Percutaneous cement discoplasty for the treatment of advanced degenerative disk disease in elderly patients

  • Carlos Sola
  • Gaston Camino Willhuber
  • Gonzalo Kido
  • Matias Pereira Duarte
  • Mariana Bendersky
  • Maximiliano Mereles
  • Matias Petracchi
  • Marcelo Gruenberg
Grand Rounds


Open image in new window Purpose

The authors describe a percutaneous technique to treat advanced degenerative disk disease in elderly patients.


A step-by-step technical description based on our experience in selected cases.


Postoperative imaging results are presented as well as indications and recommendations.


Percutaneous discoplasty can result as an alternative minimal invasive strategy for the treatment of advanced degenerative disk disease.


Percutaneous discoplasty Cement bone spacer Minimally invasive technique 


Compliance with ethical standards

Conflict of interest

The authors declare no competing financial interest.


  1. 1.
    Hoy D, Bain C, Williams G et al (2012) A systematic review of the global prevalence of low back pain. Arthritis Rheum 64:2028–2037. CrossRefPubMedGoogle Scholar
  2. 2.
    Puvanesarajah V, Nourbakhsh A, Hassanzadeh H et al (2016) Readmission rates, reasons, and risk factors in elderly patients treated with lumbar fusion for degenerative pathology. Spine (Phila Pa 1976) 41:1933–1938. CrossRefGoogle Scholar
  3. 3.
    Puvanesarajah V, Cancienne JM, Werner BC et al (2018) Perioperative complications associated with posterolateral spine fusions: a study of elderly medicare beneficiaries. Spine (Phila Pa 1976) 43:16–21. CrossRefGoogle Scholar
  4. 4.
    Mihailidis HG, Manners S, Churilov L, Quan GMY (2017) Is spinal surgery safe in octogenarians? ANZ J Surg 87:605–609. CrossRefPubMedGoogle Scholar
  5. 5.
    Passias PG, Klineberg EO, Jalai CM et al (2016) Hospital readmission within 2 years following adult thoracolumbar spinal deformity surgery: prevalence, predictors, and effect on patient-derived outcome measures. Spine (Phila Pa 1976) 41:1355–1364. CrossRefGoogle Scholar
  6. 6.
    Rodgers WB, Gerber EJ, Rodgers JA (2010) Lumbar fusion in octogenarians. Spine (Phila Pa 1976) 35:S355–S360. CrossRefGoogle Scholar
  7. 7.
    Isaacs RE, Hyde J, Goodrich JA et al (2010) A prospective, nonrandomized, multicenter evaluation of extreme lateral interbody fusion for the treatment of adult degenerative scoliosis. Spine (Phila Pa 1976) 35:S322–S330. CrossRefGoogle Scholar
  8. 8.
    Uddin OM, Haque R, Sugrue PA et al (2015) Cost minimization in treatment of adult degenerative scoliosis. J Neurosurg Spine 23:798–806. CrossRefPubMedGoogle Scholar
  9. 9.
    Phillips FM, Isaacs RE, Rodgers WB et al (2013) Adult degenerative scoliosis treated with XLIF: clinical and radiographical results of a prospective multicenter study with 24-month follow-up. Spine (Phila Pa 1976) 38:1853–1861. CrossRefGoogle Scholar
  10. 10.
    Knight RQ, Schwaegler P, Hanscom D, Roh J (2009) Direct lateral lumbar interbody fusion for degenerative conditions: early complication profile. J Spinal Disord Tech 22:34–37. CrossRefPubMedGoogle Scholar
  11. 11.
    Cummock MD, Vanni S, Levi AD et al (2011) An analysis of postoperative thigh symptoms after minimally invasive transpsoas lumbar interbody fusion. J Neurosurg Spine 15:11–18. CrossRefPubMedGoogle Scholar
  12. 12.
    Varga PP, Jakab G, Bors IB et al (2015) Experiences with PMMA cement as a stand-alone intervertebral spacer. Orthopade 44:1–8. CrossRefGoogle Scholar
  13. 13.
    D’Anastasi M, Birkenmaier C, Schmidt GP et al (2011) Correlation between vacuum phenomenon on CT and fluid on MRI in degenerative disks. Am J Roentgenol 197:1182–1189. CrossRefGoogle Scholar
  14. 14.
    Gohil I, Vilensky JA, Weber EC (2014) Vacuum phenomenon: clinical relevance. Clin Anat 27:455–462. CrossRefPubMedGoogle Scholar
  15. 15.
    Sachs BL, Spivey MA, Vanharanta H et al (1990) Techniques for lumbar discography and computed tomography/discography in clinical practice. Orthop Rev 19:775–778PubMedGoogle Scholar
  16. 16.
    Daubs MD, Lenke LG, Cheh G et al (2007) Adult spinal deformity surgery. Spine (Phila Pa 1976) 32:2238–2244. CrossRefGoogle Scholar
  17. 17.
    Pateder DB, Gonzales RA, Kebaish KM et al (2008) Pulmonary embolism after adult spinal deformity surgery. Spine (Phila Pa 1976) 33:301–305. CrossRefGoogle Scholar
  18. 18.
    Carreon LY, Puno RM, Dimar JR et al (2003) Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Jt Surg Am 85-A:2089–2092CrossRefGoogle Scholar
  19. 19.
    Rosen DS, O’Toole JE, Eichholz KM et al (2007) Minimally invasive lumbar spinal decompression in the elderly: outcomes of 50 patients aged 75 years and older. Neurosurgery 60:503-9–503-10. Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Orthopaedic and Traumatology DepartmentInstitute of Orthopedics “Carlos E. Ottolenghi”, Hospital Italiano de Buenos AiresBuenos AiresArgentina
  2. 2.III Normal Anatomy Department, School of MedicineUniversity of Buenos AiresBuenos AiresArgentina
  3. 3.Intraoperative Monitoring, Pediatric Neurology DepartmentItalian Hospital of Buenos AiresBuenos AiresArgentina

Personalised recommendations