Abstract
With the aging population, osteoporotic compression fractures have become increasingly common throughout the United States. Many of these patients are not suitable for open surgery, but suffer from substantial pain. It has been found that through the injection of polymethylmethacrylate cement into these fracture sites (vertebroplasty), pain can be alleviated quickly and easily with little recovery time by the patient and low rates of complications. Since the development of vertebroplasty, many other augmentation techniques, including balloon-assisted peek implant-assisted techniques, have been invented. Along with new techniques, new indications for augmentation have come about both in tumor and trauma domains. In this chapter, the expanded indications and techniques involved in vertebral augmentation will be described.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Cooper C, Atkinson EJ, O’Fallon WM, Melton LJ 3rd. Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, Minnesota, 1985–1989. J Bone Miner Res. 1992;7(2):221–7.
Lindsay R, Silverman SL, Cooper C, et al. Risk of new vertebral fracture in the year following a fracture. JAMA. 2001;285(3):320–3.
Galibert P, Deramond H. Percutaneous acrylic vertebroplasty as a treatment of vertebral angioma as well as painful and debilitating diseases. Chirurgie. 1990;116(3):326–34. discussion 335
Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neuro-Chirurgie. 1987;33(2):166–8.
Allen RT, Kum JB, Weidner N, Hulst JB, Garfin SR. Biopsy of osteoporotic vertebral compression fractures during kyphoplasty: unsuspected histologic findings of chronic osteitis without clinical evidence of osteomyelitis. Spine. 2009;34(14):1486–91.
Garfin SR, Buckley RA, Ledlie J. Balloon Kyphoplasty outcomes G. 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. 2006;31(19):2213–20.
Garfin SR, Yuan HA, Reiley MA. New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine. 2001;26(14):1511–5.
Ghofrani H, Nunn T, Robertson C, Mahar A, Lee Y, Garfin S. An evaluation of fracture stabilization comparing kyphoplasty and titanium mesh repair techniques for vertebral compression fractures: is bone cement necessary? Spine. 2010;35(16):E768–73.
Perry A, Mahar A, Massie J, Arrieta N, Garfin S, Kim C. Biomechanical evaluation of kyphoplasty with calcium sulfate cement in a cadaveric osteoporotic vertebral compression fracture model. Spine J. 2005;5(5):489–93.
Theodorou DJ, Theodorou SJ, Duncan TD, Garfin SR, Wong WH. Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures. Clin Imaging. 2002;26(1):1–5.
Diamond TH, Champion B, Clark WA. Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy. Am J Med. 2003;114(4):257–65.
Schreiber JJ, Anderson PA, Hsu WK. Use of computed tomography for assessing bone mineral density. Neurosurg Focus. 2014;37(1):E4.
Weninger P, Schultz A, Hertz H. Conservative management of thoracolumbar and lumbar spine compression and burst fractures: functional and radiographic outcomes in 136 cases treated by closed reduction and casting. Arch Orthop Trauma Surg. 2009;129(2):207–19.
Gertzen H, Hallberg O, Laage-Hellman JE, Lundblad L, Odelberg-Johansson O, Widstrom A. Radiotherapy of differentiated thyroid neoplasms. Lakartidningen. 1978;75(34):2857.
Liu W, Zhou S, Wang S. Application of percutaneous vertebroplasty in the treatment of multiple thoracic metastases. Oncol Lett. 2015;9(6):2775–80.
Berenson J, et al. Balloon kyphoplasty versus non-surgical fracture management for treatment of painful vertebral body compression fractures in patients with cancer: a multicentre, randomised controlled trial. Lancet Oncol. 2011;12(3):225–35.
Cianfoni A, Raz E, Mauri S, et al. Vertebral augmentation for neoplastic lesions with posterior wall erosion and epidural mass. AJNR Am J Neuroradiol. 2015;36(1):210–8.
