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Jack vertebral dilator kyphoplasty for treatment of osteoporotic vertebral compression fractures

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Abstract

Osteoporotic vertebral compression fractures (OVCFs) are common in the elderly population and often involve the thoracolumbar vertebrae. Clinical symptoms of OVCFs include severe pain, loss of vertebral height, progressive kyphosis and increased mortality. Jack vertebral dilator kyphoplasty is a recently developed OVCFs treatment modality, with few systematic studies present in the literature. This retrospective study was designed to investigate the safety and efficacy of Jack vertebral dilator kyphoplasty for treating thoracolumbar OVCFs. Sixteen elderly patients (55–85 years) with solitary thoracolumbar OVCFs were treated with this procedure and followed-up (10–27 months). The amount of injected bone cement and operative time, preoperative and postoperative visual analogue scores, anterior and middle vertebral body heights, local kyphosis angle, and complications was analysed. The results showed that the method provided long-term pain relief and restoration of the vertebral body height and spinal alignment. No serious complications occurred, but two patients experienced recompression of the vertebral body, and one patient experienced cement leakage into a disc. In conclusion, Jack vertebral dilator kyphoplasty is a safe and effective minimally invasive procedure for treatment of OVCFs.

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References

  1. Yang HL, Zhao L, Liu J, Sanford CG Jr, Chen L, Tang T, Ebraheim NA (2007) Changes of pulmonary function for patients with osteoporotic vertebral compression fractures after kyphoplasty. J Spinal Disord Tech 20(3):221–225. doi:10.1097/01.bsd.0000211273.74238.0e

    Article  CAS  PubMed  Google Scholar 

  2. Nevitt MC, Ross PD, Palermo L, Musliner T, Genant HK, Thompson DE (1999) Association of prevalent vertebral fractures, bone density, and alendronate treatment with incident vertebral fractures: effect of number and spinal location of fractures. The fracture intervention trial research group. Bone 25(5):613–619

    Article  CAS  PubMed  Google Scholar 

  3. Bliuc D, Nguyen ND, Milch VE, Nguyen TV, Eisman JA, Center JR (2009) Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 301(5):513–521. doi:10.1001/jama.2009.50

    Article  CAS  PubMed  Google Scholar 

  4. Lombardi I Jr, Oliveira LM, Mayer AF, Jardim JR, Natour J (2005) Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int 16(10):1247–1253. doi:10.1007/s00198-005-1834-3

    Article  PubMed  Google Scholar 

  5. Toyone T, Tanaka T, Wada Y, Kamikawa K, Ito M, Kimura K, Yamasita T, Matsushita S, Shiboi R, Kato D, Kaneyama R, Otsuka M (2006) Changes in vertebral wedging rate between supine and standing position and its association with back pain: a prospective study in patients with osteoporotic vertebral compression fractures. Spine (Phila Pa 1976) 31(25):2963–2966. doi:10.1097/01.brs.0000247802.91724.7e

    Article  Google Scholar 

  6. Li D, Huang Y, Yang H, Sun T, Wu Y, Li X, Chen L (2012) Short-segment pedicle instrumentation with transpedicular bone grafting for nonunion of osteoporotic vertebral fractures involving the posterior edge. Eur J Orthop Surg Traumatol. doi:10.1007/s00590-011-0928-1

  7. Garfin SR, Reilley MA (2002) Minimally invasive treatment of osteoporotic vertebral body compression fractures. Spine J 2(1):76–80

    Article  PubMed  Google Scholar 

  8. Quesada N, Mutlu GM (2006) Images in cardiovascular medicine. Pulmonary embolization of acrylic cement during vertebroplasty. Circulation 113(8):e295–e296. doi:10.1161/CIRCULATIONAHA.105.557017

    Article  PubMed  Google Scholar 

  9. Chung SE, Lee SH, Kim TH, Yoo KH, Jo BJ (2006) Renal cement embolism during percutaneous vertebroplasty. Eur Spine J 15(Suppl 5):590–594. doi:10.1007/s00586-005-0037-0

    Article  PubMed Central  PubMed  Google Scholar 

  10. Shen GW, Wu NQ, Zhang NP, Jin ZS, Xu J, Yin GY (2010) A prospective comparative study of kyphoplasty using the Jack vertebral dilator and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. J Bone Joint Surg 92(9):1282–1288

    Article  CAS  Google Scholar 

  11. Kasperk C, Hillmeier J, Noldge G, Grafe IA, Dafonseca K, Raupp D, Bardenheuer H, Libicher M, Liegibel UM, Sommer U, Hilscher U, Pyerin W, Vetter M, Meinzer HP, Meeder PJ, Taylor RS, Nawroth P (2005) Treatment of painful vertebral fractures by kyphoplasty in patients with primary osteoporosis: a prospective nonrandomized controlled study. J Bone Miner Res 20(4):604–612. doi:10.1359/JBMR.041203

    Article  PubMed  Google Scholar 

  12. 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 (Phila Pa 1976) 26(14):1631–1638

