Application of Cement-Injectable Cannulated Pedicle Screw in Treatment of Osteoporotic Thoracolumbar Vertebral Compression Fracture (AO Type A): A Retrospective Study of 28 Cases

2018 ◽  
Vol 120 ◽  
pp. e247-e258 ◽  
Author(s):  
Zhigang Rong ◽  
Fei Zhang ◽  
Jun Xiao ◽  
Zhengdong Wang ◽  
Fei Luo ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Pedicle Screw ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Type A

scholarly journals Surgical Outcomes of Osteoporotic Vertebral Collapse: A Retrospective Study of Anterior Spinal Fusion and Pedicle Subtraction Osteotomy

2012 ◽  
Vol 2 (4) ◽  
pp. 221-226 ◽  
Author(s):  
Shinya Okuda ◽  
Takenori Oda ◽  
Ryoji Yamasaki ◽  
Takamitsu Haku ◽  
Takafumi Maeno ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Spinal Fusion ◽  
Surgical Outcomes ◽  
Vertebral Compression Fracture ◽  
Function Analysis ◽  
Compression Fracture ◽  
Bladder Function ◽  
Vertebral Collapse ◽  
Anterior Spinal Fusion ◽  
Osteoporotic Vertebral Collapse

The purpose of this retrospective study was to demonstrate the surgical outcomes of anterior spinal fusion (ASF) and posterior subtraction osteotomy (PSO) for osteoporotic vertebral collapse (OVC). Forty patients who underwent surgery for OVC at the thoracolumbar junction with neurological deficits were included in this study. ASF was primarily chosen for patients without vertebral compression fracture at other levels, and PSO was chosen for patients with more severe kyphosis or with multiple vertebral fractures. ASF was performed in 26 patients and PSO was performed in 14 patients. We evaluated the pre- and postoperative clinical status consisting of pain, gait, paralysis, and bladder function analysis. Additionally, pre- and postoperative kyphosis, correction angle, correction loss, and upright balance were investigated radiologically. Improvements in pain level, gait, paralysis, and bladder function were obtained in both groups. Average correction angles in the ASF and PSO groups were 16 and 37, respectively. Average correction losses at the final follow-up in the ASF and PSO groups were 7 and 13, respectively. Newly developed postsurgical vertebral compression fracture adjacent to the level of instrumentation was observed in four patients (15%) in the ASF group and in 11 patients (79%) from the PSO group. ASF provided satisfactory outcomes for patients with thoracolumbar OVC, who have no vertebral compression fracture at other levels. Although PSO has benefits for the correction of kyphosis, several problems persist with this procedure, especially for patients with severe osteoporosis.

scholarly journals Robot-Assisted Versus Fluoroscopy-Assisted Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fracture: A Retrospective Study

2020 ◽  
pp. 219256822097822
Author(s):  
Wei Yuan ◽  
Xiaotong Meng ◽  
Wenhai Cao ◽  
Yue Zhu
Keyword(s):  
Retrospective Study ◽  
Exposure Time ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Operation Time ◽  
Cement Leakage ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Robot Assisted ◽  
Intraoperative Radiation ◽  
Fluoroscopy Exposure

Study design: A retrospective study. Objectives: To compare the clinical and radiological outcomes of robot assisted (RA) and fluoroscopy assisted (FA) percutaneous kyphoplasty (PKP) in treating single/double segment osteoporotic vertebral compression fracture (OVCF). Methods: Patients with single/double segment OVCF receiving either RA or FA PKP were evaluated retrospectively at our spine center from April 2018 to October 2019. The operation time, fluoroscopy frequency, fluoroscopy exposure time, total radiation dose, visual analogue scale (VAS), local kyphosis angle (LKA), height of fractured vertebra (HFV) and complications were compared between the single/double RA group and the FA group. Results: A total of 96 cases were included in this study, with 59 cases of single segment OVCF and 37 cases of double segment OVCF. For single/double segment OVCF, both RA and FA PKP could relieve pain and reduce fracture. The RA group showed lower fluoroscopy frequency, shorter fluoroscopy exposure time during operation for surgeons, better correction in LKA and HFV, lower rate of cement leakage, but more fluoroscopy frequency, fluoroscopy exposure time and radiation dose for patients compared with the FA group (P < 0.05), while the single RA group showed longer operation time compared with the FA group (P < 0.05). Conclusions: For single/double segment OVCF, RA has more advantages in correcting vertebra fracture, reducing intraoperative radiation exposure for surgeons, and reducing the cement leakage rate, but it increases intraoperative radiation for patients compared with FA PKP. And FA has shorter operation time in treating single segment OVCF than RA PKP.

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