O-Arm Guided Balloon Kyphoplasty: Preliminary Experience of 16 Consecutive Patients
Balloon kyphoplasty is now widely used for the treatment of vertebral compression fractures. Excellent pain relief is achieved with cement injection, but the safety of the procedure relys on excellent radiological exposure. The balloon kyphoplasty technique is usually performed using one or two C-Arm devices to allow correct antero-posterior (AP) and lateral view throughout the surgical procedure. By definition, this minimal invasive spine surgery is associated with radiation exposure for both the patient and the surgeon. In our center, we recently moved from this way of proceeding to the use of an O-Arm image guidance system to perform cement augmentation in vertebral fractures.
To our knowledge, there is no clinical series describing the O-arm use in a balloon kyphoplasty procedure published in the scientific literature. We prospectively evaluate on 16 consecutive patients, the feasibility of the O-Arm guided kyphoplasty procedure with the original, usual tools, and we measured the fluoroscopy time and the X-ray exposure. We didn’t experience any device related problem and demonstrated a significant reduction of X-ray exposure and time of fluoroscopy. We believe that using this new intraoperative system, the overall time of surgery and fluoroscopy could still be reduced in a near future.
KeywordsBalloon kyphoplasty Minimal invasive spine surgery O-arm intraoperative system Radiation exposure during surgery Vertebral compression fractures
- 3.Silverman SL, Minshall ME, Shen W, Harper KD, Xie S (2001) The relationship of health-related quality of life to prevalent and incident vertebral fractures in postmenopausal women with osteoporosis: results from the Multiple Outcomes of Raloxifene Evaluation Study. Arthritis Rheum 44:2611–2619PubMedCrossRefGoogle Scholar
- 10.Bouza C, Lopez T, Magro et al (2006) Efficacy and safety of balloon kyphoplasty in the treatment of vertebral compression fractures: a systematic review. Eur Spine JGoogle Scholar
- 12.Komp M, Ruetten S, Godolias G (2004) Minimally invasive therapy for functionally unstable osteoporotic vertebral fracture by means of kyphoplasty: prospective comparative study of 19 surgically and 17 conservatively treated patients. J Miner Stoffwechs 11(Suppl 1):13–15Google Scholar
- 13.Tarantino U, Cannata G, Lecce D et al (2007) Incidence of fragility fractures. Aging Clin Exp Res 19 :7–11Google Scholar