Balloon Kyphoplasty: Cement Augmentation in Acute Osteoporotic Thoraco-Lumbar Fractures

Journal Title: Orthopedics Research and Traumatology – Open Journal - Year 2018, Vol 3, Issue 1

Abstract

Background Several techniques have been developed for simpler and safer procedures during the last 2 decades. Techniques of vertebral body augmentation have been developed in an effort to treat these refractory cases. The injection of low-viscosity poly-methylemethacrylate (PMMA) under high pressure poses a potential risk for neural compromise and pulmonary embolism by uncontrolled leakage. Therefore, balloon kyphoplasty and vertebroplasty using a large cannula low pressure injection of PMMA in a high-viscosity state has been introduced. Percutaneous kyphoplasty (PKP) is a recently developed, minimally invasive surgical approach for the treatment of osteoporotic vertebral compression fractures (OVCF). Objective Our objective is directed towards the study of the role of kyphoplasty in the management of osteoporotic thoracolumbar fractures, following the analysis of clinical and radiographic outcomes. Our objective is to evaluate the efficacy and safety of kyphoplasty in the treatment of acute vertebral osteoporotic compression fractures and to validate the hypothesis that kyphoplasty will help diminish pain, disability and improve the quality of life (QoL). The goal of this study was to determine the safety and effectiveness of kyphoplasty in improving vertebral body height, decreasing pain, and improving affected functions. Patients and Methods A prospective analysis of 30 patients (10 males and 20 females), being treated with kyphoplasty, was performed at our institution, after a clinical follow-up of 6 months. The patients had vertebral compression fractures (VCFs) at levels T7 to L4 due to osteoporosis arising from primary and secondary etiological factors. There were 41 VCFs in these 30 patients. The median age was 69 years (range 53-87 years). Subjects were excluded if they had associated spinal stenosis, neurologic deficit, an active infection, and severe comorbidities, such as uncorrected coagulopathy. Results According to the pain scores, 26 (87%) patients showed a drastic post-operative improvement whereas, in 2 cases, significant improvement was noted after a follow-up in 3 months. On the other hand, 2 (7%) patients showed a deteriorated pain score. 24 (80%) patients showed constant improvement over a period of 6 months. 7 patients (23%) showed further improvement after the 6 months clinical follow-up. Conclusion All PMMA extravasations were asymptomatic; the cement was observed at a close vicinity to the treated vertebrae. We treated 41 fractures with balloon kyphoplasty (BKP); however, the failure of balloon distension occurred in 6 fractures (14%), which were managed with conventional vertebroplasty; Therefore, the exact cause behind the failure of the procedure is still unclear.

Authors and Affiliations

Abdulrazzaq Alobaid

Keywords

Related Articles

Complications in the Combined and Consecutive Use of External and Internal Fixation of the Femur with Reference to Use of the Extracortical Clamp Device

Aim The Extracortical Clamp Device (ECD) is a novel external fixation component which unlike conventional implants does not perforate long bone cortices. Therefore, it simplifies methods of combined and consecutive inter...

Coaching Orthopaedic Surgeons: Can Visiting Professors be a Valuable Surgical Coach?

Much has been discussed about coaching on different fields and medical training has not been left aside. Atul Gawande’s article in The New Yorker back in 2002 was an eye opener for many regarding the fact that surgeons n...

What can we Expect from the ORTOJ?

The biomechanical performance of a locking compression plate system was compared to an intramedullary photodynamic bone stabilization system in a femur and humerus osteotomy model. The photodynamic bone stabilization sys...

Isokinetic Muscle Strength in Recreational Athletes with Partial ACL Lesions Treated with Surgical Reconstruction

Background: Surgery that spares the intact portion of the ACL seems to be more favorable. This surgical technique has a positive effect on joint stability, joint position sense and functional scores in patients with part...

Two Cases Report of Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Diffuse idiopathic skeletal hyperostosis (DISH) is a common disorder among the elderly. It is a well-defined syndrome with axial and peripheral skeletal manifestations including hyperostosis at the tendon insertions sit...

Download PDF file
  • EP ID EP551868
  • DOI 10.17140/ORTOJ-3-111
  • Views 121
  • Downloads 0

How To Cite

Abdulrazzaq Alobaid (2018). Balloon Kyphoplasty: Cement Augmentation in Acute Osteoporotic Thoraco-Lumbar Fractures. Orthopedics Research and Traumatology – Open Journal, 3(1), 1-19. https://europub.co.uk/articles/-A-551868