Screw-cutting vertebrae after short-segment pedicle screw fixation combined with kyphoplasty in Kummell disease: A case report

Han, Xianfu; Yang, Dan; Xie, Xingwen; Chai, Lijun

doi:10.1016/j.asjsur.2022.06.113

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…[24] is A common treatment for kyphosis or spinal fractures without neurological symptoms. [12,16,17,34] However, patients with KD have less bone mass, and there is a risk of screw loosening and removal over time. Therefore, some studies have claimed in certain research that the use of bone cement to reinforce the nail path can increase the strength of the control force based on open reduction and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Guo,

Qiu,

Liu

et al. 2024

Medicine

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The objective of this study was to evaluate the safety and efficacy of percutaneous pedicle screw fixation combined with bone cement augmentation in the management of stage III Kümmell disease without nerve deformity. A retrospective analysis was conducted on 17 patients diagnosed with stage III Kümmell disease without nerve deformity, who underwent treatment with percutaneous pedicle screw fixation combined with bone cement augmentation between April 2019 and 2022. Preoperative, postoperative, and final follow-up clinical outcome measures were collected, including Visual Analog Scale scores and Oswestry Disability Index scores. Additionally, lateral radiography was used to measure the Cobb angle and height of the anterior border of the affected vertebral body. Operative time, volume of injected bone cement, intraoperative cement leakage, and other complications were recorded. All patients underwent successful surgery, resulting in significant reductions in Visual Analog Scale scores, Oswestry Disability Index scores, and Cobb angle postoperatively; meanwhile there was a significant increase in height of the anterior border of the affected vertebral body. No major complications occurred during the follow-up period. In conclusion, percutaneous pedicle screw short-segment fixation combined with bone cement augmentation appears to be an effective surgical option for treating stage III Kümmell disease without nerve deformities.

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Section: Discussionmentioning

confidence: 99%

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Guo,

Qiu,

Liu

et al. 2024

Medicine

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“…Therefore, KD patients usually need surgical treatment such as percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) (Niu et al, 2017;Zhang et al, 2021). Internal fixation should also be considered when the patient's kyphosis is significant and compresses the spinal cord or neural structures (Gan et al, 2021;Han et al, 2022). Compared with common OVCF, KD tends to have a longer course of disease and have a greater likelihood of bone cement displacement after surgery due to the presence of hardened bone and defect of the peripheral cortex on either side of the IVC (Chen et al, 2015;Li et al, 2017).…”

Section: Open Access Edited By 1 Introductionmentioning

confidence: 99%

Customized Artificial Implants: Bionic Design and Multiscale Evaluation

2024

Frontiers Research Topics

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Frontiers is more than just an open access publisher of scholarly articles: it is a pioneering approach to the world of academia, radically improving the way scholarly research is managed. The grand vision of Frontiers is a world where all people have an equal opportunity to seek, share and generate knowledge. Frontiers provides immediate and permanent online open access to all its publications, but this alone is not enough to realize our grand goals. Frontiers journal seriesThe Frontiers journal series is a multi-tier and interdisciplinary set of openaccess, online journals, promising a paradigm shift from the current review, selection and dissemination processes in academic publishing. All Frontiers journals are driven by researchers for researchers; therefore, they constitute a service to the scholarly community. At the same time, the Frontiers journal series operates on a revolutionary invention, the tiered publishing system, initially addressing specific communities of scholars, and gradually climbing up to broader public understanding, thus serving the interests of the lay society, too. Dedication to qualityEach Frontiers article is a landmark of the highest quality, thanks to genuinely collaborative interactions between authors and review editors, who include some of the world's best academicians. Research must be certified by peers before entering a stream of knowledge that may eventually reach the public -and shape society; therefore, Frontiers only applies the most rigorous and unbiased reviews. Frontiers revolutionizes research publishing by freely delivering the most outstanding research, evaluated with no bias from both the academic and social point of view. By applying the most advanced information technologies, Frontiers is catapulting scholarly publishing into a new generation. What are Frontiers Research Topics?Frontiers Research Topics are very popular trademarks of the Frontiers journals series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area.

