Skip to main content
SpringerLink
Log in

Special indications and techniques of balloon kyphoplasty

  • Chapter
Balloon Kyphoplasty

Abstract

In this chapter we describe special techniques that are required in difficult situations. The normal balloon kyphoplasty technique has to be modified in cases of neurological deficits with compression of the spinal cord or nerve roots and in the case of metastatic changes. Of course it is up to the surgeon to combine the conventional balloon kyphoplasty technique with an open reduction in the case of compression syndromes (Fig. 48) in order to avoid an anterior operation.

a Female, metastatic vertebral body compression of T11 with unknown primary tumor, incomplete neurological failures of the lower extremities. Clear spinal stenosis. b Surgical treatment with laminectomy and open balloon kyphoplasty of T11 and dorsal instrumentation of T9 to L1 with dorsolateral cancellous bone graft

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Baba Y, Ohkubo K, Hamada K, et al (1997) Percutaneous vertebroplasty for osteolytic metastasis: a case report. Nippon Igaku Hoshasen Gakkai Zasshi 57: 880–882

    PubMed  CAS  Google Scholar 

  • Barlogie B, Jagannath S, Desikan K, et al (1999) Total therapy with tandem transplants of newly diagnosed multiple myeloma. Blood 93: 55–65

    PubMed  CAS  Google Scholar 

  • Berenson A, Lichtenstein A, Porter L, et al (1996) Efficacy of palmidronate in reducing skeletal events in patients with advanced multiple myeloma. N Engl J Med 22; 334(8): 488–493

    Article  CAS  Google Scholar 

  • Berlemann U, Müller CW, Krettek C (2004) Perkutane Augmentierungtechniken der Wirbelsäule. Orthopäde 33(1): 6–12

    Article  PubMed  CAS  Google Scholar 

  • Callander NS, Roodman GD (2001) Myeloma bone disease. Semin Hematol 38: 276–285

    Article  PubMed  CAS  Google Scholar 

  • Cardon T, Hachulla E, Flipo RM, et al (1994) Percutaneous vertebroplasty with acrylic cement in the treatment of a Langerhans cell vertebral histiocytosis. Clin Rheumatol 13: 518–521

    Article  PubMed  CAS  Google Scholar 

  • Castel E, Lazennec JY, Chiras J, et al (1999) Acute spinal cord compression due to intraspinal bleeding from a vertebral hemangioma: two case-reports. Eur Spine J 8: 244–248

    Article  PubMed  CAS  Google Scholar 

  • Dudeney S, Lieberman IH, Reinhardt MK, Hussein M (2002) Kyphoplasty in the treatment of osteolytic vertebral compression fractures as a result of multiple myeloma. J Clin Oncol 20(9): 2382–2387

    Article  PubMed  CAS  Google Scholar 

  • Fourney DR, Schomer DF, Nader R, et al (2003) Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg Spine 98(1): 21–30

    Google Scholar 

  • Galibert P, Deramond H (1990) Percutaneos acrylic vertebroplasty as a treatment of vertebral angioma as well as painful and debilitating diseases. Chirurgie 116: 326–334

    PubMed  CAS  Google Scholar 

  • Grundmann E (1986) Spezielle Pathologie. Urban & Schwarzenberg, München

    Google Scholar 

  • McHorney CA, Ware JE Jr, Raczek AE (1993) The MOS 36-Item Short-Form Health Survey (SF-36). II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31(3): 247–263

    Article  PubMed  CAS  Google Scholar 

  • Perrin C, Jullien V, Padovani B, et al (1999) Percutaneous vertebroplasty complicated by pulmonary embolus of acrylic cement. Rev Mal Respir 16: 215–217

    PubMed  CAS  Google Scholar 

  • Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6): 473–483

    Article  PubMed  Google Scholar 

  • Wetzel SG, Martin JB, Somon T, Wilhelm K, Rufenacht DA (2002) Painful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty. Spine 27(22): 493–495

    Article  Google Scholar 

References

  • Boszczyk B, Bierschneider M, Potulski M, Robert B, Vastmans J, Jaksche H (2002) Erweitertes Anwendungsspektrum der Kyphoplastie zur Stabilisierung der osteoporotischen Wirbelfraktur. Unfallchirurg 105: 952–957

