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Transpedicular vertebral body augmentation reinforced with pedicle screw fixation in fresh traumatic A2 and A3 lumbar fractures: comparison between two devices and two bone cements
- 作者:Panagiotis Korovessis…
- 关键词:Lumbar fractures ; Osteoporosis ; KIVA ; PMMA ; Calcium phosphate ; Balloon kyphoplasty
- 刊名:European Journal of Orthopaedic Surgery & Traumatology
- 出版年:2014
- 出版时间:July 2014
- 年:2014
- 卷:24
- 期:1-supp
- 页码:183-191
- 全文大小:417 KB
- 参考文献:1. Olerud S, Karlstr?m G, Sj?str?m L (1988) Transpedicular fixation of thoracolumbar vertebral fractures. Clin Orthop Relat Res 227:44-51.22744
2. McLain RF, Sparling E, Benson DR (1993) Early failure of short-segment pedicle instrumentation for thoracolumbar fractures. A preliminary report. J Bone Joint Surg Am 75:162-7.75162 3. McCormack T, Karaikovic E, Gaines RW. (1994) The load sharing classification of spine fractures. Spine 19:1741-4.191741 4. Korovessis, P, Baikousis, A, Zacharatos, S (2006) Combined anterior plus posterior stabilization versus posterior short-segment instrumentation and fusion for mid-lumbar (L2–L4) burst fractures. Spine 31: pp. 859-868 CrossRef 5. Korovessis, P, Hadjipavlou, A, Repantis, Th (2008) Minimal invasive short posterior instrumentation plus balloon kyphoplasty with calcium phosphate for burst and severe compression lumbar fractures. Spine 33: pp. 658-667 CrossRef 6. Eck, JC, Nachtigall, D, Humphreys, SC, Hodges, SD (2008) Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta-analysis of the literature. Spine 8: pp. 488-497 CrossRef 7. Christensen, BF, Laursen, M, Gelineck, J (2001) Interobserver and intraobserver agreement of radiograph interpretation with and without pedicle screw implants. Spine 26: pp. 538-544 CrossRef 8. Korovessis, P, Repantis, T, Miller, LE (2011) Initial clinical experience with a novel vertebral augmentation system for treatment of symptomatic vertebral compression fractures: a case series of 26 consecutive patients. BMC Musculoskelet Disord 22: pp. 206-209 CrossRef 9. Verlaan, JJ, Dhert, WJ, Verbout, AJ (2005) Balloon vertebroplasty in combination with pedicle screw instrumentation: a novel technique to treat thoracic and lumbar burst fractures. Spine 30: pp. E73-E79 CrossRef 10. Verlaan, JJ, Kraats, EB, Oner, FC (2005) Bone displacement and the role of longitudinal ligaments during balloon vertebroplasty in traumatic thoracolumbar fractures. Spine 30: pp. 1832-1839 CrossRef 11. Bohner, M, Gasser, B, Baroud, G, Heini, P (2003) Theoretical and experimental model to describe the injection of a polymethylmethacrylate cement into a porous structure. Biomaterials 24: pp. 2721-2730 CrossRef 12. Choe, DH, Marom, EM, Ahrar, K (2004) Pulmonary embolism of polymethylmethacrylate during percutaneous vertebroplast and kyphoplasty. Am J Roentenol 183: pp. 1097-1102 CrossRef 13. Yu, SW, Chen, WJ, Lin, WC (2004) Serious pyogenic spondylitis following vertebroplasty: a case report. Spine 29: pp. E209-E211 CrossRef 14. Yoo, KY, Jeong, SW, Yoon, W, Lee, J (2004) Acute respiratory distress syndrome associated with pulmonary cement embolism following percutaneous vertebroplasty with polymethylmethacrylate. Spine 29: pp. E294-E297 CrossRef 15. Galibert, P, Dearamond, H, Rosat, P, Le Gars, D (1987) Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 33: pp. 166-168 16. Chen, HL, Wong, CS, Ho, ST (2002) A lethal pulmonary embolism during percutaneous vertebroplasty. Anesth Analg 95: pp. 1060-1062 17. Alanay, A, Acaroglu, E, Yazici, M (2001) Short-segment pedicle instrumentation of thoracolumbar burst fractures: does transpedicular intracorporeal grafting prevent early failure?. Spine 26: pp. 213-217 CrossRef 18. Kramer, DL, Rodgers, WB, Mansfield, FL (1995) Transpedicular - 刊物类别:Medicine
- 刊物主题:Medicine & Public Health
Surgical Orthopedics Traumatic Surgery
- 出版者:Springer Paris
- ISSN:1432-1068
文摘
This retrospective study compares efficacy and safety of balloon kyphoplasty (BK) with calcium phosphate (Group A) versus KIVA implant with PMMA (Group B) reinforced with three vertebrae pedicle screw constructs for A2 and A3 single fresh non-osteoporotic lumbar (L1–L4) fractures in 38 consecutive age- and diagnosis-matched patient populations. Extracanal leakage of both low-viscosity PMMA and calcium phosphate (CP) as well as the following roentgenographic parameters: segmental kyphosis (SKA), anterior (AVBHr) and posterior (PVBHr) vertebral body height ratio, spinal canal encroachment (SCE) clearance, and functional outcome measures: VAS and SF-36, were recorded and compared between the two groups. All patients in both groups were followed for a minimum 26 (Group A) and 25 (Group B) months. Extracanal CP and PMMA leakage was observed in four (18?%) and three (15?%) vertebrae/patients of group A and B, respectively. Hybrid fixation improved AVBHr, SKA, SCE, but PVBHr only in group B. VAS and SF-36 improved postoperatively in the patients of both groups. Short-segment construct with the novel KIVA implant restored better than BK-fractured lumbar vertebral body, but this had no impact in functional outcome. Since there was no leakage difference between PMMA and calcium phosphate and no short-term adverse related to PMMA use were observed, we advice the use of PMMA in fresh traumatic lumbar fractures.
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