Treatment of type-A3 amyelic thoracolumbar fractures (burst fractures) with kyphoplasty: initial experience

Carbognin, Giovanni; Sandri, Andrea; Girardi, V.; Regis, Dario; Calciolari, C.; Mansueto, Giancarlo; Bartolozzi, Pietro; Mucelli, Roberto Pozzi

doi:10.1007/s11547-008-0359-1

Cited by 10 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They showed that patients noticed an important clinical improvement after surgery. Despite the clinical improvement, there was a worsening of radiological parameters throughout the follow-up, unlike what occurred in our patients, in whom the improvement was maintained over time (14).…”

Section: Wwwpainphysicianjournalcomcontrasting

confidence: 87%

See 1 more Smart Citation

Treatment of Thoracolumbar Type A3 Fractures Using a Percutaneous Intravertebral Expandable Titanium Implant: Long-term Follow-up Results of a Pilot Single Center Study

et al. 2021

View full text Add to dashboard Cite

BACKGROUND: There are controversies about the optimal management of AO subtype A3 burst fractures. The most common surgical treatment consists of posterior fixation with pedicle screw and rod augmentation. Nevertheless, a loss of correction in height restoration and kyphotic reduction has been observed. OBJECTIVES: The aim of this study was to assess long-term outcomes of a minimally invasive technique using a percutaneous intravertebral expandable titanium implant (PIETI). STUDY DESIGN: This prospective, single center, pilot study was carried out on a consecutive case series of 44 patients with acute (< 2 weeks) traumatic thoracolumbar fractures AO type A3. The average follow-up was 5.6 years. SETTING: A single center in Castilla y Leon, Spain METHODS: Clinical outcomes (pain intensity on visual analog scale [VAS], Oswestry Disability Index [ODI], analgesic consumption) and radiographic outcomes (anterior/mid/posterior vertebral body height, vertebral area, local kyphosis angle, traumatic regional angulation) were analyzed before surgery, at one month after surgery, and at the end of the follow-up period. RESULTS: At one-month postsurgery, significant improvements in VAS score and ODI score were observed. PIETI achieved significant vertebral body height restoration with median height increases of 2.9 mm/4.3 mm/2.3 mm for anterior/middle/posterior parts, respectively. Significant correction of the local kyphotic angle and improvement of the traumatic regional angulation were accomplished. All these improvements were maintained throughout the follow-up period. The only complication reported was a case of cement leakage. LIMITATIONS: In our opinion, the main limitation of the study is the small number of patients. However, the sample is superior to that shown in other papers. CONCLUSIONS: This study showed that using a PIETI in the treatment of fractures type A3 is a safe and effective method that allows marked clinical improvement, as well as anatomical vertebral body restoration. Unlike with other treatments, results were maintained over time, allowing a better long-term clinical and functional improvement. The rate of cement leakage was lower than other reports. KEY WORDS: Traumatic thoracolumbar fractures, burst fractures, AO type A3 fractures, kyphoplasty, percutaneous intravertebral expandable titanium implant

show abstract

Section: Wwwpainphysicianjournalcomcontrasting

confidence: 87%

“…Carbognin et al (14) reported their preliminary experience with BKP using injection of acrylic cement in 4 patients with type A3 burst fractures. They showed that patients noticed an important clinical improvement after surgery.…”

Section: Wwwpainphysicianjournalcommentioning

confidence: 99%

Treatment of Thoracolumbar Type A3 Fractures Using a Percutaneous Intravertebral Expandable Titanium Implant: Long-term Follow-up Results of a Pilot Single Center Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Percutaneous kyphoplasty is one of the currently used methods for the surgical treatment of elderly patients with thoracolumbar burst fractures in spite of the cement leakage and other disputes [12][13][14]. It theoretically corrects kyphotic deformities, but in practice corrects kyphosis by postural reduction [15,16] and does not provide a strong correctional force during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial

Sheng

et al. 2013

Eur Spine J

View full text Add to dashboard Cite

show abstract

Early results after vertebral body stenting for fractures of the anterior column of the thoracolumbar spine

Klézl

Majeed

Bommireddy

et al. 2011

Injury

View full text Add to dashboard Cite

Treatment of type-A3 amyelic thoracolumbar fractures (burst fractures) with kyphoplasty: initial experience

Cited by 10 publications

References 8 publications

Treatment of Thoracolumbar Type A3 Fractures Using a Percutaneous Intravertebral Expandable Titanium Implant: Long-term Follow-up Results of a Pilot Single Center Study

Treatment of Thoracolumbar Type A3 Fractures Using a Percutaneous Intravertebral Expandable Titanium Implant: Long-term Follow-up Results of a Pilot Single Center Study

Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial

Early results after vertebral body stenting for fractures of the anterior column of the thoracolumbar spine

Contact Info

Product

Resources

About