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Intracorporal bone grafting for vertebral compression fractures with intraosseous vacuum phenomenon

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Abstract

From April 1998 to January 2000 we treated 14 patients with vertebral osteoporotic compression fractures and intraosseous vacuum phenomenon with intracorporal bone grafting using a mixture of autogenous bone graft and calcium sulfate and posterior instrumentation. The mixture was packed into the fractured vertebral body through two tunnels created in the pedicles. Eleven patients were followed for a minimum of 24 months. All vertebral bodies healed. There were no perioperative complications. The average vertebral height restoration was 31%. On the visual analogue scale, there was an improvement of average 37 clinical scores.

Résumé

D'avril 1998 à janvier 2000 nous avons traité 14 malades atteint de fractures vertébrales ostéoporotiques par compression avec phénomène de vide intraosseux avec instrumentation postérieure et greffe intracorporelle utilisant un mélange d'os autogène et de sulfate du calcium. Le mélange a été introduit dans le corps vertébral à travers deux tunnels créés dans les pédicules. Onze malades ont été suivis avec un minimum de 24 mois. Il n'y avait pas de complication peropératoire. Les corps vertébraux ont tous consolidé. La restauration de la hauteur vertébrale moyenne était de 31%. Sur l'échelle analogique visuelle il y avait une amélioration moyenne de 37 dans le score clinique.

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References

  1. Berlemann U, Ferguson SJ, Nolte LP, et al (2002) Adjacent vertebral failure after vertebroplasty. A biomechanical investigation. J Bone Joint Surg [Br] 84:748–752

    Google Scholar 

  2. Bhalla S, Reinus WR (1998) The linear intravertebral vacuum: a sign of benign vertebral collapse. Am J Roentgenol 170:1563–1569

    CAS  Google Scholar 

  3. Borrelli J Jr, Prickett W, Ricci W (2003) Treatment of nonunions and osseous defects with bone graft and calcium sulfate. Clin Orthop 411:245–254

    PubMed  Google Scholar 

  4. Bird SB, Dickson EW (2001) Clinically significant changes in pain along the visual analog scale. Ann Emerg Med 38:639–43

    CAS  PubMed  Google Scholar 

  5. Garfin SR, Yuan HA, Reiley MA (2001) New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26:1511–1515

    CAS  PubMed  Google Scholar 

  6. Gitelis S, Piasecki P, Turner T et al (2001) Use of a calcium sulfate–based bone graft substitute for benign bone lesions. Orthopedics 24:162–166

    CAS  PubMed  Google Scholar 

  7. Glancy GL, Brugioni DC, Filert RE et al (1991) Autograft versus allograft for benign lesions in children. Clin Orthop 262:28–33

    PubMed  Google Scholar 

  8. Jang JS, Lee SH, Jung SK (2002) Pulmonary embolism of polymethylmethacrylate after percutaneous vertebroplasty: a report of three cases. Spine 27:E416–418

    PubMed  Google Scholar 

  9. Kelly CM, Wilkins RM, Gitelis S et al (2001) The use of a surgical grade calcium sulfate as a bone graft substitute: results of a multicenter trial. Clin Orthop 382:42–50

    PubMed  Google Scholar 

  10. Kostuik JP, Shapiro MB (2003) Open surgical treatment of osteoporotic fractures and deformity of the spine. Instr Course Lect 52:569–78

    PubMed  Google Scholar 

  11. Kümmell H (1895) Die rarefizierende Ostitis der Wirbelkrper. Deutsche Med 21:180–181

    Google Scholar 

  12. Lane JI, Maus TP, Wald JT et al (2002) Intravertebral clefts opacified during vertebroplasty: pathogenesis, technical implications, and prognostic significance. Am J Neuroradiol 23:1642–1646

    PubMed  Google Scholar 

  13. Lee BJ, Lee SR, Yoo TY (2002) Paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate: a case report. Spine. 27:E419–22

    Google Scholar 

  14. Mirzayan R, Panossian V, Avedian R et al (2001) The use of calcium sulfate in the treatment of benign bone lesions. A preliminary report. J Bone Joint Surg [Am] 83:355–358

    Google Scholar 

  15. Ng PP, Caragine LP Jr, Dowd CF (2002) Percutaneous vertebroplasty: an emerging therapy for vertebral compression fractures. Semin Neurol 22:149–156

    PubMed  Google Scholar 

  16. Peltier LF, Jones RH (1978) Treatment of unicameral bone cysts by curettage and packing with plaster of Paris pellets. J Bone Joint Surg [Am] 60:820–822

    Google Scholar 

  17. Turner TM, Urban RM, Gitelis S et al (2001) Radiographic and histologic assessment of calcium sulfate in experimental animal models and clinical use as a resorbable bone-graft substitute, a bone-graft expander, and a method for local antibiotic delivery. One institution's experience. J Bone Joint Surg [Am] 83 (Suppl) 2:8–18

    Google Scholar 

  18. Winn SR. Hollinger JO (2000) An osteogenic cell culture system to evaluate the cytocompatibility of Osteoset, a calcium sulfate bone void filler. Biomaterials. 21:2413–2425

    Google Scholar 

  19. Yeom JS, Kim WJ, Choy WS et al (2003) Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg [Br] 85:83–89

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, 333, Kweishan, Taoyuan, Taiwan, Republic of China

    Lih-Huei Chen, Po-Liang Lai, Chi-Chien Niu, Chih-Hwa Chen, Wen-Jer Chen & Tsai-Sheng Fu

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  1. Lih-Huei Chen
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  2. Po-Liang Lai
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  3. Chi-Chien Niu
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  4. Chih-Hwa Chen
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  5. Wen-Jer Chen
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  6. Tsai-Sheng Fu
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Correspondence to Lih-Huei Chen.

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No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Chen, LH., Lai, PL., Niu, CC. et al. Intracorporal bone grafting for vertebral compression fractures with intraosseous vacuum phenomenon. International Orthopaedics (SICOT) 28, 52–55 (2004). https://doi.org/10.1007/s00264-003-0504-3

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  • DOI: https://doi.org/10.1007/s00264-003-0504-3

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