Skip to main content
SpringerLink
Log in

Interdisciplinary approach to balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures

  • Conference paper
The Aging Spine

Abstract

Osteoporotic vertebral compression fractures (VCFs) are associated with a series of clinical consequences leading to increased morbidity and even mortality. Early diagnosis and therapeutic intervention is desirable in order to remobilise patients and prevent further bone loss. Not all fractures are, however, sufficiently treatable by conservative measures. Here, vertebroplasty and kyphoplasty may provide immediate pain relief by minimally invasive fracture stabilisation. In cases of acute fractures, kyphoplasty has the potential to reduce kyphosis and restore the normal sagittal alignment of the spine. The complex nature of systemic osteoporosis, coupled with the intricate biomechanics of vertebral fractures, leads to a clinical setting which is ideally treated interdisciplinarily by the rheumatologist and spine surgeon.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Belkoff SM, Mathis JM, Fenton DC, Scribner RM, Reiley ME, Talmadge K (2001) An ex vivo biomechanical evaluation of an inflatable bone tamp used in the treatment of compression fracture. Spine 26:151–156

    Article  PubMed  Google Scholar 

  2. Bernhard J, Heini PF, Villiger PM (2003) Asymptomatic diffuse pulmonary embolism caused by acrylic cement: an unusual complication of percutaneous vertebroplasty. Ann Rheum Dis 62:85–86

    Article  PubMed  Google Scholar 

  3. Black DM, Thompson DE (1999) The effect of alendronate therapy on osteoporotic fracture in the vertebral fracture arm of the Fracture Intervention Trial. Int J Clin Pract Suppl 101:46–50

    PubMed  Google Scholar 

  4. Boszczyk B, Bierschneider M, Potulski M, Robert B, Vastmans J, Jaksche H (2002) Erweitertes Anwendungsspektrum der Kyphoplastie zur Stabilisierung der osteoporotischen Wirbelfraktur. Unfallchirurg 105:952–957

    Article  PubMed  Google Scholar 

  5. Boszczyk BM, Bierschneider M, Robert B, Jaksche H (2003) Treatment of severe osteoporotic fractures through a microsurgical interlaminary approach. In: Szpalski M, Gunzburg R (eds) Vertebral osteoporotic compression fractures. Lippincott WW, Philadelphia, pp 179–188

    Google Scholar 

  6. Chen HL, Wong CS, Ho ST, Chang FL, Hsu CH, Wu CT (2002) A lethal pulmonary embolism during percutaneous vertebroplasty. Anesth Analg 95:1060–1062

    Article  PubMed  Google Scholar 

  7. Cooper C, Atkinson EJ, O’Fallon WM, Melton LJ III (1992) Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, MN (1985–1989). J Bone Miner Res 7:221–227

    PubMed  Google Scholar 

  8. Davis JW, Grove JS, Wasnich RD, Ross PD (1999) Spatial relationships between prevalent and incident spine fractures. Bone 24:261–264

    Google Scholar 

  9. Ettinger B, Black DM, Mitlak BH, Knickerbocker RK, Nickelsen T, Genant HK, Christiansen C, Delmas PD, Zanchetta JR, Stakkestad J, Gluer CC, Krueger K, Cohen FJ, Eckert S, Ensrud KE, Avioli LV, Lips P, Cummings (1999) Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: results from a 3-year randomized clinical trial. Multiple Outcomes of Raloxifene Evaluation (MORE) Investigators. JAMA 282(7):637–645

    PubMed  Google Scholar 

  10. European Commission (1998) Report on osteoporosis in the European Community, action for prevention.

    Google Scholar 

  11. Garfin SR, Hansen AY, Reiley MA (2001) Kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26:1511–1515

    PubMed  Google Scholar 

  12. Garfin SR, Lin G, Lieberman I, Phillips F, Truumees E (2001) Retrospective analysis of the outcomes of balloon kyphoplasty to treat vertebral body compression fracture refractory to medical management (Abstract). Eur Spine J 10: S7–S8

    Google Scholar 

  13. Gold DT (1996) The clinical impact of vertebral body fractures: quality of life in women with osteoporosis. Bone 3:S185–S189

    Article  Google Scholar 

  14. Hansson T, Roos B, Naghemson A (1975) Development of osteopenia in the fourth lumbar vertebra during prolonged bed rest after operation for scoliosis. Acta Orthop Scand 46:621–30

    PubMed  Google Scholar 

  15. Harrington KD (2001) Major neurological complications following percutaneous vertebroplasty with polymethylmethacrylate. J Bone Joint Surg 84-A:1070–1073

    Google Scholar 

  16. Harris ST, Watts NB, Genant HK, McKeever CD, Hangartner T, Keller M, Chesnut CH 3rd, Brown J, Eriksen EF, Hoseyni MS, Axelrod DW, Miller PD (1999) Effects of risedronate treatment on vertebral and nonvertebral fractures in women with postmenopausal osteoporosis: a randomized controlled trial. Vertebral Efficacy With Risedronate Therapy (VERT) Study Group. JAMA 282(14):1344–1352

    Article  PubMed  Google Scholar 

  17. Heini PF, Wälchli B, Berlemann U (2000) Percutaneous transpedicular vertebroplasty with PMMA: operative technique and early results. Eur Spine J 9:445–450

