591 results match your criteria Vertebroplasty and Kyphoplasty Percutaneous


Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures: A retrospective cohort study.

Medicine (Baltimore) 2019 Mar;98(10):e14793

Department of Orthopedics, Zhongshan City Torch High-tech Industrial Development Zone Hospital, Torch High-tech Industrial Development Zone, Zhongshan City, Guangdong Province.

To compare percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) for their effectiveness and safety in the treatment of newly onset osteoporotic vertebral compression fractures (VCF).Patients with confirmed diagnosis of newly onset osteoporotic VCF and treated in our center between January 2008 and December 2016 were retrospectively included in the study. Patients were divided into 2 groups according the surgical treatment they have received. Read More

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http://Insights.ovid.com/crossref?an=00005792-201903080-0006
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http://dx.doi.org/10.1097/MD.0000000000014793DOI Listing
March 2019
4 Reads
5.723 Impact Factor

An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP).

PLoS One 2019 5;14(3):e0213164. Epub 2019 Mar 5.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, China.

To observe the regional anatomy of the lumbar artery (LA) associated with the extrapedicular approach applied during percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), we collected 78 samples of abdominal computed tomography angiography imaging data. We measured the nearest distance from the center of the vertebral body puncture point to the LA (distance VBPP-LA, DVBPP-LA). According to the DVBPP-LA, four zones, Zone I, Zone II, Zone III and Zone IV, were identified. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213164PLOS
March 2019
2 Reads
3.234 Impact Factor

Vertebroplasty or kyphoplasty as palliative treatment for cancer-related vertebral compression fractures: a systematic review.

Spine J 2019 Feb 26. Epub 2019 Feb 26.

Center for Spine Surgery & Research, Middelfart Hospital, Østre Hougvej 55, 5500 Middelfart, Denmark.

Background Context: Percutaneous vertebroplasty (PVP) and kyphoplasty (KP) are minimally invasive treatment options for vertebral compression fractures (VCFs) due to malignancy.

Purpose: To perform a systematic review evaluating the effectiveness and safety of vertebral augmentation for malignant VCFs.

Study Design: Systematic review. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.02.012DOI Listing
February 2019

The role of cement augmentation with percutaneous vertebroplasty and balloon kyphoplasty for the treatment of vertebral compression fractures in multiple myeloma: a consensus statement from the International Myeloma Working Group (IMWG).

Blood Cancer J 2019 Feb 26;9(3):27. Epub 2019 Feb 26.

University of Athens School of Medicine, Athens, Greece.

Multiple myeloma (MM) represents approximately 15% of haematological malignancies and most of the patients present with bone involvement. Focal or diffuse spinal osteolysis may result in significant morbidity by causing painful progressive vertebral compression fractures (VCFs) and deformities. Advances in the systemic treatment of myeloma have achieved high response rates and prolonged the survival significantly. Read More

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http://dx.doi.org/10.1038/s41408-019-0187-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391474PMC
February 2019
2 Reads

PKP/PVP combine chemotherapy in the treatment of multiple myeloma patients with vertebral pathological fractures: minimum 3-year follow-up of 108 cases.

J Orthop Surg Res 2019 Feb 11;14(1):42. Epub 2019 Feb 11.

Department of Orthopaedics, Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gongren Tiyuguan Nanlu, Chaoyang district, Beijing, China.

Background: Multiple myeloma (MM) is a blood system malignant tumor, which often leads to osteolytic bone destruction, and the vertebral column is the primary site of involvement. However, the efficacy and prognosis of percutaneous kyphoplasty/vertebroplasty (PKP/PVP) for simple vertebral pathological fractures in patients with multiple myeloma are not yet unified. The primary objective of this study was to investigate the efficacy and prognosis of PKP/PVP in the treatment of multiple myeloma patients with vertebral pathological fractures. Read More

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http://dx.doi.org/10.1186/s13018-019-1078-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371465PMC
February 2019
1 Read

The Efficacy and Safety of Vertebral Augmentation: A Second ASBMR Task Force Report.

J Bone Miner Res 2019 Jan;34(1):3-21

Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Vertebral augmentation is among the current standards of care to reduce pain in patients with vertebral fractures (VF), yet a lack of consensus regarding efficacy and safety of percutaneous vertebroplasty and kyphoplasty raises questions on what basis clinicians should choose one therapy over another. Given the lack of consensus in the field, the American Society for Bone and Mineral Research (ASBMR) leadership charged this Task Force to address key questions on the efficacy and safety of vertebral augmentation and other nonpharmacological approaches for the treatment of pain after VF. This report details the findings and recommendations of this Task Force. Read More

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http://dx.doi.org/10.1002/jbmr.3653DOI Listing
January 2019
6 Reads

Which is the best treatment of osteoporotic vertebral compression fractures: balloon kyphoplasty, percutaneous vertebroplasty, or non-surgical treatment? A Bayesian network meta-analysis.

Osteoporos Int 2019 Jan 12. Epub 2019 Jan 12.

Department of Spine Surgery, Tianjin Union Medical Center, 190 Jieyuan Road, Hongqiao District, Tianjin, China.

