575 results match your criteria Vertebroplasty and Kyphoplasty Percutaneous


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://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

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

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
1 Read

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

[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
4 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
5 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 2018 Nov 19. 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
November 2018
7 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
4 Reads

Iatrogenic lumbar artery injury in spine surgery: a literature review.

World Neurosurg 2018 Nov 9. Epub 2018 Nov 9.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, 750004, China. Electronic address:

Objective: To review the literature related to iatrogenic lumbar artery injury (ILAI) in spine surgery with a focus on which iatrogenic operation may cause lumbar artery (LA) 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 articles on ILAI were selected in this study, most of which were published as case reports involving a total of 26 cases. 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
November 2018
8 Reads
2.420 Impact Factor

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
5 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
10 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
8 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
5 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
5 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
11 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

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
1 Read

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

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
15 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
20 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
12 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
5 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
3 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
5 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
9 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
6 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
6 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
1 Read

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
9 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
13 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
5 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
3 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/
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http://dx.doi.org/10.1155/2018/6365472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859844PMC
March 2018
3 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://dx.doi.org/10.1097/MD.0000000000010435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908592PMC
April 2018
3 Reads

Percutaneous Balloon Kyphoplasty Vertebral Augmentation for Compression Fracture Due to Vertebral Metastasis: A 12-Month Retrospective Clinical Study in 72 Patients.

Med Sci Monit 2018 Apr 10;24:2142-2148. Epub 2018 Apr 10.

Department of Neurosurgery, University of Health Sciences, Konya Education and Training Hospital, Konya, Turkey.

BACKGROUND Vertebral compression fracture is common in osteoporosis, but can also occur due to bone metastases, for which current treatment options are limited and include bone-strengthening with cement and supportive care. Kyphoplasty is a surgical method of bone augmentation that can reduce pain, stabilize vertebral bone, and restore some or all of the vertebral body height. The aim of this study was to investigate the clinical results of balloon kyphoplasty in the correction of vertebral deformity due to metastatic vertebral compression fracture. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905353PMC
April 2018
7 Reads

Percutaneous vertebroplasty for osteoporotic vertebral compression fracture.

Cochrane Database Syst Rev 2018 04 4;4:CD006349. Epub 2018 Apr 4.

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://dx.doi.org/10.1002/14651858.CD006349.pub3DOI Listing
April 2018
5 Reads

Surgery for Multisegment Thoracolumbar Mild Osteoporotic Fractures: Revised Assessment System of Thoracolumbar Osteoporotic Fracture.

World Neurosurg 2018 Jun 26;114:e969-e975. Epub 2018 Mar 26.

Spine Surgery, Hong Hui Hospital, Xi'an, China. Electronic address:

Objective: To examine the Assessment System of Thoracolumbar Osteoporotic Fracture (ASTLOF), which can effectively guide the treatment of single-segmental thoracolumbar osteoporotic vertebral compression fractures but fails to guide the treatment of multisegmental thoracolumbar mild osteoporotic vertebral compression fracture (MSTMOVCF).

Methods: A prospective case series study was designed to enroll elderly patients with MSTMOVCF who had been treated with percutaneous kyphoplasty/percutaneous vertebroplasty (PKP/PVP) from June 2013 to June 2016. Surgery indication was based on revised ASTLOF. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.03.122DOI Listing
June 2018
14 Reads

Re: Factors Affecting Delayed Union of Vertebral Fractures Following Percutaneous Kyphoplasty.

Pain Physician 2018 03;21(2):E187-E188

Department of Orthopaedic, ZheJiang Chinese Medical University, Affiliated WenZhou Hospital of Traditional Chinese Medicine, Zhejiang, China.

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March 2018
5 Reads

Comparison of high- and low-viscosity cement in the treatment of vertebral compression fractures: A systematic review and meta-analysis.

Medicine (Baltimore) 2018 Mar;97(12):e0184

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangdong, China.

Background: High-viscosity cement (HVC) has been gradually applied in percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP). Although HVC has been reported to reduce cement leakage, different opinions exist. To assess the complications of HVC in cement leakage in the treatment of vertebral compression fractures and to evaluate the clinical effect of HVC compared with low-viscosity cement (LVC). Read More

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http://dx.doi.org/10.1097/MD.0000000000010184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895344PMC
March 2018
4 Reads

Percutaneous kyphoplasty for the treatment of distal lumbosacral pain caused by osteoporotic thoracolumbar vertebral fracture.

Acta Radiol 2018 Nov 26;59(11):1351-1357. Epub 2018 Feb 26.

Department of Orthopaedics, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, PR China.

Background Kyphoplasty has been demonstrated to be minimally invasive and effective in treating osteoporotic vertebral fracture patients with back pain over the level of the fractured vertebrae. Rare studies have reported on thoracolumbar vertebral fracture patients presenting with distal lumbosacral pain (DLP). Whether kyphoplasty had a favorable therapeutic benefit for these patients remains unclear. Read More

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http://dx.doi.org/10.1177/0284185118761204DOI Listing
November 2018
8 Reads

Risk factor analysis for re-collapse of cemented vertebrae after percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP).

