Advertisement

Thoracic and Lumbar Kyphoplasty

  • Christopher M. Bono
  • Steven R. Garfin
Chapter

Techniques of percutaneous vertebral body augmentation have been developed to stabilize osteoporotic thoracic and lumbar compression fractures. Current methods include vertebroplasty and kyphoplasty [1–5]. Distinct from vertebroplasty, kyphoplasty involves the percutaneous insertion of an inflatable balloon tamp into the vertebral body to create a void in which viscous cement is inserted under low pressure. The balloon tamp also enables vertebral body height restoration. In a number of clinical studies [3, 4, 6, 7], kyphoplasty has demonstrated a marked effectiveness in pain relief from symptomatic osteoporotic thoracic and lumbar compression fractures.

Keywords

Vertebral Body Lateral View Computerize Tomogram Twist Drill Posterolateral Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Jarvik JG, Deyo RA. Vertebroplasty for osteoporotic compression fracture: effective treatment for a neglected disease. AJNR Am J Neuroradiol. 2001;22(3):594–595.Google Scholar
  2. 2.
    Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR Am J Neuroradiol. 1997;18(10):1897–1904.PubMedGoogle Scholar
  3. 3.
    Garfin SR, Yuan HA, Reiley MA. New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine. 2001;26:1511–1515.CrossRefPubMedGoogle Scholar
  4. 4.
    Garfin SR, Yuan H, Lieberman IH. Early outcomes in the minimally-invasive reductions and fixation of compression fractures. Proceedings of the NASS. 2000:184–185.Google Scholar
  5. 5.
    Gangi A, Dietemann JL, Mortazavi R, Pfleger D, Kauff C, Roy C. CT-guided interventional procedures for pain management in the lumbosacral spine. Radiographics. 1998;18(3):621–633.PubMedGoogle Scholar
  6. 6.
    Lieberman IH, Dudeney S, Reinhardt MK, Bell G. Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures. Spine.2001;26:1631–1638.CrossRefPubMedGoogle Scholar
  7. 7.
    Phillips FM, Ho E, Campbell-Hupp M, McNally T, Todd Wetzel F, Gupta P. Early radiographic and clinical results of balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. Spine. 2003;28(19):2260–2265; discussion 2265–2267.CrossRefPubMedGoogle Scholar
  8. 8.
    Dudeney S, Hussein, Lieberman IH. Kyphoplasty in the treatment of vertebral fractures secondary to multiple myeloma. In: Proceedings of the NASS. Seattle; 2001.Google Scholar
  9. 9.
    Lane JM, Hong R, Koob J, et al. Kyphoplasty enhances function and structural alignment in multiple myeloma. Clin Orthop Relat Res. 2004;426:49–53.CrossRefPubMedGoogle Scholar
  10. 10.
    Gerszten PC, Germanwala A, Burton SA, Welch WC, Ozhasoglu C, Vogel WJ. Combination kyphoplasty and spinal radiosurgery: a new treatment paradigm for pathological fractures. J Neurosurg Spine. 2005;3:296–301.CrossRefPubMedGoogle Scholar
  11. 11.
    Fourney DR, Schomer DF, Nader R, et al. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg. 2003;98:21–30.CrossRefPubMedGoogle Scholar
  12. 12.
    Lieberman I, Reinhardt MK. Vertebroplasty and kyphoplasty for osteolytic vertebral collapse. Clin Orthop Relat Res. 2003;415(Suppl):S176–S186.CrossRefPubMedGoogle Scholar
  13. 13.
    Garfin SR, Reilley MA. Minimally invasive treatment of osteoporotic vertebral body compression fractures. Spine J. 2002;2(1):76–80.CrossRefPubMedGoogle Scholar
  14. 14.
    Harrington KD. Major neu rological complications following percutaneous vertebroplasty with polymethylmethacrylate: a case report. J Bone Joint Surg. 2001;83A:1070–1073.Google Scholar
  15. 15.
    Ledlie JT, Renfro M. Balloon kyphoplasty: one-year outcomes in vertebral body height restoration, chronic pain, and activity levels. J Neurosurg. 2003;98(1 Suppl):36–42.PubMedGoogle Scholar
  16. 16.
    Cortet B, Cotten A, Boutry N, et al. Percutaneous vertebroplasty in patients with osteolytic metastases or multiple myeloma. Rev Rhum Engl Ed. 1997;64(3):177–183.PubMedGoogle Scholar
  17. 17.
    Rao RD, Singrakhia MD. Current concepts review: painful osteoporotic vertebral fractures. J Bone Joint Surg Am. 2003;85:2010–2022.PubMedGoogle Scholar
  18. 18.
    Spivak JM, Johnson MG. Perspectives on modern orthopaedics: percutaneous treatment of vertebral body pathology. J Am Acad Orthop Surg. 2005;13:6–17.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery, Boston Medical CenterBoston University School of MedicineBostonUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of California-San Diego, UCSD Medical CenterSan DiegoUSA

Personalised recommendations