The aim of the current study was to use a Bayesian network meta-analysis to evaluate the relative benefits and risks of balloon kyphoplasty (BK), percutaneous vertebroplasty (PVP), and non-surgical treatment (NST) for patients with osteoporotic vertebral compression fractures (OVCFs). The results demonstrate that for pain and functional status, PVP was significantly better than NST, while the three treatments did not significantly differ in other outcomes.

Introduction: BK, PVP, and NST are widely used to treat OVCFs, but preferable treatment is unknown. Read More

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http://link.springer.com/10.1007/s00198-018-4804-2
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http://dx.doi.org/10.1007/s00198-018-4804-2DOI Listing
January 2019
1 Read

Effects of Percutaneous Kyphoplasty on Bone Metabolism and Oxidative Stress in Elderly Patients with Osteoporotic Spinal Fractures.

J Coll Physicians Surg Pak 2019 Jan;29(1):37-40

Department of Orthopedics, JiZhong Energy XingTai Mining Group General Hospital, Xingtai, 054000, China.

Objective: To investigate the effects of percutaneous kyphoplasty on bone metabolism and oxidative stress in elderly patients with osteoporotic spinal fractures.

Study Design: An experimental study.

Place And Duration Of Study: Department of Orthopedics, ZhangYe People's Hospital Affiliated to HeXi University, from February 2016 to October 2017. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.01.37DOI Listing
January 2019
1 Read

Percutaneous Vertebral Augmentation for Vertebral Compression Fractures: National Trends in the Medicare Population (2005-2015).

Spine (Phila Pa 1976) 2019 Jan;44(2):123-133

Department of Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago, IL.

Study Design: Retrospective analysis of Medicare data OBJECTIVE.: To analyze trends of vertebral augmentation in the elderly Medicare population in the context of evolving evidence and varied medical society opinions.

Summary Of Background Data: Percutaneous vertebral augmentation offers a minimally invasive therapy for vertebral compression fractures. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002893DOI Listing
January 2019
2 Reads

Stent-screw-assisted internal fixation: the SAIF technique to augment severe osteoporotic and neoplastic vertebral body fractures.

J Neurointerv Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Neuroradiology, Papa Giovanni XXIII Hospital, Bergamo, Italy.

Objectives: To describe a new technique to obtain minimally invasive but efficient vertebral body (VB) reconstruction, augmentation, and stabilization in severe osteoporotic and neoplastic fractures, combining two pre-existing procedures. The implant of vertebral body stents (VBS) is followed by insertion of percutaneous, fenestrated, cement-augmented pedicular screws that act as anchors to the posterior elements for the cement/stent complex. The screws reduce the risk of stent mobilization in a non-intact VB cortical shell and bridge middle column and pedicular fractures. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014481DOI Listing
December 2018
2 Reads

Unwarranted regional variation in vertebroplasty and kyphoplasty in Switzerland: A population-based small area variation analysis.

PLoS One 2018 10;13(12):e0208578. Epub 2018 Dec 10.

Division of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.

Background: Percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) for treating painful osteoporotic vertebral fractures are controversial.

Objective: We assessed the regional variation in the use of VP/BKP in Switzerland.

Methods: We conducted a population-based small area variation analysis using patient discharge data for VP/BKP from all Swiss hospitals and Swiss census data for calendar years 2012/13. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208578PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287855PMC
December 2018
1 Read

[Observation of the clinical efficacy of the bone filling bag vertebroplasty for the treatment of osteoporotic vertebral compression fractures].

Zhongguo Gu Shang 2018 Nov;31(11):993-997

Department of Spinal Surgery, Integrated Traditional Chinese and Western Medicine Hospital of Wenzhou Affiliated to Zhejiang Chinese Medicine University, Wenzhou 325000, Zhejiang, China.

Objective: To explore the clinical effects of bone filling bag vertebroplasty in treating osteoporotic vertebral compression fractures.

Methods: The clinical data of 127 patients (145 vertebrae) with osteoporotic vertebral compression fractures who corresponded the criteria of inclusion and exclusion from December 2015 to June 2017 were retrospectively analyzed. Responsible vertebral bodies were identified by clinical situation, X-rays, CT scan, MRI. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.08.003DOI Listing
November 2018
6 Reads

Use of Cement-Augmented Percutaneous Pedicular Screws in the Management of Multifocal Tumoral Spinal Fractures.

Asian Spine J 2018 Nov 29. Epub 2018 Nov 29.

Unité Rachis, Hopital de La Timone, Assistance Publique des Hopitaux de Marseille, Marseille, France.

Study Design: Retrospective case series observational study.

Purpose: Cancer patients are often aged and are further weakened by their illness and treatments. Our goal was to evaluate the efficiency and safety of using minimally invasive techniques to operate on spinal fractures in these patients. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
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http://dx.doi.org/10.31616/asj.2018.0129DOI Listing
November 2018
9 Reads

Percutaneous Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture in the Midthoracic Vertebrae (T5-8): A Retrospective Study of 101 Patients with 111 Fractured Segments.

World Neurosurg 2019 Feb 19;122:e1381-e1387. Epub 2018 Nov 19.