    Article  PubMed  CAS  Google Scholar 

  • Boszczyk BM, Bierschneider M, Schmid K, Grillhösl A, Robert B, Jaksche H (2004) Microsurgical interlaminary vertebro-and kyphoplasty for severe osteoporotic fractures. J Neurosurg 100: 32–37

    PubMed  Google Scholar 

  • Wenger W, Markwalder TM (1999) Surgically controlled, transpedicular methyl methacrylate vertebroplasty with flouroscopic guidance. Acta Neurochir (Wien) 141: 625–631

    Article  CAS  Google Scholar 

References

  • Dickman C, Fessier RG, MacMillan M, et al (1992) Transpedicular screw-rod fixation of the lumbar spine: operative technique and outcome in 104 cases. J Neurosurg 77: 860–870

    PubMed  CAS  Google Scholar 

  • Essens S, Sacs BL, Drezyin V (1993) Complications associated with the technique of pedicle screw fixation: a selected survey of ABC members. Spine 18: 2231–2239

    Google Scholar 

  • Steffee AD, Sitkowski DJ, Topham LS (1986) Total vertebral body and pedicle arthroplasty. Clin Orthop Relat R 203: 203–208

    Google Scholar 

  • Steffee AD, Sitkowsky DJ (1988) Reduction and stabilization of grade IV spondylolisthesis. Clin Orthop Relat R 227: 82–89

    CAS  Google Scholar 

  • von Strempel A, Kühle J, Plitz W (1994) Stabilität von Pedikelschrauben. Teil 2: Maximale Auszugskräfte unter Berücksichtigung der Knochendichte. Z Orthop 132: 82–86

    Google Scholar 

  • von Strempel A, Seidel T, Plitz W (1994) Stabilität von Pedikelschrauben. Teil 1: Maximale Auszugskräfte bei knochengesunden Stammwirbelsäulen unter Berücksichtigung der Bohrtechnik. Z Orthop 132: 75–81

    Google Scholar 

  • Wittenberg RH, Shea M, Swartz DE, Lee KS, White III AA, Hayes WC (1991) Importance of bone mineral density in instrumented spine fusions. Spine 16: 647–652

    Article  PubMed  CAS  Google Scholar 

  • Zucherman J, Hsu K, White A, Wynne G (1988) Early results of spinal fusion using variable spine plating system. Spine 13: 570–579

    PubMed  CAS  Google Scholar 

References

  • Allen BL Jr, Jinkins WJ 3rd (1987) Vertebral osteonecrosis associated with pancreatitis in a child. A case report. J Bone Joint Surg Am 60(7): 985–987

    Google Scholar 

  • Antonacci MD, Mody DR, Rutz K, Weilbaecher D, Heggeness MH (2002) A histologic study of fractured human vertebral bodies. Journal of Spinal Disorders & Techniques 15(2): 118–126

    Google Scholar 

  • Bhalla S, Reinus WR (1998) The linear intravertebral vacuum: a sign of benign vertebral collapse. Am J Roentgenol 170(6): 1563–1569

    CAS  Google Scholar 

  • Brower AC, Downey EF Jr (1981) Kummell disease: report of a case with serial radiographs. Radiology 141(2): 363–364

    PubMed  CAS  Google Scholar 

  • Chou LH, Knight RQ (1997) Idiopathic avascular necrosis of a vertebral body. Case report and literature review. Spine 22(16): 1928–1932

    CAS  Google Scholar 

  • Garfin SR, Yuan HA, Reiley MA (2001) New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26(14): 1511–1515

    Article  PubMed  CAS  Google Scholar 

  • Hasegawa K, Homma T, Uchiyama S, Takahashi H (1998) Vertebral pseudarthrosis in the osteoporotic spine. Spine 23(20): 2201–2206

    Article  PubMed  CAS  Google Scholar 

  • Hutter CD (2000) Dysbaric osteonecrosis: a reassessment and hypothesis. Med Hypotheses 54(4): 585–590

    Article  PubMed  CAS  Google Scholar 

  • Huy MD, Jensen ME, Marx WF, Kallmes DF (1998) Percutaneous vertebroplasty in vertebral osteonecrosis (Kümmell’s spondylitis). Neurosurg Focus (1), Article 2 (online journal)

    Google Scholar 

  • Ito M, Motomiya M, Abumi K, Shirado O, Kotani Y, Kadoya K, Murota E, Minami A (2005) Vertebral osteonecrosis associated with sarcoidosis. Case report. J Neurosurg Spine 2(2): 222–225