Int Orthop 2018 Sep 20;42(9):2131-2139. Epub 2018 Feb 20.

The First Clinical Academy, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.

Purpose: Re-collapse of cemented vertebrae occasionally occurs after percutaneous augmentation. However, the potential risks still remain unclear. Several articles have reported some possible risk factors which were not consistent or comprehensive. Read More

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http://dx.doi.org/10.1007/s00264-018-3838-6DOI Listing
September 2018
6 Reads

Comparison of Percutaneous Kyphoplasty and Bone Cement-Augmented Short-Segment Pedicle Screw Fixation for Management of Kümmell Disease.

Med Sci Monit 2018 Feb 21;24:1072-1079. Epub 2018 Feb 21.

Xi'an Medical Uniyersity, Xi'an, Shaanxi, China (mainland).

BACKGROUND The purpose of this study was to compare the efficacy of percutaneous kyphoplasty (PKP) and bone cement-augmented short segmental fixation (BCA+SSF) for treating Kümmell disease. MATERIAL AND METHODS Between June 2013 and December 2015, 60 patients were treated with PKP or BCA+SSF. All patients were followed up for 12-36 months. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829537PMC
February 2018
6 Reads

[Risk factors of non-surgical vertebral fracture after percutaneous kyphoplasty of single segment thoracolumbar fracture].

Zhongguo Gu Shang 2017 Sep;30(9):833-837

Department of Spinal Surgery, the Second People's Hospital of Changshu City, Changshu 215500, Jiangsu, China.

Objective: To investigate the risk factors of non-surgical vertebral fracture after percutaneous kyphoplasty (PKP) in patients with single segment thoracolumbar osteoporotic vertebral compression fracture(OVCF).

Methods: The clinical data of 219 patients with single segment thoracolumbar osteoporotic vertebral compression fracture underwent percutaneous kyphoplasty from January 2010 to December 2015 were retrospectively analyzed. There were 29 cases in non-surgical vertebral body fracture group with 7 males and 22 females aged (67. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.09.010DOI Listing
September 2017
9 Reads

[Mid-term follow-up and coping strategies of bone cement leakage after percutaneous kyphoplasty].

Zhongguo Gu Shang 2017 Sep;30(9):810-816

Zhejiang Hospital, Hangzhou 310013, Zhejiang, China.

Objective: To retrospectively analyze the clinical data of 17 patients with bone cement leakage after percutaneous kyphoplasty and explore the leakage type and mid-term clinical effects.

Methods: The clinical data of 17 patients with osteoporotic vertebral compression fractures occurred bone cement leakage after percutaneous kyphoplasty from October 2011 to October 2016 were collected. There were 7 males and 10 females, aged from 68 to 87 years old with an average of 78 years. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.09.006DOI Listing
September 2017
4 Reads

Is percutaneous kyphoplasty the better choice for minimally invasive treatment of neurologically intact osteoporotic Kümmell's disease? A comparison of two minimally invasive procedures.

Int Orthop 2018 Jun 14;42(6):1321-1326. Epub 2018 Feb 14.

Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, Shaan'xi Province, 710061, China.

Purpose: The purpose of this study was to compare and evaluate the safety and efficacy of percutaneous vertebroplasty at a hyperextension position (PVPHP) and percutaneous kyphoplasty at a hyperextension position (PKPHP) for the treatment of osteoporotic Kümmell's disease.

Methods: This study was a retrospective, single-centre study. There were 35 patients with osteoporotic Kümmell's disease who were analyzed. Read More

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http://dx.doi.org/10.1007/s00264-018-3832-zDOI Listing
June 2018
4 Reads

[Mid and long-term clinical effects of percutaneous kyphoplasty with two methods for vertebral fragility fracture in the elderly].

Zhongguo Gu Shang 2017 May;30(5):426-430

Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China;

Objective: To evaluate the middle-long-term clinical effects of unilateral and bilateral percutaneous kyphoplasty(PKP) for vertebral fragility fracture in the elderly.

Methods: The clinical data in elderly patients with vertebral fragility fracture treated by unilateral and bilateral PKP between January 2008 and January 2010 was retrospective analyzed. According to a unified criteria to divided into two groups for 104 patients(44 males and 60 females), of them, 50 cases were divided in unilateral group using unilateral pedicle surgical approach for PKP and 54 cases were in bilateral group using bilateral pedicle approach. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.05.007DOI Listing
May 2017
1 Read

Percutaneous kyphoplasty versus posterior spinal fixation with vertebroplasty for treatment of Kümmell disease: A case-control study with minimal 2-year follow-up.

Medicine (Baltimore) 2017 Dec;96(51):e9287

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

This is a retrospective case-control study.The aim of this study was to compare the surgical results of percutaneous kyphoplasty (KP) and posterior spinal fixation with vertebroplasty (PSF+VP) for treatment of Kümmell disease (KD).KD is rare form of post-traumatic delayed avascular necrosis of the vertebral body. Read More

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http://dx.doi.org/10.1097/MD.0000000000009287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758191PMC
December 2017
17 Reads