Department of Orthopaedics, Chengdu First People's Hospital, Chengdu, China.

Objective: Data reporting percutaneous vertebroplasty (PVP) or percutaneous balloon kyphoplasty (PKP) application to the midthoracic vertebrae remain limited. This study aimed to summarize our experiences and explore the efficacy and safety of PVP or PKP in dealing with osteoporotic vertebral compression fracture (OVCF) in the midthoracic vertebrae.

Methods: Patients receiving PVP or PKP for midthoracic OVCF in our institution from January 2015 to January 2018 were retrospectively enrolled. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.062DOI Listing
February 2019
9 Reads

Which one is more effective for the treatment of very severe osteoporotic vertebral compression fractures: PVP or PKP?

J Pain Res 2018 26;11:2625-2631. Epub 2018 Oct 26.

Department of Spine Surgery, The Third Hospital of Hebei Medical University, 050051 Shijiazhuang, China,

Purpose: The purpose of this study was to compare the clinical efficacy and safety of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of the elderly with very severe osteoporotic vertebral compression fractures (vsOVCFs).

Methods: From September 2012 to September 2015, 57 patients with vsOVCFs who had undergone PVP and PKP surgeries at our medical center were reviewed retrospectively, at least 2 years follow-up. All patients were divided into PVP group (n=31) and PKP group (n=26). Read More

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http://dx.doi.org/10.2147/JPR.S179022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209074PMC
October 2018
6 Reads

Iatrogenic Lumbar Artery Injury in Spine Surgery: A Literature Review.

World Neurosurg 2019 Feb 9;122:266-271. Epub 2018 Nov 9.

Department of Spinal Surgery, General Hospital, Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, China. Electronic address:

Background: We reviewed the reported data related to iatrogenic lumbar artery injury (ILAI) in spine surgery with a focus on which iatrogenic procedure might cause lumbar artery injury.

Methods: We conducted a comprehensive search in the Web of Science, PubMed, EMBASE, and Chinese biomedical databases in July 2018.

Results: A total of 20 reports on ILAI were selected for the present study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183252
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http://dx.doi.org/10.1016/j.wneu.2018.10.219DOI Listing
February 2019
14 Reads
2.420 Impact Factor

Percutaneous kyphoplasty for osteoporotic vertebral compression fractures via unilateral versus bilateral approach: A meta-analysis.

J Clin Neurosci 2019 Jan 7;59:146-154. Epub 2018 Nov 7.

Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical University, No. 8 GongTiNanLu, Chao-Yang District, Beijing 100020, China. Electronic address:

The objective of the research was to compare the efficacy of lateral and bilateral PKP approaches for OVCFs. A comprehensive literature search was performed from the PubMed, Cochrane Library and Embase between January 2008 and May 2017. The clinical efficacy of the two approaches was evaluated by comparing perioperative outcomes (operation time, the volume of injected cement, X-ray exposure times and mean radiation dose), clinical outcomes (kyphotic angle reduction, restoration rate, visual analogue scale [VAS], Oswestry Disability Index [ODI] and SF-36), and operation-related complications (cement leakage and adjacent vertebral fracture). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183105
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http://dx.doi.org/10.1016/j.jocn.2018.10.112DOI Listing
January 2019
2 Reads

Comparison of Percutaneous Kyphoplasty Versus Modified Percutaneous Kyphoplasty for Treatment of Osteoporotic Vertebral Compression Fractures.

World Neurosurg 2019 Feb 7;122:e1020-e1027. Epub 2018 Nov 7.

Department of Orthopaedic Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Background: Although percutaneous kyphoplasty (PKP) is performed to restore the vertebral body height and kyphosis in osteoporotic vertebral compression fractures (OVCFs), the regained height may be lost on balloon deflation. This study compares PKP with modified percutaneous kyphoplasty (MPKP) in terms of the clinical outcomes in treating OVCFs.

Methods: Between May 2014 and March 2016, 76 patients with OVCFs were randomly assigned to 2 groups according to the procedure chosen: the PKP group (n = 36) and MPKP group (n = 40). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183251
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http://dx.doi.org/10.1016/j.wneu.2018.10.205DOI Listing
February 2019
8 Reads

Percutaneous Vertebral Augmentation Techniques in Osteoporotic and Traumatic Fractures.

Semin Intervent Radiol 2018 Oct 5;35(4):309-323. Epub 2018 Nov 5.

Service de Radiologie Ostéoarticulaire, Viscérale et Vasculaire, Hôpital Lariboisière, APHP, Université Paris-Diderot, Paris, France.

Percutaneous vertebral augmentation/consolidation techniques are varied. These are vertebroplasty, kyphoplasty, and several methods with percutaneous introduction of an implant (associated or not with cement injection). They are proposed in painful osteoporotic vertebral fractures and traumatic fractures. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673639
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http://dx.doi.org/10.1055/s-0038-1673639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218258PMC
October 2018
7 Reads

Percutaneous vertebroplasty for osteoporotic vertebral compression fracture.

Cochrane Database Syst Rev 2018 11 6;11:CD006349. Epub 2018 Nov 6.

