Abstract
In recent years, the advent of percutaneous techniques in the management of osteoporotic vertebral compression fractures has proven to be a great step forward in the evolution of patients suffering from this pathology.
Vertebroplasty, which was developed in 1984 by Galibert and Deramond, presents the disadvantage of leakage of the cementation material and the impossibility to restore spinal deformity. Kyphoplasty has shown to be almost a definite solution to these problems. The description of the technique, its indications, and the outcomes resulting from our series of 200 vertebral fractures in 128 patients are presented in this paper.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cook DJ, Guyatt GH, Adachi JD, et al and the Multicentre Vertebral fracture Study Group (1993) Quality of life issues in women with vertebral fractures due to osteoporosis. Arthritis Rheum;36:750–756
Cooper C, Atkinson EJ, O¨Fallon WM, Melton LJ III (1992) Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester Minnesota, 1985-1989. J Bone Miner Res;7:221–227
Ebraheim NA, Jabaly G, Xu R, Yeasting RA (1997) Anatomic relations of the thoracic pedicle to the adjacent neural structures. Spine;22:1553–1556
Ebraheim NA, Xu R, Darwich M, Yeasting RA (1997) Anatomic relations between the lumbar pedicle and the adjacent neural structures. Spine;22:2338–2341
Gaitanis IN, et al. (2005) Balloon kyphoplasty for the treatment of pathological vertebral compressive fractures. Eur Spine J;14(3):250–260
Galibert P, Deramond H, Rosat P, Le Gars D (1987) Preliminare note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie;33:166–168
Garfin SR, Buckley RA, Ledlie J (2006) Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid, significant, and sustained improvements in back pain, function, and quality of life for elderly patients. Spine;31(19):2213–2220
Groen RJ, du Toit DF, Phillips FM, Hoogland PVJM, Kuizenga K, Coppes MH, Muller CJF, Grobbelaar M, Mattyssen J (2004) Anatomical and pathological considerations in percutaneous vertebroplasty and kyphoplasty: a reappraisal of the vertebral venous system. Spine;29:1465–1471
Hillmeier J, et al. (2004) The evaluation of balloon kyphoplasty for osteoporotic vertebral fractures. An interdisciplinary concept. Orthopade;33(8):893–904
Ledlie JT, Renfro M (2003) Balloon kyphoplasty: one-year outcomes in vertebral body height restoration, chronic pain, and activity levels. J Neurosurg;98(1):36–42
Ledlie JT, Renfro MB (2006) Kyphoplasty treatment of vertebral fractures: 2-year outcomes show sustained benefits. Spine;31(1):57–64
Lien SB, Lien SB, Liou NH, Wu SS (2007) Analysis of anatomic morphometry of the pedicles and the safe zone for through-pedicle procedures in the thoracic and lumbar spine. Eur Spine J;16:1215–1222
Lyles KW, Gold DT, Shipp KM, et al. (1993) Association of osteoporotic vertebral fractures with impaired functional status. Am J Med;94:595–598
Majd ME, Farley S, Holt RT (2005) Preliminary outcomes and efficacy of the first 360 consecutive kyphoplasties for the treatment of painful osteoporotic vertebral compression fractures. Spine J;5(3):244–255
Mc Culloch JA, Young PH (1998) Essentials of the Spinal Microsurgery. Philadelphia, Lippincott-Raven, pp 249–292
Padovani B, Kasriel O, Brunner P, et al. (1999) Pulmonary embolism caused acrylic cement: a rare complication of percutaneous vertebroplasty. Am J Neuroradiol;20:375–377
Riggs BL, Melton LJ III (1995) The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone;17:505S–511S
Schlaich C, Minne HW, Bruckner T, et al. (1998) Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporos Int;8:261–267
Torun F, Tuna H, Buyukmumcu M, Caglar S, Baysefer A (2008) The lumbar roots and pedicles: a morphometric analysis and anatomical features. J Clin Neurosci;15:895–899
Conflicts of Interest Statement
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag/Wien
About this chapter
Cite this chapter
Molina, G.S.F., Campero, A., Feito, R., Pombo, S. (2011). Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures (VCF). In: Alexandre, A., Masini, M., Menchetti, P. (eds) Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves. Acta Neurochirurgica Supplementum, vol 108. Springer, Vienna. https://doi.org/10.1007/978-3-211-99370-5_24
Download citation
DOI: https://doi.org/10.1007/978-3-211-99370-5_24
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-99369-9
Online ISBN: 978-3-211-99370-5
eBook Packages: MedicineMedicine (R0)