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“…For patients with stage III Kümmell's disease and accompanying spinal cord compression and severe vertebral collapse, the recommended surgical intervention is bone cement‐augmented short‐segment fixation (BCASSF) 13 . Several studies have demonstrated favorable outcomes with BCASSF in terms of alleviating back pain symptoms, restoring nerve function, and maintaining vertebral height 14–16 . On the other hand, PVP and PKP are advantageous for patients with stage I and II Kümmell's disease who lack neurological symptoms or are elderly and frail owing to their minimal invasiveness, high safety, and prompt postoperative recovery 17 …”

Section: Introductionmentioning

confidence: 99%

“…13 Several studies have demonstrated favorable outcomes with BCASSF in terms of alleviating back pain symptoms, restoring nerve function, and maintaining vertebral height. [14][15][16] On the other hand, PVP and PKP are advantageous for patients with stage I and II Kümmell's disease who lack neurological symptoms or are elderly and frail owing to their minimal invasiveness, high safety, and prompt postoperative recovery. 17 The application of PVP in the management of Kümmell's disease has been associated with a high incidence of leakage, up to 79%.…”

Section: Introductionmentioning

confidence: 99%

Feasibility Analysis of the Bone Cement‐Gelatine Sponge Composite Intravertebral Prefilling Technique for Reducing Bone Cement Leakage in Stage I and II Kümmell's Disease: A Prospective Randomized Controlled Trial

Zhou

Huang

Liao

et al. 2023

Orthopaedic Surgery

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Objective Bone cement leakage is a major complication of percutaneous vertebroplasty (PVP) while treating Kümmell's disease and it is a focus of close attention during the surgical procedure. The study aimed to investigate whether pre‐injecting a composite of bone cement and gelatine sponge (the “bone cement‐gelatine sponge composite”) before injecting bone cement during PVP aids in lowering the leakage rate in stage I and II Kümmell's disease. Methods This prospective analysis evaluated 74 patients with stage I and II Kümmell's disease who underwent PVP treatment at our hospital from December 2019 to December 2021. The participants were divided randomly into groups based on whether the bone cement‐gelatine sponge composite was used during the surgery. The two groups were the bone cement‐gelatine sponge composite group (GS group, comprising 37 patients) and the no bone cement‐gelatine sponge composite group (N‐GS group, comprising 37 patients). The independent samples t‐test and chi‐square test were employed to compare general information, operative time, cement injection volume, intraoperative bleeding, and bone cement leakage between the two groups. Additionally, the visual analogue scale (VAS) score, Oswestry disability index (ODI), anterior vertebral height ratio (AVHR), and the kyphotic Cobb angle were compared between the two groups at the preoperative, 2 days postoperative, and 6 months postoperative stages using repeated measures analysis of variance. Results All patients were followed up for more than 6 months, with an average of (11.19 ± 2.21) months. No significant differences were observed in terms of the operative time, cement injection volume, and intraoperative bleeding between the two groups (P > 0.05). The incidence of bone cement leakage in the N‐GS group (32.43%) was significantly higher than that in the GS group (5.41%), and the difference was statistically significant (P < 0.05). The VAS score and ODI of the two groups at postoperative 2 days and 6 months improved significantly (P < 0.05). The AVHR and kyphotic Cobb angle were corrected to a certain extent (P < 0.05); however, no significant difference was observed between the two groups (P > 0.05). Conclusion The bone cement‐gelatine sponge composite intravertebral prefilling technique can lower bone cement leakage in stage I and II Kümmell's disease and can also relieve pain and improve vertebral body height.

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Screw-cutting vertebrae after short-segment pedicle screw fixation combined with kyphoplasty in Kummell disease: A case report

Cited by 4 publications

References 2 publications

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Percutaneous short segmental fixation combined with bone cement augmentation for stage III Kümmell’s disease without nerve deformity

Customized Artificial Implants: Bionic Design and Multiscale Evaluation

Feasibility Analysis of the Bone Cement‐Gelatine Sponge Composite Intravertebral Prefilling Technique for Reducing Bone Cement Leakage in Stage I and II Kümmell's Disease: A Prospective Randomized Controlled Trial

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