Monash Department of Clinical Epidemiology, Cabrini Institute, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 4 Drysdale Street, Malvern, Victoria, Australia, 3144.

Background: Percutaneous vertebroplasty remains widely used to treat osteoporotic vertebral fractures although our 2015 Cochrane review did not support its role in routine practice.

Objectives: To update the available evidence of the benefits and harms of vertebroplasty for treatment of osteoporotic vertebral fractures.

Search Methods: We updated the search of CENTRAL, MEDLINE and Embase and trial registries to 15 November 2017. Read More

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http://doi.wiley.com/10.1002/14651858.CD006349.pub4
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http://dx.doi.org/10.1002/14651858.CD006349.pub4DOI Listing
November 2018
16 Reads

Incidence of Cement Leakage Between Unilateral and Bilateral Percutaneous Vertebral Augmentation for Osteoporotic Vertebral Compression Fractures: A Meta-Analysis of Randomized Controlled Trials.

World Neurosurg 2019 Feb 1;122:342-348. Epub 2018 Nov 1.

Department of Spinal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.

Background: A meta-analysis of randomized controlled trials (RCTs) was performed to compare the incidence of cement leakage between unilateral and bilateral percutaneous vertebral augmentation (PVA) in treating osteoporotic vertebral compression fractures (OVCFs).

Methods: PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were searched to retrieve the reported data from the establishment of the databases until August 1, 2018. The RCTs on unilateral and bilateral PVA for OVCFs were included. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.143DOI Listing
February 2019

Clinical application of the pedicle in vitro restorer in percutaneous kyphoplasty.

J Orthop Surg Res 2018 Oct 25;13(1):268. Epub 2018 Oct 25.

Department of Orthopaedic Surgery, Nanjing First Hospital, Nanjing Medical University, #68 Changle Rd, Qinhuai District, Nanjing, 210000, Jiangsu, China.

Background: Percutaneous kyphoplasty (PKP) is widely applied for the treatment of osteoporotic vertebral compression fractures (OVCFs) and has achieved satisfactory clinical results. With the accumulation of clinical cases and prolonged follow-up times, the inability to reconstruct vertebral height defects has attracted more and more attention. A comparison of clinical effects was retrospectively reviewed in 72 patients who underwent simple PKP or pedicle in vitro restorer (PIVR) combined with PKP to discuss the clinical application of self-developed PIVR used in PKP. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
Publisher Site
http://dx.doi.org/10.1186/s13018-018-0978-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203289PMC
October 2018
13 Reads

Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral compression fracture: a meta-analysis and systematic review.

J Orthop Surg Res 2018 Oct 22;13(1):264. Epub 2018 Oct 22.

Department of Orthopedic Trauma Centre, 3rd Hospital of Hebei Medical University, No. 139 ZiQiang Road, Qiaoxi District, Shijiazhuang, 050051, China.

Background: This meta-analysis was aimed to explore the overall safety and efficacy of balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral compression fracture (OVCF) based on qualified studies.

Methods: By searching multiple databases and sources, including PubMed, Cochrane, and Embase by the index words updated to January 2018, qualified studies were identified and relevant literature sources were also searched. The qualified studies included randomized controlled trials, prospective or retrospective comparative studies, and cohort studies. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-0952-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196425PMC
October 2018
14 Reads

Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach: An observational study using 3D CT analysis.

Medicine (Baltimore) 2018 Sep;97(37):e12314

Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA.

The aim of the study was to discuss the significance of sex, level, age, and side in relation to the anatomical distinctions of unilateral percutaneous kyphoplasty (PKP) for lumbar osteoporotic vertebral compression fractures (OVCFs) through the conventional transpedicle approach (CTPA).We have retrospectively collected lumbar spines (L1-L5) of 200 patients and simulated PKP on the 3D CT scans through unilateral CTPA. We have measured the distance between the entry point and the midline of the vertebral body (DEM), the puncture inclination angle (PIA), safe range of the inner inclination angles (SRA), and the success rate (SR) of puncture. Read More

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http://dx.doi.org/10.1097/MD.0000000000012314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156015PMC
September 2018
6 Reads

Coronal Imaging Changes Associated with Recollapse of Injured Vertebrae After Percutaneous Vertebroplasty or Percutaneous Kyphoplasty Treatment for Osteoporotic Thoracolumbar Fracture.

World Neurosurg 2018 Dec 29;120:e737-e744. Epub 2018 Aug 29.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, China. Electronic address:

Objective: To observe coronal imaging changes associated with recollapse of injured vertebrae after percutaneous vertebroplasty or percutaneous kyphoplasty for osteoporotic thoracolumbar fracture (OTLF).

Methods: Fifty-four cases were retrospectively divided into 2 groups according to the Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) classification of thoracolumbar fracture: group A, type A1 fracture (n = 26); group B, type A3.1 fracture (n = 28). Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.154DOI Listing
December 2018
9 Reads
2.420 Impact Factor

Reduced Radiation Exposure and Puncture Time of Percutaneous Transpedicular Puncture with Real-Time Ultrasound Volume Navigation.

World Neurosurg 2018 Nov 16;119:e997-e1005. Epub 2018 Aug 16.