De la Garza-Ramos R, Benvenutti-Regato M, Caro-Osorio E. Vertebroplasty and kyphoplasty for cervical spine metastases: a systematic review and meta-analysis. Int J Spine Surg. 2016;10:7.
Costa F, Ortolina A, Galbusera F, et al. Pedicle screw cement augmentation. A mechanical pullout study on different cement augmentation techniques. Med Eng Phys. 2016;38(2):181–6.
Tan QC, Wu JW, Peng F, et al. Augmented PMMA distribution: improvement of mechanical property and reduction of leakage rate of a fenestrated pedicle screw with diameter-tapered perforations. J Neurosurg Spine. 2016;24:971–7.
Elder BD, Lo SF, Holmes C, et al. The biomechanics of pedicle screw augmentation with cement. Spine J. 2015;15(6):1432–45.
Klingler JH, Scholz C, Kogias E, et al. Minimally invasive technique for PMMA augmentation of fenestrated screws. ScientificWorldJournal. 2015;2015:979186.
Oner FC, Verlaan JJ, Verbout AJ, Dhert WJ. Cement augmentation techniques in traumatic thoracolumbar spine fractures. Spine. 2006;31(11 Suppl):S89–95. discussion S104
McGraw JK, Cardella J, Barr JD, et al. Society of Interventional Radiology quality improvement guidelines for percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14(7):827–31.
McGraw JK, Cardella J, Barr JD, et al. Society of Interventional Radiology quality improvement guidelines for percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14(9 Pt 2):S311–5.
Stallmeyer MJ, Zoarski GH, Obuchowski AM. Optimizing patient selection in percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14(6):683–96.
Papanastassiou ID, Filis A, Aghayev K, Kokkalis ZT, Gerochristou MA, Vrionis FD. Adverse prognostic factors and optimal intervention time for kyphoplasty/vertebroplasty in osteoporotic fractures. Biomed Res Int. 2014;2014:925683.
Svedbom A, et al. Balloon kyphoplasty compared to vertebroplasty and nonsurgical management in patients hospitalised with acute osteoporotic vertebral compression fracture: a UK cost-effectiveness analysis. Osteoporos Int. 2013;24(1):355–67.
Wong W, Mathis J. Is intraosseous venography a significant safety measure in performance of vertebroplasty? J Vasc Interv Radiol. 2002;13(2 Pt 1):137–8.
Zaryanov AV, Park DK, Khalil JG, Baker KC, Fischgrund JS. Cement augmentation in vertebral burst fractures. Neurosurg Focus. 2014;37(1):E5.
Bae JW, Gwak HS, Kim S, Joo J, et al. Percutaneous vertebroplasty for patients with metastatic compression fractures of the thoracolumbar spine: clinical and radiological factors affecting functional outcomes. Spine J. 2016;16(3):355–64.
Tezer M, Erturer RE, Ozturk C, Ozturk I, Kuzgun U. Conservative treatment of fractures of the thoracolumbar spine. Int Orthop. 2005;29(2):78–82.
Lu WW, Cheung KM, Li YW, et al. Bioactive bone cement as a principal fixture for spinal burst fracture: an in vitro biomechanical and morphologic study. Spine 2001;26(24):2684–2690; discussion 2690–81.
Mermelstein LE, McLain RF, Yerby SA. Reinforcement of thoracolumbar burst fractures with calcium phosphate cement. A biomechanical study. Spine 1998;23(6):664–670; discussion 670–61.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
White, I.K., Potts, E., Mobasser, JP. (2017). Anterior Spinal Column Augmentation Techniques. In: Holly, L., Anderson, P. (eds) Essentials of Spinal Stabilization . Springer, Cham. https://doi.org/10.1007/978-3-319-59713-3_18
Download citation
DOI: https://doi.org/10.1007/978-3-319-59713-3_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59712-6
Online ISBN: 978-3-319-59713-3
eBook Packages: MedicineMedicine (R0)