Abstract
Background
The osteoporotic vertebral compression fractures (OVCF) have attracted more and more attention due to increase in life span globally and aging population. Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) have been popularized rapidly by virtue of their unique advantage in minimal invasiveness. We analysed our results in osteoporotic thoracolumbar fractures using percutaneous kyphoplasty and posterior screw rod system. To investigate the possibility of treatment of rupture of the posterior vertebral osteoporotic fractures by means of kyphoplasty combined with the posterior screw-rod system.
Materials and Methods
Twenty six patients (65 years of age or older) with the single spine fractures included in study. The preoperative bone mineral density was measured by dual-energy X-ray. The PKP was done in all the cases. Decompression was done if neurological symptoms were present.
Results
The results demonstrated osteoporosis with BMD T value ≦-2.5; injured posterior vertebral body (3 cases) had shown the whole damage accompanied by neurological symptoms through X-ray or CT After 2 days, the remaining patients of back pain symptoms were relieved or disappeared except for three cases of patients with decompression incision. VAS score and Cobb angle changed from preoperative 8.23 ± 0.17 and 28.7 ± 0.33° respectively to postoperative 3.77 ± 0.44 and 3.8 ± 0.2° respectively.
Conclusion
Treatment of rupture of the posterior vertebral osteoporotic thoracolumbar fractures by means of kyphoplasty combined with posterior screw-rod system is a safe, effective procedure.
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References
Kotwica Z, Saracen A. Early and long term outcomes of vertebroplasty for single osteoporotic fractures. Neurol Neurochir Pol 2011;45:431–5.
Tang H, Zhao J, Hao C. Osteoporotic vertebral compression fractures: Surgery versus nonoperative management. Int Med Res 2011;39:1438–47.
Muijs SP, van Erkel AR, Dijkstra PD. Treatment of painful osteoporotic vertebral compression fractures: A brief review of the evidence for percutaneous vertebroplasty. Bone Joint Surg Br 2011;93:1149–53.
Robinson Y, Heyde CE, Försth P, Olerud C. Kyphoplasty in osteoporotic vertebral compression fractures-guidelines and technical considerations. Orthop Surg Res 2011;196:43.
Kamano H, Hiwatashi A, Kobayashi N, Fuwa S, Takahashi O, Saida Y, et al. New vertebral compression fractures after prophylactic vertebroplasty in osteoporotic patients. AJR Am J Roentgenol 2011;197:451–6.
Yan D, Duan L, Li J, Soo C, Zhu H, Zhang Z. Comparative study of percutaneous vertebroplasty and kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Arch Orthop Trauma Surg 2011;131:645–50.
Williams AL, Al-Busaidi A, Sparrow PJ, Adams JE, Whitehouse RW. Under-reporting of osteoporoticvertebral fractures on computed tomography. Eur J Radiol 2009;69:179–83.
McGirt MJ, Parker SL, Wolinsky JP, Witham TF, Bydon A, Gokaslan ZL. Vertebroplasty and kyphoplasty for the treatment of vertebral compression fractures: An evidenced-based review of the literature. Spine J 2009;9:501–8.
Gill JB, Kuper M, Chin PC, Zhang Y, Schutt R Jr. Comparing pain reduction following kyphoplasty and vertebroplasty for osteoporotic vertebral compression fractures. Pain Physician 2007;10:583–90.
Chen CM, Chen L, Gu Y, Xu Y, Liu Y, Bai X, et al. Kyphoplasty for chronic painful osteopprptic vertebral compression fracture via unipedicular approachment: A comparative study in early stage. Injury 2010;41:356–9.
Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987;33:166–8.
Ha KY, Lee JS, Kim KW, Chon JS. Percutaneous vertebroplasty for vertebral compression fractures with and without intravertebral clefts. J Bone Joint Surg Br 2006;88:629–33.
Piazzolla A, De Giorgi S, Solarino G, Mori C, De Giorgi G. Vertebral body reconstruction system B-Twin versus corset following nonosteoporotic Magerl A1.2 thoracic and lumbar fracture. Functional and radiological outcome at 12 month followup in a prospective randomized series of 50 patients. Orthop Traumatol Surg Res 2011;97:846–51.
Eser O, Aslan A, Coşar M, Kalkan E, Albayrak R. Kyphoplasty method for the treatment of traumatic osteoporotic vertebral compression fractures: Case report. Ulus Travma Acil Cerrahi Derg 2010;16:95–7.
Zou J, Mei X, Gan M, Lu J, Yang H. Is kyphoplasty reliable for osteoporotic vertebral compression fracture with vertebral wall deficiency? Injury 2010;41:360–4.
Blondel B, Fuentes S, Metellus P, Adetchessi T, Pech-Gourg G, Dufour H. Severe thoracolumbar osteoporotic burst fractures: Treatment combining open kyphoplasty and short-segment fixation. Orthop Traumatol Surg Res 2009;95:359–64.
Fuentes S, Blondel B, Metellus P, Adetchessi T, Gaudart J, Dufour H. Open kyphoplasty for management of severe osteoporotic spinal fractures. Neurosurgery 2009;64:350–4.
Hashimoto T, Kaneda K, Abumi K. Relationship between traumatic spinal canal stenosis and neurologic deficits in thoracolumbar burst fractures. Spine (Phila Pa 1976) 1988;13:1268–72.
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Wu, J., Xu, YQ., Chen, HF. et al. Percutaneous kyphoplasty combined with the posterior screw-rod system in treatment of osteoporotic thoracolumbar fractures. IJOO 47, 230–233 (2013). https://doi.org/10.4103/0019-5413.111496
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DOI: https://doi.org/10.4103/0019-5413.111496