Orthopedic Department, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Objectives: The present study introduced ultrasound volume navigation (UVN) to reduce the radiation exposure and puncture time of percutaneous transpedicular puncture in percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP).

Methods: We retrospectively reviewed the medical records of patients with osteoporotic vertebral compression fracture who had undergone PVP or PKP guided by UVN or fluoroscopy from September 2017 to December 2017.

Results: We enrolled 10 patients (6 women, 4 men) with 24 pedicles involved in the present study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183182
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http://dx.doi.org/10.1016/j.wneu.2018.08.038DOI Listing
November 2018
16 Reads

Unilateral versus bilateral percutaneous balloon kyphoplasty for osteoporotic vertebral compression fractures: A systematic review of overlapping meta-analyses.

Medicine (Baltimore) 2018 Aug;97(33):e11968

Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China.

Background: Unilateral and bilateral percutaneous balloon kyphoplasty (PKP) are 2 main approaches for the treatment of patients with osteoporotic vertebral compression fractures (OVCFs). Numerous published systematic reviews and meta-analyses evaluating the effectiveness of 2 approaches remain inconclusive. In order to propose a significant principle to make decisions for comparing clinical safety and efficacy of unilateral versus bilateral PKP for treating OVCFs patients based on the currently best available evidence, a systematic review of overlapping meta-analysis was conducted. Read More

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http://dx.doi.org/10.1097/MD.0000000000011968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112965PMC
August 2018
2 Reads
5.720 Impact Factor

The Impact of Facet Joint Violation on Clinical Outcomes After Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures.

World Neurosurg 2018 Nov 30;119:e383-e388. Epub 2018 Jul 30.

Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address:

Objective: To determine whether the facet joint violation (FJV) impacts clinical outcomes after percutaneous kyphoplasty (PKP) in patients with osteoporotic vertebral compression fractures.

Methods: Patients undergoing bilateral PKP were enrolled and divided into FJV and non-FJV groups depending on their postoperative axial computed tomography scans. Radiologic parameters, visual analogue scale (VAS), and Oswestry Disability Index (ODI) scores were obtained preoperatively and each follow-up time postoperatively (1day, 1 week, 1 month, 3 months, 6 months, and 1 year). Read More

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http://dx.doi.org/10.1016/j.wneu.2018.07.170DOI Listing
November 2018
1 Read
2.420 Impact Factor

A modification and validation of quantitative morphometry classification system for osteoporotic vertebral compressive fractures in mainland Chinese.

Osteoporos Int 2018 Nov 20;29(11):2495-2504. Epub 2018 Jul 20.

Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Medical College, Zhejiang University, 3 East Qingchun Road, Hangzhou, 310016, China.

This study described a modified quantitative morphometry (mQM) system adapted to specific reference values for Mainland Chinese population. The mQM system is validated using the Genant Semiquantative system and is sensitive for detecting vertebral height changes and predicting cement leakage after percutaneous kyphoplasty (PKP) in patients with osteoporotic vertebral compressive fracture (OVCF).

Introduction: OVCF is a manifestation of osteoporosis. Read More

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http://dx.doi.org/10.1007/s00198-018-4641-3DOI Listing
November 2018
1 Read

Network meta-analysis of percutaneous vertebroplasty, percutaneous kyphoplasty, nerve block, and conservative treatment for nonsurgery options of acute/subacute and chronic osteoporotic vertebral compression fractures (OVCFs) in short-term and long-term effects.

Medicine (Baltimore) 2018 Jul;97(29):e11544

Department of Pain Management, Huai'an Hospital Affiliated to Xuzhou Medical University, Second People's Hospital of Huai'an City, Huai'an, Jiangsu, China.

Background: Osteoporotic vertebral compression fractures (OVCFs) commonly afflicts most aged people resulting back pain, substantial vertebral deformity, functional disability, decreased quality of life, and increased adjacent spinal fractures and mortality. Percutaneous vertebral augmentation (PVA) included percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), nerve block (NB), and conservative treatment (CT) are used for the nonsurgery treatment strategy of OVCFs, however, current evaluation of their efficacy remains controversial.

Methods And Analysis: A systematic literature search was carried out in PubMed, EMBASE, Web of Knowledge, and the Cochrane Central Register of Controlled Trials up to October 31, 2017. Read More

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http://dx.doi.org/10.1097/MD.0000000000011544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086478PMC
July 2018
4 Reads

Comparison of percutaneous balloon dilation kyphoplasty and percutaneous vertebroplasty in treatment for thoracolumbar vertebral compression fractures.

Authors:
K-Z Hu S-C Chen L Xu

Eur Rev Med Pharmacol Sci 2018 Jul;22(1 Suppl):96-102

Department of Orthopedics, Shanxian Central Hospital, Shanxian, China.

