Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

Abstract

To evaluate the clinical safety and efficacies of percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and percutaneous mesh-container-plasty (PMCP) for the treatment of vertebral compression fractures (VCFs), a retrospective study of 90 patients with VCFs who had been treated by PVP (n = 30), PKP (n = 30), and PMCP (n = 30) was conducted. The clinical efficacies of these three treatments were evaluated by comparing their PMMA cement leakages, cement patterns, height restoration percentages, wedge angles, visual analogue scales (VAS), and oswestry disability index (ODI) at the pre- and post-operative time points. 6.67%, 3.33%, and 0% of patients had PMMA leakage in PVP, PKP, and PMCP groups, respectively. Three (solid, trabecular, and mixed patterns), two (solid and mixed patterns), and one (mixed patterns) types of cement patterns were observed in PVP, PKP, and PMCP groups, respectively. PKP and PMCP treatments had better height restoration ability than PVP treatment. PVP, PKP, and PMCP treatments had significant and similar ability in pain relief and functional recovery ability for the treatment of VCFs. These results indicate minimally invasive techniques were effective methods for the treatment of VCFs. Moreover, these initial outcomes suggest PMCP treatment may be better than both PVP treatment and PKP treatment.

Comparison of Percutaneous Mesh-Container-Plasty and Pedicle Screw Fixation Plus Vertebroplasty for Thoracolumbar Osteoporotic Vertebral Burst Fractures: A Retrospective Study

“…However, a major disadvantage of PKP is cement leakage, loss of the restored height and kyphotic alignment after balloon de ation prior to cement injection [16,17] . Therefore, pedicle screw xation combined with vertebroplasty and mesh container were developed for the advantages of safety in cement leakage, height restoration and improvement in segmental kyphosis [8,10] .…”

“…In order to avoid these complications, percutaneous mesh-container-plasty (PMCP) [8] and pedicle screw…”

Perkutan Transpedikuler Vertebroplastide Kemik Cimento Kacagi: Yirmi Hastanin Analizi

“…Daha sonra yöntem ağrılı osteoporotik vertebra kırıkları , spinal metastaz, multipl myelom ve agresif hemanjiomların tedavisinde de kullanılmaya başlamıştır(2-9). PVP işleminde kemik çimento (polimetilmetakrilat -PMMA) vertebra cisminin içerisine transpediküler yolla enjekte edilir ve hızlı ağrı kontrolü ile vertebranın anterior kolonunun stabilizasyonu için kullanılmış olur (10,11). PVP minimal invaziv bir yöntemdir ancak komplikasyonları sıktır; ancak bu komplikasyonların çoğu klinik bulgu vermeksizin ortaya çıkar (12)(13)(14)(15)(16).…”

“…Resim 3 a,b:Paravertebral bölgeye kaçağın göründüğü sagittal tomografi kesitleri TARTIŞMA PVP nin bazı yaygın komplikasyonları anesteziye bağlı olanlar, tromboflebit, yara yeri enfeksiyonu ve kemik çimento kaçağıdır.Kemik çimento kaçağı çok sık görülmektedir ancak genellikle asemptomatiktir. Çimento kaçağı yapılan çalışmalarda %10 dan %90 a kadar değişen değişik oranlarda görülmüştür (10,11,20,25,26). Bunun dışında pek çok majör komplikasyon ve hatta ölüm bildirilmiştir.…”

Experimental substantiation of osteotransplant application in traumatic vertebral defects

“…Дефекты костной ткани, возникающие при переломе тела позвонка, требуют реконструктивного хирургического вмешательства и имплантации различных материалов для восстановления формы тела позвонка и создания благоприятных условий для его консолидации [23][24][25].…”