine registry

Cited by 17 publications

References 51 publications

Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures

Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures

Increasing Incidence of Degenerative Spinal Diseases in Japan during 25 Years: The Registration System of Spinal Surgery in Tohoku University Spine Society

Lavage prior to vertebral augmentation reduces the risk for cement leakage

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