Objective: Osteoporotic vertebral compression fractures (OVCFs) are common diseases in elderly patients and can cause serious thoracolumbar compression fractures. For patients with such fractures, conservative treatment, nail-stick fixation, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) can be selected as treatment methods. In this study, we aimed to compare the clinical efficacy of PKP and PVP in the treatment of osteoporotic thoracolumbar vertebral compression fractures. Read More

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http://dx.doi.org/10.26355/eurrev_201807_15370DOI Listing
July 2018
4 Reads

The risk factors of vertebral refracture after kyphoplasty in patients with osteoporotic vertebral compression fractures: a study protocol for a prospective cohort study.

BMC Musculoskelet Disord 2018 Jul 2;19(1):195. Epub 2018 Jul 2.

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 9 Ninth Avenue, Hangzhou Economic and Technological Development Zone, Zhejiang, 310018, Hangzhou, China.

Background: Percutaneous kyphoplasty (PKP) is the first-line treatment for osteoporotic vertebral compression fractures (OVCFs) that can immediately relieve pain and allow the quick recovery of lost mobility. However, some studies reported that after PKP, the incidence of vertebral refracture, particularly adjacent vertebral fracture (AVF), was high. Our previous meta-analysis suggested that the risks for vertebral refracture and AVF did not increase after percutaneous vertebral augmentation in OVCF patients. Read More

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http://dx.doi.org/10.1186/s12891-018-2123-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027566PMC
July 2018
8 Reads

Percutaneous Pedicle Screw Fixation with Bone Cement Augmentation Under Epidural Anesthesia for Treatment of Kümmell Disease in Extremely Old Age.

World Neurosurg 2018 Nov 19;119:506-510. Epub 2018 Jun 19.

Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Republic of Korea.

Background: In cases of Kümmell disease without neurologic deficit, percutaneous vertebroplasty or kyphoplasty has achieved short-term favorable outcomes. In the long term, recollapse of the augmented vertebral body and aggravation of kyphosis at the index level is often reported. Owing to medical comorbidities, elderly patients are often unsuited for extensive open spine surgery under general anesthesia. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.06.061DOI Listing
November 2018
17 Reads
2.420 Impact Factor

Clinical efficacy of PVP and PKP in the treatment of OVCFs after bilateral resection of ovarian cancer.

Oncol Lett 2018 Jul 7;16(1):151-156. Epub 2018 May 7.

Department of Micro-Orthopaedics, The Second People's Hospital of Hefei, Hefei, Anhui 230011, P.R. China.

The clinical efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures after bilateral resection of ovarian cancer was investigated. Eighty-six patients with osteoporotic vertebral compression fractures after bilateral resection of ovarian cancer admitted to the Second People's Hospital of Hefei from September, 2015 to August, 2016 were selected and randomly divided into control group (n=43) and observation group (n=43). The control group was treated with PVP, while the observation group received PKP. Read More

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http://www.spandidos-publications.com/10.3892/ol.2018.8658
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http://dx.doi.org/10.3892/ol.2018.8658DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006388PMC
July 2018
23 Reads

Minimally Invasive Translaminar Endoscopic Approach to Percutaneous Vertebroplasty Cement Leakage: Technical Note.

World Neurosurg 2018 Sep 5;117:15-19. Epub 2018 Jun 5.

Department of Neurosurgery, Koç University, Istanbul, Turkey.

Background: Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty are 2 common procedures that could be applied simply in treatment of vertebral compression fractures. Despite simplicity and safe application of these procedures, there are some drawbacks as well. Cement leakage into the spinal canal is the most common complication of PVP and PKV procedures. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.214DOI Listing
September 2018
15 Reads
2.420 Impact Factor

Projection of the Most Anterior Line of the Spinal Canal on Lateral Radiograph: An Anatomic Study for Percutaneous Kyphoplasty and Percutaneous Vertebroplasty.

J Invest Surg 2018 Jun 8:1-7. Epub 2018 Jun 8.

a Department of Orthopaedic surgery , The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University , Wenzhou , China.

Purpose: To measure the projection of the most anterior line of the spinal canal on lateral radiographs of the vertebra (C3-L5) and evaluate the efficacy of the safety line (SL) in preventing intraspinal cement leakage in percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP).

Materials And Methods: Fifteen adult dry-bone spine specimens were analyzed. The projection of the SL was viewed on lateral radiographs. Read More

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http://dx.doi.org/10.1080/08941939.2018.1480676DOI Listing
June 2018
6 Reads

Comparison of the Efficacy and Safety of Bone-filling Mesh Container and Simple Percutaneous Balloon Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures.

Pain Physician 2018 05;21(3):259-268

8th Department, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China.

Background: Bone cement leakage in patients with vertebral fracture limits the use of percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP). Finding a method to reduce bone cement leakage is clinically rather important.

Objective: To compare the efficacy and safety of bone-filling mesh containers (BFMCS) and simple percutaneous balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Read More

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May 2018
5 Reads

Image guided percutaneous spine procedures using an optical see-through head mounted display: proof of concept and rationale.

J Neurointerv Surg 2018 Dec 30;10(12):1187-1191. Epub 2018 May 30.

Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland, USA.

Background And Purpose: Optical see-through head mounted displays (OST-HMDs) offer a mixed reality (MixR) experience with unhindered procedural site visualization during procedures using high resolution radiographic imaging. This technical note describes our preliminary experience with percutaneous spine procedures utilizing OST-HMD as an alternative to traditional angiography suite monitors.