    Article  PubMed  Google Scholar 

  18. Jang JS, Lee SH, Jung SK (2002) Pulmonary embolism of polymethylmethacrylate after percutaneous vertebroplasty. Spine 27: E416–E418

    Article  PubMed  Google Scholar 

  19. Kanis JA, Brazier JE, Stevenson M, Calvert NW, Lloyd Jones M (2002) Treatment of established osteoporosis: a systematic review and cost-utility analysis. Health Technol Assess 6(29):1–146

    Google Scholar 

  20. Keller TS, Kosmopoulos V, Liebschner MA (2003) Modeling of bone damage and fracture in osteoporosis. In: Szpalski M, Gunzburg R (eds) Vertebral osteoporotic compression fractures. Lippincott WW, Philadelphia, pp 35–50

    Google Scholar 

  21. Lee BJ, Lee SR, Yoo TY (2002) Paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate. Spine 27: E419–E422

    Article  PubMed  Google Scholar 

  22. Lindsay R, Silverman SL, Cooper C, Hanley DA, Barton I, Broy SB, Licata A, Benhamou L, Geusens P, Flowers K, Stracke H, Seeman E (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320–323

    PubMed  Google Scholar 

  23. Lyles KW, Gold DT, Shipp KM, Paper CF, Martinez S, Mulhausen PL (1993) Association of osteoporotic vertebral body compression fractures with impaired functional status. Am J Med 94:595–601

    Article  PubMed  Google Scholar 

  24. Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 3:184–201

    PubMed  Google Scholar 

  25. Michel BA, Bloch DA, Wolfe F, Fries JF (1993) Fractures in rheumatoid arthritis: an evaluation of associated risk factors. J Rheumatol 10:1666–1669

    Google Scholar 

  26. Padovani B, Kasriel O, Brunner P, Peretti-Viton P (1999) Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty. Am J Neuroradiol 20:375–377

    PubMed  Google Scholar 

  27. Ratliff J, Nguyen T, Heiss J (2001) Root and spinal cord compression from methylmethacrylate vertebroplasty. Spine 26:E300–E302

    Article  PubMed  Google Scholar 

  28. Riggs BL, Melton LJ III (1995) The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone 5: S505–S511

    Article  Google Scholar 

  29. Ross PD, Genant HK, Davis JW, Miller PD, Wasnich RD (1993) Predicting vertebral fracture incidence from prevalent fractures and bone density among none-black, osteoporotic women. Osteoporosis Int 3:120–126

    Article  Google Scholar 

  30. Schlaich C, Minne HW, Bruckner T, Wagner G, Gebest HJ, Grunze M, Ziegler R, Leidig-Bruckner G (1998) Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporosis Int 8:261–267

    Article  Google Scholar 

  31. Scroop R, Eskridge J, Britz GW (2002) Paradoxical cerebral embolization of cement during intraoperative vertebroplasty: case report. Am J Neuroradiol 23:868–870

    PubMed  Google Scholar 

  32. Silverman SL (1992) The clinical consequences of vertebral compression fractures. Bone 13: S27–S31

    Article  PubMed  Google Scholar 

  33. Tozzi P, Abdelmoumene Y, Corno AF, Gersbach PA, Hoogewoud HM, von Segesser LK (2002) Management of pulmonary embolism during acrylic vertebroplasty. Ann Thorac Surg 74:1706–1708

    Article  PubMed  Google Scholar 

  34. Wenger W, Markwalder TM (1999) Surgically controlled, transpedicular methyl methacrylate vertebroplasty with flouroscopic guidance. Acta Neurochir 141:625–631

    Article  Google Scholar 

  35. Wilke HJ, Mehnert U, Boszczyk B, Bierschneider M, Jaksche H, Claes LE (2002) Biomechanical evaluation of vertebro-and kyphoplasty under cyclic loading (Abstract). Eur Spine J 11:613

    Google Scholar 

  36. Wilson DR, Myers ER, Mathis JM, Scribner RM, Conta JA, Reiley MA, Talmadge KD, Hayes WC (2002) Effect of augmentation on the mechanics of vertebral wedge fractures. Spine 25:158–165

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center of Rheumatology, Hubertusstr. 40 Oberammergau, 82487, Oberammergau, Germany

    Michael Bierschneider

  2. Department of Neurosurgery, Berufsgenossenschaftliche Unfallklinik Murnau, Prof. Küntscher Str.8, D-82418, Murnau, Germany

    Hans Jaksche

Authors
  1. Helmut Franck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bronek M. Boszczyk
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael Bierschneider
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hans Jaksche
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institute for Evaluative Research in Orthopaedic Surgery, University of Bern, Stauffacherstr. 78, 3014, Bern, Switzerland

    Max Aebi

  2. Centenary Clinic, Harmoniestraat 68, 2018, Antwerp, Belgium

    Robert Gunzburg

  3. Iris South Teaching Hospitals, 142 Rue Marconi, 1190, Brussels, Belgium

    Marek Szpalski

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Franck, H., Boszczyk, B.M., Bierschneider, M., Jaksche, H. (2005). Interdisciplinary approach to balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures. In: Aebi, M., Gunzburg, R., Szpalski, M. (eds) The Aging Spine., vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27376-X_11

Download citation

  • DOI: https://doi.org/10.1007/3-540-27376-X_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-24408-0

  • Online ISBN: 978-3-540-27376-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation