Modified kyphoplasty with controllable balloon dilatation for treatment of thoracolumbar osteoporotic vertebral compression fractures

被引:13
作者
Wang, Dexin [1 ]
Li, Zheng [2 ]
Yin, Shaomeng [3 ]
Liu, Rui [4 ]
Sun, Fanggui [4 ]
Hu, Yutong [4 ]
Li, Chunzhi [4 ]
Xu, Rongming [4 ]
机构
[1] Zhejiang Univ, Ningbo Hosp 1, Dept Orthopaed, Haishu Branch, Ningbo 315012, Zhejiang, Peoples R China
[2] Fudan Univ, Spinal Surg Dept, Zhongshan Hosp, Shanghai 200032, Peoples R China
[3] AoYoung Hosp, Spinal Surg Dept, Suzhou 215600, Jiangsu, Peoples R China
[4] Zhejiang Univ, Mingzhou Hosp, Dept Orthopaed, 168 Taian West Rd, Ningbo 315100, Zhejiang, Peoples R China
关键词
Osteoporosis; Thoracolumbar vertebral compression fracture; Compression fracture; Kyphoplasty; Cement leakage; PERCUTANEOUS VERTEBROPLASTY; RISK-FACTOR; FOLLOW-UP; LEAKAGE; CEMENT;
D O I
10.1007/s00264-020-04592-z
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose To investigate the surgical effects of modified kyphoplasty with controllable balloon dilatation for treatment of thoracolumbar osteoporotic vertebral compression fractures (OVCF). Methods From April 2013 to October 2017, a total of 53 patients with thoracolumbar OVCF were treated with controllable balloon percutaneous kyphoplasty (C-PKP). Peri-operative parameters including days from injury to operation, operation time, injected cement volume, cement leakage and complications were collected. Visual analogue scale (VAS) and Cobb angle before and after operation were applied to evaluate surgical effects. Moreover, a total of 53 cases treated with traditional balloon of percutaneous kyphoplasty were retrospectively analyzed and compared with C-PKP in above parameters. Results C-PKP achieved significant fewer events of cement leakage (type C) than that of traditional PKP (5/53 vs 13/53, p < 0.01). The patients were followed up for 10.8 +/- 4.2 months; VAS and Cobb angle of the injured vertebra in both two groups at three days and final follow-up were significantly improved compared with that before surgery (p < 0.05), while there were no significant differences between the two groups regarding the VAS and Cobb angle at corresponding time points (p > 0.05). Conclusions C-PKP technology is a safe and efficient way for the treatment of thoracolumbar OVCF, and it can reduce cement leakage.
引用
收藏
页码:1401 / 1408
页数:8
相关论文
共 22 条
[1]   Balloon kyphoplasty in malignant spinal fractures: A systematic review and meta-analysis [J].
Bouza C. ;
Lápez-Cuadrado T. ;
Cediel P. ;
Saz-Parkinson Z. ;
Amate J.M. .
BMC Palliative Care, 8 (1)
[2]  
Costa F, 2009, J NEUROSURG SCI, V53, P13
[3]   Epidemiology and outcomes of osteoporotic fractures [J].
Cummings, SR ;
Melton, LJ .
LANCET, 2002, 359 (9319) :1761-1767
[4]   Vertebral fracture assessment: Current research status and application in patients with kyphoplasty [J].
Drampalos, Efstathios ;
Nikolopoulos, Konstantinos ;
Baltas, Christos ;
Balanika, Alexia ;
Galanos, Antonis ;
Papaioannou, Nikolaos ;
Pneumaticos, Spyros .
WORLD JOURNAL OF ORTHOPEDICS, 2015, 6 (09) :680-687
[5]  
Du JH, 2014, ACTA ORTHOP BELG, V80, P477
[6]   Vertebroplasty and kyphoplasty: A systematic review of 69 clinical studies [J].
Hulme, Paul A. ;
Krebs, Joerg ;
Ferguson, Stephen J. ;
Berlemann, Ulrich .
SPINE, 2006, 31 (17) :1983-2001
[7]   The effect of hydrostatic pressure on intervertebral disc metabolism [J].
Hutton, WC ;
Elmer, WA ;
Boden, SD ;
Hyon, S ;
Toribatake, Y ;
Tomita, K ;
Hair, GA .
SPINE, 1999, 24 (15) :1507-1515
[8]   Does balloon kyphoplasty improve the global spinal alignment in osteoporotic vertebral fracture? [J].
Kanayama, Masahiro ;
Oha, Fumihiro ;
Iwata, Akira ;
Hashimoto, Tomoyuki .
INTERNATIONAL ORTHOPAEDICS, 2015, 39 (06) :1137-1143
[9]   Augmented posterior instrumentation for the treatment of osteoporotic vertebral body fractures [J].
Krappinger, D. ;
Kastenberger, T. J. ;
Schmid, R. .
OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE, 2012, 24 (01) :4-12
[10]   Quality of Life Comparison between Vertebroplasty and Kyphoplasty in Patients with Osteoporotic Vertebral Fractures [J].
Lee, Su-Keon ;
Lee, Seung-Hwan ;
Yoon, Sang-Pil ;
Lee, Young-Tae ;
Jang, Geun ;
Lim, Sang-Youn ;
Lee, Hwan-Mo ;
Moon, Seong-Hwan ;
Song, Kyeong-Seop .
ASIAN SPINE JOURNAL, 2014, 8 (06) :799-803