    Google Scholar 

  • Jang JS, Kim DY, Lee SH (2003) Efficacy of percutaneous vertebroplasty in the treatment of intravertebral pseudarthrosis associated with noninfected avascular necrosis of the vertebral body. Spine 28(14): 1588–1592

    Article  PubMed  Google Scholar 

  • Ledlie JT, Renfro M (20039) Balloon kyphoplasty: one-year outcomes in vertebral body height restoration, chronic pain and activity levels. J Neurosurg Spine 98[1 Suppl]: 36–42

    Article  Google Scholar 

  • Lieberman IH, Dudeney S, Reinhardt MK, Bell G (2001) Initial outcome and efficacy of kyphoplasty in the treatment of painful osteoporotic vertebral compression fractures. Spine 26(14): 1631–1638

    Article  PubMed  CAS  Google Scholar 

  • Maheshwari PR, Nagar AM, Prasad SS, Shah JR, Patkar DP (2004) Avascular necrosis of spine: a rare appearance. Spine 29(6): 119–122

    Article  Google Scholar 

  • Maldague BE, Noel HM, Malghem JJ (1978) The intravertebral vacuum cleft: a sign of ischemic vertebral collapse. Radiology 129(1): 23–29

    PubMed  CAS  Google Scholar 

  • McKiernan F, Faciszewski T (2003) Intravertebral clefts in osteoporotic vertebral compression fractures. Arthritis Rheum 48(5): 1414–1419

    Article  PubMed  Google Scholar 

  • McKiernan F, Jensen R, Faciszewski T (2003) The dynamic mobility of vertebral compression fractures. J Bone & Mineral Res 18: 24–29

    Article  Google Scholar 

  • Murakami H, Kawahara N, Gabata T, Nambu K, Tomita K (2003) Vertebral body osteonecrosis without vertebral collapse. Spine 28(16): 323–328

    Article  Google Scholar 

  • Theodorou DJ, Theodorou SJ, Duncan TD, Garfin SR, Wong WH (2002) Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures. Clin Imaging 26(1): 1–5

    Article  PubMed  Google Scholar 

  • Van Bockel SR, Mindelzun RE (1987) Gas in the psoas muscle secondary to an intravertebral vacuum cleft: CT characteristics. J Comput Assist Tomogr 11(5): 913–915

    Article  PubMed  Google Scholar 

  • Van Eenenaam DP, el-Khoury GY (1993) Delayed post-traumatic vertebral collapse (Kummell’s disease): case report with serial radiographs, computed tomographic scans, and bone scans. Spine 18(9): 1236–1241

    Article  PubMed  Google Scholar 

  • Young WF, Brown D, Kendler A, Clements D (2002) Delayed post-traumatic osteonecrosis of a vertebral body (Kummell’s disease). Acta Orthop Belg 68(1): 13–19

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Wirbelsäulenzentrum, 3. Orthopädische Abteilung, Orthopädisches Spital Speising, Speisingerstraße 109, 1130, Wien, Austria

    Dr. med. Stephan Becker & Univ.-Doz. Dr. med. Michael Ogon

  2. Orthopädische Universitätsklinik, Inselspital, 3010, Bern, Switzerland

    Dr. med. Bronek Boszczyk

  3. Berufsgenossenschaftliche Unfallklinik Murnau, Prof.-Küntscher-Straße 8, 82418, Murnau, Germany

    Dr. med. Michael Bierschneider

Authors
  1. Dr. med. Stephan Becker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Univ.-Doz. Dr. med. Michael Ogon
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dr. med. Bronek Boszczyk
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dr. med. Michael Bierschneider
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Wirbelsäulenzentrum, 3. Orthopädische Abteilung, Orthopädisches Spital Speising, Vienna, Austria

    Stephan Becker  & Michael Ogon  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag/Wien

About this chapter

Cite this chapter

Becker, S., Ogon, M., Boszczyk, B., Bierschneider, M. (2008). Special indications and techniques of balloon kyphoplasty. In: Becker, S., Ogon, M. (eds) Balloon Kyphoplasty. Springer, Vienna. https://doi.org/10.1007/978-3-211-74221-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-74221-1_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-74220-4

  • Online ISBN: 978-3-211-74221-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation