scholarly journals Osteoporotic Thoracolumbar Vertebral Fractures With Neurological Deficit Treated by Balloon Kyphoplasty Augmented with Newly Developed Minimally Invasive Posterior Hook Stabilization

Cureus ◽  
2021 ◽  
Author(s):  
Toshio Doi ◽  
Ryutaro Kozuma ◽  
Junichi Arima
Keyword(s):  
Minimally Invasive ◽  
Vertebral Fractures ◽  
Neurological Deficit ◽  
Balloon Kyphoplasty

scholarly journals Radiological and clinical outcomes of balloon kyphoplasty for osteoporotic vertebral compression fracture in patients with rheumatoid arthritis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ji Guo ◽  
Weifeng Zhai ◽  
Licheng Wei ◽  
Jianpo Zhang ◽  
Lang Jin ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Vertebral Fractures ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Balloon Kyphoplasty ◽  
Cement Leakage ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Control Group ◽  
Compression Rate ◽  
Kyphotic Angle

Abstract Background This study was conducted to investigate the outcomes and complications of balloon kyphoplasty (KP) for the treatment of osteoporotic vertebral compression fracture (OVCF) in patients with rheumatoid arthritis (RA) and compare its radiological and clinical effects with OVCF patients without RA. Methods Ninety-eight patients in the RA group with 158 fractured vertebrae and 114 patients in the control group with 150 vertebrae were involved in this study. Changes in compression rate, local kyphotic angle, visual analog scale (VAS) and Oswestry disability index (ODI) scores, conditions of bone cement leakage, refracture of the operated vertebrae, and new adjacent vertebral fractures were examined after KP. In addition, patients in the RA group were divided into different groups according to the value of erythrocyte sedimentation rate (ESR), c-reactive protein (CRP), and whether they were glucocorticoid users or not to evaluate their influence on the outcomes of KP. Results KP procedure significantly improved the compression rate, local kyphotic angle, and VAS and ODI scores in both RA and control groups (p<0.05). Changes in compression rate and local kyphotic angle in the RA group were significantly larger than that in the control group (p<0.05), and patients with RA suffered more new adjacent vertebral fractures after KP. The outcomes and complications of KP from different ESR or CRP groups did not show significant differences. The incidence of cement leakage in RA patients with glucocorticoid use was significantly higher than those who did not take glucocorticoids. In addition, RA patients with glucocorticoid use suffered more intradiscal leakage and new adjacent vertebral fractures. Conclusions OVCF patients with RA obtained more improvement in compression rate and local kyphotic angle after KP when compared to those without RA, but they suffered more new adjacent vertebral fractures. Intradiscal leakage and new adjacent vertebral fractures occurred more in RA patients with glucocorticoid use. Trial registration Retrospectively registered.

Minimally Invasive Reduction and Internal Stabilization of Osteoporotic Vertebral Body Fractures (Balloon Kyphoplasty)

2005 ◽  
Vol 31 (3) ◽  
pp. 280-290 ◽  
Author(s):  
Jochen 1,4 Telefon , Fax E-Mail: Hillmeier ◽  
Peter J. Meeder ◽  
Gerd Nöldge ◽  
Christian Kasperk
Keyword(s):  
Minimally Invasive ◽  
Vertebral Body ◽  
Balloon Kyphoplasty ◽  
Vertebral Body Fractures ◽  
Internal Stabilization ◽  
Minimally Invasive Reduction

scholarly journals Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
J. Bredow ◽  
J. Oppermann ◽  
K. Keller ◽  
F. Beyer ◽  
C. K. Boese ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Balloon Kyphoplasty ◽  
Minimally Invasive Spine Surgery ◽  
Anterior Spinal Artery ◽  
Invasive Technique ◽  
Vertebral Compression Fractures ◽  
High Dose ◽  
Anterior Spinal Artery Syndrome ◽  
Minimally Invasive Spine

Background Context. Percutaneous balloon kyphoplasty is an established minimally invasive technique to treat painful vertebral compression fractures, especially in the context of osteoporosis with a minor complication rate.Purpose. To describe the heparin anticoagulation treatment of paraplegia following balloon kyphoplasty.Study Design. We report the first case of an anterior spinal artery syndrome with a postoperative reversible paraplegia following a minimally invasive spine surgery (balloon kyphoplasty) without cement leakage.Methods. A 75-year-old female patient underwent balloon kyphoplasty for a fresh fracture of the first vertebra.Results. Postoperatively, the patient developed an acute anterior spinal artery syndrome with motor paraplegia of the lower extremities as well as loss of pain and temperature sensation with retained proprioception and vibratory sensation. Complete recovery occurred six hours after bolus therapy with 15.000 IU low-molecular heparin.Conclusion. Spine surgeons should consider vascular complications in patients with incomplete spinal cord syndromes after balloon kyphoplasty, not only after more invasive spine surgery. High-dose low-molecular heparin might help to reperfuse the Adamkiewicz artery.

Balloon Kyphoplasty for Managing Intractable Pain in Pediatric Pathologic Vertebral Fractures

2017 ◽  
Vol 37 (4) ◽  
pp. e286-e291 ◽  
Author(s):  
Jane S. Hoashi ◽  
Stefanie M. Thomas ◽  
Ryan C. Goodwin ◽  
David P. Gurd ◽  
Rabi Hanna ◽  
...  
Keyword(s):  
Vertebral Fractures ◽  
Balloon Kyphoplasty ◽  
Intractable Pain

scholarly journals Results of kyphoplasty in the minimally invasive treatment of vertebral metastasis

2014 ◽  
Vol 13 (3) ◽  
pp. 235-238
Author(s):  
Carlos Fernando Pereira da Silva Herrero ◽  
Mario Bressan Neto ◽  
Carlos Eduardo Sargi Godoy ◽  
Vitor Rodrigues Fornazari ◽  
Lilian Maria Pacola ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Vertebral Body ◽  
Postoperative Period ◽  
Spinal Metastases ◽  
Balloon Kyphoplasty ◽  
Vertebral Metastases ◽  
Minimally Invasive Surgical ◽  
Minimally Invasive Surgical Treatment ◽  
The Mean

OBJECTIVE: To evaluate the clinical and radiological outcome of minimally invasive surgical treatment of vertebral metastases using the technique of kyphoplasty. METHODS: This was a prospective observational study of patients with the diagnosis of spinal metastasis who underwent minimally invasive surgical treatment by filling the vertebral body with balloon kyphoplasty technique. Clinical evaluation included patient age at surgery, diagnosis of the tumor, biopsy results, data of the surgical procedure performed, visual pain scale (VAS) and complications related to surgery. Radiological evaluation involved the study of radiographic procedures in the anteroposterior and lateral incidences, with the analysis of vertebral body kyphosis and the occurrence of extravasation of cement. RESULTS: 22 patients with spinal metastases who were treated by balloon kyphoplasty, 8 (36%) males and 14 (64%) females were studied. The average age was 56.05 years and the mean follow-up was 8.5 months. The mean preoperative VAS was 8.73, 1.73 in the initial postoperative period, and 1.92 in the late postoperative period. CONCLUSION: Kyphoplasty proved to be a safe and effective technique for symptomatic treatment of vertebral metastases.

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