Methods: MixR visualization was achieved using the Microsoft HoloLens system. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013649DOI Listing
December 2018
6 Reads

The analysis of MSTMOVCF (Multi-segment thoracolumbar mild osteoporotic fractures surgery or conservative treatment) based on ASTLOF (the assessment system of thoracolumbar osteoporotic fracture).

Sci Rep 2018 May 29;8(1):8185. Epub 2018 May 29.

Department of Spine Surgery, Xi'an Jiao Tong University-affiliated Hong Hui Hospital, Youyidong Road, Xi'an City, 710000, Shaanxi Province, China.

To investigate the issue that conservative or surgical treatment for multi-segmental thoracolumbar mild osteoporotic vertebral compression fracture (MSTMOVCF) by applying the assessment system of thoracolumbar osteoporotic fracture (ASTLOF). A single-center prospective cohort study was designed to enroll elderly patients with MSTMOVCF from June 2013 to June 2016, which were divided into conservative and surgery group. The primary outcomes were Visual Analogue Scale (VAS) score and Oswestry Disability Index (ODI) score, with secondary outcomes including SF-36 and imaging measures such as height of anterior and middle column, Beck value, complications. Read More

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http://dx.doi.org/10.1038/s41598-018-26562-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974241PMC
May 2018
16 Reads

[Photoelectric guided navigation unilateral puncture of the percutaneous kyphoplasty in treatment of thoracolumbar osteoporotic vertebral compression fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):203-209

Departmen of Orthopedics, the Fourth People's Hospital of Zigong, Zigong Sichuan, 643000, P.R.China.

Objective: To evaluate the safety of photoelectric guided navigation unilateral puncture of the percutaneous kyphoplasty (PKP) in the treatment of thoracolumbar osteoporotic vertebral compression fracture (OVCF).

Methods: A randomized controlled clinical research was performed between June 2015 and January 2017. Eighty-five cases of OVCF were treated with photoelectric guided navigation unilateral puncture of the PKP (trial group, 43 cases) or C arm fluoroscopy unilateral puncture of the PKP (control group, 42 cases) respectively. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201709115
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http://dx.doi.org/10.7507/1002-1892.201709115DOI Listing
February 2018
7 Reads

[Effectiveness comparison between unilateral and bilateral percutaneous kyphoplasty for Kümmell disease].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Sep;31(9):1086-1091

Department of Spine Surgery, Sichuan Province Orthopedics Hospital, Chengdu Sichuan, 610041, P.R.China.

Objective: To compare the effectiveness between unilateral and bilateral percutaneous kyphoplasty (PKP) in the treatment of Kümmell disease.

Methods: The clinical data of 45 patients with Kümmell disease that met the criteria between January 2014 and February 2016 were analyzed retrospectively. Among them, 26 cases were treated by unilateral PKP (unilateral group), 19 cases were treated by bilateral PKP (bilateral group). Read More

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http://dx.doi.org/10.7507/1002-1892.201704055DOI Listing
September 2017
9 Reads

[Effect of remote controlled injection manipulator system assisted percutaneous kyphoplasty for treatment of rupture of posterior vertebral osteoporotic vertebral fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 May;31(5):527-533

Department of Spinal Surgery, the People's Hospital of Laibin, Laibin Guangxi, 546100, P.R.China.

Objective: To evaluate the effect of remote controlled injection manipulator system (RCIM) assisted percutaneous kyphoplasty (PKP) for the treatment of rupture of posterior vertebral osteoporotic vertebral fracture by comparing with intermittent hand bolus injection of bone cement during operation.

Methods: Between September 2010 and January 2016, a retrospective analysis was made on the clinical data of 48 senile patients with single segment rupture of the posterior vertebral osteoporotic thoracolumbar fracture undergoing PKP who accorded with the inclusion criteria. Of 48 patients, 22 received intermittent hand bolus injection of bone cement in the control group, and 26 received RCIM assisted bone cement perfusion in the trial group. Read More

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http://dx.doi.org/10.7507/1002-1892.201612104DOI Listing
May 2017
2 Reads

New Implant-Based Technologies in the Spine.

Cardiovasc Intervent Radiol 2018 Oct 22;41(10):1463-1473. Epub 2018 May 22.

2nd Radiology Department, Medical School, University General Hospital "ATTIKON", National and Kapodistrian University of Athens, 1 Rimini str, 12462, Haidari/Athens, Greece.

Vertebral compression fractures (VCFs) may result in a kyphotic deformity which can cause potential systemic complications secondary to respiratory and gastrointestinal dysfunction. The use of implants in the spine for VCF treatment represents a paradigm shift away from cement injection on its own, aiming to combine the analgesic and stabilizing effect of injecting cement into the vertebral body with vertebral height restoration and kyphotic angle correction. Spine implants which can be used for VCF treatment include stents, jacks, PEEK cages and fracture reduction systems. Read More

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http://dx.doi.org/10.1007/s00270-018-1987-zDOI Listing
October 2018
21 Reads

Percutaneous kyphoplasty combined with zoledronic acid infusion in the treatment of osteoporotic thoracolumbar fractures in the elderly.

