Short-segment pedicle screw fixation combined with vertebroplasty in the treatment of lumbar burst fracture: A case report

Huang, Weiwei; Liu, Junpeng; Han, Xianfu; Xie, Xingwen

doi:10.1016/j.asjsur.2022.10.096

Cited by 3 publications

(5 citation statements)

References 5 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%

“…Recently, short-segment pedicle screw fixation with PVP has been found to be more effective in the treatment of stage III KD with neurological deficits. [16,17] However, decompression and open surgery are not required for stage III KD without neurological deficits. Therefore, we hypothesized that percutaneous pedicle screw short-segment fixation combined with vertebroplasty could be an effective and safe procedure in patients with stage III KD without neurological deficits.…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

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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“…As mentioned earlier, there are no guidelines or expert consensus for the treatment of OVBF. However, PKP and pedicle screw system have been shown to be safe and effective, and both are consistent with therapeutic principles [3][4][5][6][7][8].…”

Section: Surgical Methodsmentioning

confidence: 97%

“…There are currently no guidelines or expert consensus on the treatment of OVBF. However, as a speci c type of spinal fracture, the classical surgical methods for the treatment of spinal fracture, such as PKP and pedicle screw system, have been applied to OVBF, and have achieved certain therapeutic effects [3][4][5][6][7][8]. Vertebroplasty was rst used to repaired bone destruction caused by vertebral hemangioma [9,10], and later widely used in the treatment of osteoporotic vertebral compression fracture.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of cement-augmented pedicle screw fixation combined with vertebroplasty and PKP alone in the treatment of osteoporotic vertebral burst fracture

Zheng,

Wu,

Guo

et al. 2023

Preprint

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To compare the clinical efficacy of cement-augmented pedicle screw fixation combined with vertebroplasty (PS-VP) and PKP alone in the treatment of osteoporotic vertebral burst fracture (OVBF), The clinical data of 41 OVBF patients admitted to our department from January 2017 to December 2022 were retrospectively analyzed, including 18 patients who underwent PS-VP and 23 patients who underwent PKP alone. The age, BMI, LSS, NRS, ODI, KA and AHR were compared between the two groups to assess the efficacy of the two procedures. The differences between the postoperative clinical indicators of the two procedures were statistically significant compared with the preoperative ones (P＜0.05). The NRS, ODI, KA and AHR showed great difference between the two groups at 6 months postoperatively(P＜0.05). The KA and AHR in the PS-VP group at 6 months postoperatively were close to those at 3 days (P＞0.05), whereas the KA in the PKP alone group at 6 months postoperatively was larger and AHR was lower than that at 3 days postoperatively with statistical significance (P＜0.05). To conclude, there is no significant difference in the near-term efficacy between PS-VP and PKP alone for OVBF, but the former has advantages in improving clinical symptoms and dysfunction, restoring height of the injured vertebra and maintaining spinal loading capacity in the medium and long term.

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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 ; Huang 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: Introductionmentioning

confidence: 99%

Biomechanical evaluation of a novel minimally invasive pedicle bone cement screw applied to the treatment of Kümmel’s disease in porcine vertebrae

Feng

Zhang

et al. 2023

Front. Bioeng. Biotechnol.

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Background and objective: Treatment of Kümmel’s Disease (KD) with pure percutaneous kyphoplasty carries a greater likelihood of bone cement displacement due to hardened bone and defect of the peripheral cortex. In this study, we designed a novel minimally invasive pedicle bone cement screw and evaluate the effectiveness and safety of this modified surgical instruments in porcine vertebrae.Methods: 18 mature porcine spine specimens were obtained and soaked in 10% formaldehyde solution for 24 h. 0.5000 mmol/L EDTA-Na2 solution was used to develop in vitro osteoporosis models of porcine vertebrae. They were all made with the bone deficiency at the anterior edge of L1. These specimens were randomly divided into 3 groups for different ways of treatment: Group A: pure percutaneous kyphoplasty (PKP) group; Group B: unilateral novel minimally invasive pedicle bone cement screw fixation combined with PKP group; Group C: bilateral novel minimally invasive pedicle bone cement screw fixation combined with PKP group. The MTS multi-degree of freedom simulation test system was used for biomechanical tests, including axial loading of 500 N pressure, range of motion (ROM) in flexion, extension, left/right lateral bending, and left/right axial rotation at 5 Nm, and the displacement of bone cement mass at maximum angles of 5° and 10°.Result: The three groups were well filled with bone cement, no leakage or displacement of bone cement was observed, and the height of the vertebrae was higher than pre-operation (p < 0.05). In the left/right axial rotation, the specimens were still significantly different (p < 0.05) from the intact specimens in terms of ROM after PKP. In other directions, ROM of all group had no significant difference (p < 0.05) and was close to the intact vertebrae. Compared with PKP group, the relative displacement of bone cement in groups B and C was smaller (p < 0.05).Conclusion: In the in vitro animal vertebral models, the treatment of KD with the placement of novel pedicle minimally invasive bone cement screw combined with PKP can effectively restore the vertebral height, improve the stability of the affected vertebra and prevent the displacement of bone cement. Biomechanically, there is no significant difference between bilateral and unilateral fixation.

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Short-segment pedicle screw fixation combined with vertebroplasty in the treatment of lumbar burst fracture: A case report

Cited by 3 publications

References 5 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

A comparative study of cement-augmented pedicle screw fixation combined with vertebroplasty and PKP alone in the treatment of osteoporotic vertebral burst fracture

Biomechanical evaluation of a novel minimally invasive pedicle bone cement screw applied to the treatment of Kümmel’s disease in porcine vertebrae

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