Acrylic Kyphoplasty in Recent Nonosteoporotic Fractures of the Thoracolumbar Junction

Abstract

Kyphoplasty is safe and effective in the correction of nonosteoporotic fractures of the thoracolumbar junction in young patients, and remains stable for at least 2 years postsurgery.

Surgical treatment of traumatic fractures of the thoracic and lumbar spine: A systematic review

“…The other studies were prospective or retrospective cohort studies. The posterior (PO (n = 75)17-77, PP (n = 39) ( Fan et al, 2017 ; Kocis et al, 2020 ; Lee et al, 2013 ; Lyu et al, 2016 ; Pishnamaz et al, 2015 ; Vanek et al, 2014 ; Wang et al, 2017 ; Wang et al, 2013 ; Zhang et al, 2016 ; Zou et al, 2017 ; Afzal et al, 2008 ; Altay et al, 2007 ; Andress et al, 2002 ; Butt et al, 2007 ; Caruso et al, 2019 ; Caruso et al, 2018 ; Ding et al, 2021 ; He et al, 2013 ; Jiang et al, 2020 ; Kerschbaumer et al, 2019 ; Korovessis et al, 2008b ; Korovessis et al, 2017 ; Korovessis et al, 2014 ; Li et al, 2016b ; Manson et al, 2020 ; Padalkar and Mehta, 2017 ; Podet et al, 2020 ; Proietti et al, 2014 ; Sanli et al, 2019 ; Shao et al, 2020 ; Shin et al, 2020 ; Teyssedou et al, 2012 ; Trungu et al, 2019 ), SA (n = 13)) ( He et al, 2013 ; Kerschbaumer et al, 2019 ; Teyssedou et al, 2012 ; Costa et al, 2009 ; Grelat et al, 2018 ; Hartmann et al, 2012 ; Hartmann et al, 2015 ; Klezl et al, 2011 ; Maestretti et al, 2014 ; Saget et al, 2014 ; Schmelzer-Schmied et al, 2009 ; Schulz et al, 2015 ), and anterior (AO (n = 5)) ( Wood et al, 2005 ; Shin et al, 2020 ; Liang et al, 2017 ; Oskouian et al, 2006 ; Smith et al, 2010 ; Yang et al, 2012 ) approaches seemed to be the most often reported surgical techniques. As an anterior scopic technique only thoracoscopy was reported, in the found studies it was not used as the sole surgical technique.…”

“…Furthermore, only data of neurological intact patients that sustained a type A fracture was available. Advantages of the SA procedures include its minimal invasive approach, restoration of kyphosis, maintaining kyphosis correction and early pain reduction ( He et al, 2013 ; Kerschbaumer et al, 2019 ; Teyssedou et al, 2012 ; Costa et al, 2009 ; Grelat et al, 2018 ; Hartmann et al, 2012 ; Hartmann et al, 2015 ; Klezl et al, 2011 ; Maestretti et al, 2014 ; Saget et al, 2014 ; Schmelzer-Schmied et al, 2009 ; Schulz et al, 2015 ; Verlaan et al, 2005 ). This procedure is mainly compared to conservative treatment with a brace, or a combination of posterior fixation and vertebroplasty or kyphoplasty.…”

“…This may be indicated when there is an A3 or A4 fracture with significant comminution or severely affected endplates. In this situation, protrusion of the intervertebral disc can occur through the endplates, possibly leading to failure of kyphosis correction ( Teyssedou et al, 2012 ; Saget et al, 2014 ; Verlaan et al, 2005 ). The result of SA and PP combined was most favorable in a study by He et al (2013) , where only patients older than 65 years were included ( He et al, 2013 ).…”