Clin Interv Aging 2018 4;13:853-861. Epub 2018 May 4.

Department of Trauma Surgery, Wuhan No 1 Hospital, Wuhan, China.

Objective: We studied the efficacy of zoledronic acid (ZOL) infusion on radiographic and clinical outcomes after percutaneous kyphoplasty (PKP) for elderly patients with osteoporotic thoracolumbar fractures (osteoporotic vertebral compression fractures [OVCFs]).

Materials And Methods: We retrospectively analyzed 95 elderly patients (age >65 years) with OVCF. All patients were followed up for 2 years. Read More

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http://dx.doi.org/10.2147/CIA.S146871DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942393PMC
September 2018
14 Reads

Infection following percutaneous vertebral augmentation with polymethylmethacrylate.

Arch Osteoporos 2018 Apr 27;13(1):47. Epub 2018 Apr 27.

Department of Orthopedic Surgery, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.

Although the incidence of infection following vertebroplasty or kyphoplasty is rare, postoperative infection and cement augmentation in preexistent spondylitis can cause life-threatening complications in frail patients with notable comorbidities. In such cases, urgent culture and biopsy and the long-term use of proper antibiotics are necessary.

Purpose: Infection following vertebral augmentation with polymethylmethacrylate (PMMA) is rare. Read More

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http://dx.doi.org/10.1007/s11657-018-0468-yDOI Listing
April 2018
7 Reads

Vertebral Fragility Fractures (VFF)-Who, when and how to operate.

Injury 2018 Aug 22;49(8):1430-1435. Epub 2018 Apr 22.

Nottingham University Hospitals NHS Trust, Nottingham, UK.

Vertebral Fragility Fractures (VFF) are common and lead to pain, long term disability and increased mortality. Most patients will have mild to moderate pain symptoms and can be managed conservatively. However, patients with severe pain who have minimal or no pain relief with potent analgesia, or who only achieve adequate pain relief with high doses of morphine based analgesia which results in significant adverse events, should be considered for vertebral augmentation. Read More

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http://dx.doi.org/10.1016/j.injury.2018.04.018DOI Listing
August 2018
10 Reads

Percutaneous Injection of Strontium Containing Hydroxyapatite versus Polymethacrylate Plus Short-Segment Pedicle Screw Fixation for Traumatic A2- and A3/AO-Type Fractures in Adults.

Adv Orthop 2018 5;2018:6365472. Epub 2018 Mar 5.

Orthopaedics Department, General Hospital of Patras, Tsertidou Str. 1, 26224 Rio, Greece.

Introduction: Polymethacrylate (PMMA) is commonly used in vertebroplasty and balloon kyphoplasty, but its use has been associated with complications. This study tests three hypotheses: (1) whether strontium hydroxyapatite (Sr-HA) is equivalent to PMMA for restoring thoracolumbar vertebral body fractures, (2) whether the incidence of PMMA leakage is similar to that of Sr-HA leakage, and (3) whether Sr-HAis is resorbed and substituted by new vertebral bone.

Materials And Methods: Two age- and sex-matched groups received short percutaneous pedicle screw fixation plus PEEK implant (Kiva, VCF Treatment System, Benvenue Medical, Santa Clara, CA, USA) filled with either Sr-HA (Group A) or PMMA (Group B) after A2- and A3/AO-type thoracolumbar vertebral body fractures. Read More

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https://www.hindawi.com/journals/aorth/2018/6365472/
Publisher Site
http://dx.doi.org/10.1155/2018/6365472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859844PMC
March 2018
8 Reads

The pedicle instrumentation and percutaneous elevation (Pi.Pe): a new cementless surgical technique in type A post-traumatic vertebral fractures.

Eur Spine J 2018 06 20;27(Suppl 2):182-189. Epub 2018 Apr 20.

Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, AOU Policlinico Consorziale, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70100, Bari, Italy.

Purpose: To investigate if bone substitutes are strictly necessary to restore the vertebral body height and improve the clinical outcome, in patients with thoracolumbar or lumbar AO type A post-traumatic vertebral fractures, managed with balloon kyphoplasty combined with posterior screw and rod system.

Methods: 105 patients with post-traumatic thoracolumbar spine fracture were recruited. At baseline, the patients underwent a CT and an MRI of the spine. Read More

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http://dx.doi.org/10.1007/s00586-018-5602-4DOI Listing
June 2018
8 Reads

Hidden blood loss and its influencing factors after percutaneous kyphoplasty surgery: A retrospective study.

Medicine (Baltimore) 2018 Apr;97(15):e0435

Department of Spine Surgery, Chongqing General Hospital.

Percutaneous kyphoplasty (PKP) surgery is generally accepted as a minimally invasive treatment for osteoporotic vertebral compression fractures (OVCFs). However, hidden blood loss (HBL) caused by this procedure is usually disregarded. This study aimed to investigate the amount of HBL and its influencing factors after PKP surgery. Read More

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http://Insights.ovid.com/crossref?an=00005792-201804130-0007
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000010435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908592PMC
April 2018
5 Reads