P68. Pedicle augmenter in treating burst fracture

Li, Kung-Chia; Hsieh, Ching-Hsiang

doi:10.1016/s1529-9430(03)00351-6

Cited by 3 publications

(5 citation statements)

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“…In Type I kyphosis with breakage of the vertebral body, manual reduction has led to a very good restoration of the vertebral body. Reduction of acute burst or compression fractures [36] was as easy by manual reduction as instrumentation reduction [37], followed by posterior fixation with transpedicle body augmenter [26,38,39]. Non-union osteoporotic compression fractures, also known as Kümmell's disease [40][41][42], were also easily reduced by manual reduction accompanied by posterior body reconstruction with transpedicle body augmenter [27].…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, posture reduction in the thoracolumbar fractures has been considered to be safe and effective [25]. In 2003, Li et al [26] reported a 5-member manual reduction (team-MR) for high-energy burst fracture while the patient was in prone position under general anesthesia with full muscle relaxation. The reduction rate was close to 100% in acute fracture without complications.…”

Section: Background Of Manual Reductionmentioning

confidence: 99%

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Manual Reduction, Subpedicle Approach, and Body Cages to Treat Burst Fracture

Li¹,

Hsieh²,

Hsieh³

et al. 2023

Frontiers in Spinal Neurosurgery

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Manual reduction, subpedicle approach, and body cage to treat burst fracture Thoracolumbar burst fractures occasionally result in severe instability and acute or delayed neurological dysfunction, requiring surgical intervention to decompress spinal cord, reconstruct the vertebral body, correct angular deformity, and restore stability. Even transpedicular decompression and augmentation with the body-cages and short-segment fixation are successful, they are limited in their ability to decompress the contralateral spinal cord and bilateral procedures are necessary. Thus, a posterior far-lateral subpedicle approach to open the lateral vertebral cortex window, creating a tunnel to remove retropulsed bony fragments and pass body cages for full-body augmentation (SpBA) was applied to treat burst fracture. The characteristics of SpBA include unilateral approach, direct decompression, minimal bleeding, short operation time and no posterior instrumentation. In this chapter, according to Li's short-term results [12] indicating that SpBA is effective in preventing adverse effects of adjacent disc injury, the detailed techniques and effects of manual reduction for post-traumatic kyphosis, transpedicle decompression and body augmentation with short-segment fixation were described. The most advanced technique, the unilateral subpedicle approach with body cages and cementation without screw instrumentation, which offers a minimally invasive solution for spinal burst fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Background Of Manual Reductionmentioning

confidence: 99%

Manual Reduction, Subpedicle Approach, and Body Cages to Treat Burst Fracture

Li¹,

Hsieh²,

Hsieh³

et al. 2023

Frontiers in Spinal Neurosurgery

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“…This finding might provide an explanation for Li et al's clinical experience and hypothesis that the body augmenter can increase the stability of spine-device construct and finally increase the fusion rate. 16 On the other hand, it might deduce that the reason of failure of Daniaux's transpedicle bone graft is possibly the result of lack of internal mechanical support.…”

Section: Discussionmentioning

confidence: 99%

“…The body augmenter is a strong internal reconstruction to help the bone graft grow into solid bone within the fractured vertebral body. Li et al 16 have performed follow ups for operative reconstruction of 33 patients with acute or chronic fracture of vertebral bodies from 1999 to 2001. The pain relief and kyphosis correction are satisfactory in 93% of patients.…”

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confidence: 99%

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Biomechanical Effects of the Body Augmenter for Reconstruction of the Vertebral Body

Chen

Wang

et al. 2004

Spine

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Locking Lumbar Interbody Cementation: Biomechanics, manual reduction, surgical techniques, and long-term results

Chia Li,

Hsieh,

Liao

et al. 2024

Advances in Neurosurgical Procedures - Unveiling New Horizons [Working Title]

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Locking lumbar interbody cementation (IBC) involves performing manual reduction to correct lumbar deformities, followed by discectomy and carving grooves in the vertebral bodies above and below the disc. Bone cement was injected into these created grooves, followed by cage insertion to ensure solid bonding. Based on our 20 years of clinical experience with 15,000 cases, IBC has advantages, such as smaller incisions, less blood loss, shorter hospital stay, and significantly fewer complications, both intraoperatively and 30 days after surgery. Compared with traditional screw fixation surgeries, IBC also exhibits fewer adjacent segment diseases. Biomechanical studies have shown that bone-cement fixation effectively reduces disc mobility and achieves stability in the spinal motion unit. Clinically, we categorized IBC bone cement distribution patterns and correlated it with clinical outcomes. As long as the bone cement in the vertebral bodies above and below the treated disc exceeds half of the vertebral height, a long-term follow-up of more than twelve years shows minimal issues with bone cement loosening. The results were excellent even when the bone cement on only one side exceeded half the height. IBC has become a routine procedure, offering advantages over screw fixation surgery in treating lumbar degenerative diseases especially with osteoporosis.

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P68. Pedicle augmenter in treating burst fracture

Cited by 3 publications

References 0 publications

Manual Reduction, Subpedicle Approach, and Body Cages to Treat Burst Fracture

Manual Reduction, Subpedicle Approach, and Body Cages to Treat Burst Fracture

Biomechanical Effects of the Body Augmenter for Reconstruction of the Vertebral Body

Locking Lumbar Interbody Cementation: Biomechanics, manual reduction, surgical techniques, and long-term results

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