    Article  CAS  Google Scholar 

  13. 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 

  14. Garfin SR, Yuan HA, Reiley MA (2001) New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine (Phila Pa 1976) 26(14):1511–1515

    Article  CAS  Google Scholar 

  15. Rhyne A III, Banit D, Laxer E, Odum S, Nussman D (2004) Kyphoplasty: report of eighty-two thoracolumbar osteoporotic vertebral fractures. J Orthop Trauma 18(5):294–299

    Article  PubMed  Google Scholar 

  16. Maestretti G, Cremer C, Otten P, Jakob RP (2007) Prospective study of standalone balloon kyphoplasty with calcium phosphate cement augmentation in traumatic fractures. Eur Spine J 16(5):601–610. doi:10.1007/s00586-006-0258-x

    Article  PubMed Central  PubMed  Google Scholar 

  17. Wang G, Yang H, Chen K (2010) Osteoporotic vertebral compression fractures with an intravertebral cleft treated by percutaneous balloon kyphoplasty. J Bone Joint Surg Br 92(11):1553–1557. doi:10.1302/0301-620X.92B11.24671

    Article  CAS  PubMed  Google Scholar 

  18. Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P, Wriedt C, Graves S, Staples MP, Murphy B (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 361(6):557–568. doi:10.1056/NEJMoa0900429

    Article  CAS  PubMed  Google Scholar 

  19. Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Ralston SH, Jarvik JG (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361(6):569–579. doi:10.1056/NEJMoa0900563

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  20. Lavelle WF, Cheney R (2006) Recurrent fracture after vertebral kyphoplasty. Spine J 6(5):488–493. doi:10.1016/j.spinee.2005.10.013

    Article  PubMed  Google Scholar 

  21. Ploeg WT, Veldhuizen AG, The B, Sietsma MS (2006) Percutaneous vertebroplasty as a treatment for osteoporotic vertebral compression fractures: a systematic review. Eur Spine J 15(12):1749–1758. doi:10.1007/s00586-006-0159-z

    Article  PubMed  Google Scholar 

  22. Kim YY, Rhyu KW (2010) Recompression of vertebral body after balloon kyphoplasty for osteoporotic vertebral compression fracture. Eur Spine J 19(11):1907–1912. doi:10.1007/s00586-010-1479-6

    Article  PubMed Central  PubMed  Google Scholar 

  23. Sietsma MS, Hosman AJ, Verdonschot NJ, Aalsma AM, Veldhuizen AG (2009) Biomechanical evaluation of the vertebral jack tool and the inflatable bone tamp for reduction of osteoporotic spine fractures. Spine (Phila Pa 1976) 34(18):E640–E644. doi:10.1097/BRS.0b013e3181b1fed8

    Article  Google Scholar 

  24. Kim MJ, Lindsey DP, Hannibal M, Alamin TF (2006) Vertebroplasty versus kyphoplasty: biomechanical behavior under repetitive loading conditions. Spine (Phila Pa 1976) 31(18):2079–2084. doi:10.1097/01.brs.0000231714.15876.76

    Article  Google Scholar 

  25. Civelek E, Cansecer T, Yilmaz C, Kabatas S, Gulsen S, Aydemir F, Altinors N, Caner H (2012) The retrospective analysis of the effect of balloon kyphoplasty to the adjacent-segment fracture in 171 patients. J Spinal Disord Tech. doi:10.1097/BSD.0b013e31824e9b98

  26. Jung JY, Lee MH, Ahn JM (2006) Leakage of polymethylmethacrylate in percutaneous vertebroplasty: comparison of osteoporotic vertebral compression fractures with and without an intravertebral vacuum cleft. J Comput Assist Tomogr 30(3):501–506

    Article  PubMed  Google Scholar 

  27. Lin EP, Ekholm S, Hiwatashi A, Westesson PL (2004) Vertebroplasty: cement leakage into the disc increases the risk of new fracture of adjacent vertebral body. AJNR Am J Neuroradiol 25(2):175–180

    PubMed  Google Scholar 

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Acknowledgments

The authors wish to thank Liangju Sheng (Radiologist, Radiology Department, Affiliated Hospital of Jiangsu University) and Yan Sun (Doctor of Spine Surgery, Department of Orthopaedic Surgery, Affiliated Hospital of Jiangsu University) for their help with data collection and statistical analysis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China

    Dapeng Li, Yonghui Huang, Huilin Yang & Xuefeng Li

  2. Department of Orthopaedic Surgery, Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu Province, China

    Dapeng Li, Yonghui Huang, Qi Chen, Taicun Sun & Yan Wu

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  1. Dapeng Li
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  2. Yonghui Huang
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  3. Huilin Yang
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  4. Qi Chen
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  6. Yan Wu
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  7. Xuefeng Li
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Correspondence to Huilin Yang.

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Li, D., Huang, Y., Yang, H. et al. Jack vertebral dilator kyphoplasty for treatment of osteoporotic vertebral compression fractures. Eur J Orthop Surg Traumatol 24, 15–21 (2014). https://doi.org/10.1007/s00590-012-1131-8

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  • DOI: https://doi.org/10.1007/s00590-012-1131-8

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