Vertebral body stenting / stentoplasty

Heini, Paul; Teuscher, Regula

doi:10.4414/smw.2012.13658

Cited by 15 publications

(15 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…32,33 Many authors have found good to excellent results in terms of pain improvement, quality of life and kyphosis restoration. 32,34,35 Few studies have compared stentoplasty with other modalities.…”

Section: The Best Methods Of Cement Augmentation For Ovfsmentioning

confidence: 99%

Percutaneous cement augmentation for osteoporotic vertebral fractures

et al. 2017

View full text Add to dashboard Cite

Thoracolumbar vertebral fracture incidents usually occur secondary to a high velocity trauma in young patients and to minor trauma or spontaneously in older people.Osteoporotic vertebral fractures are the most common osteoporotic fractures and affect one-fifth of the osteoporotic population.Percutaneous fixation by ‘vertebroplasty’ is a tempting alternative for open surgical management of these fractures.Despite discouraging initial results of early trials for vertebroplasty, cement augmentation proved its superiority for the treatment of symptomatic osteoporotic vertebral fracture when compared with optimal medical treatment.Early intervention is also gaining ground recently.Kyphoplasty has the advantage over vertebroplasty of reducing kyphosis and cement leak.Stentoplasty, a new variant of cement augmentation, is also showing promising outcomes.In this review, we describe the additional techniques of cement augmentation, stressing the important aspects for success, and recommend a thorough evaluation of thoracolumbar fractures in osteoporotic patients to select eligible patients that will benefit the most from percutaneous augmentation. A detailed treatment algorithm is then proposed.Cite this article: EFORT Open Rev 2017;2:293–299. DOI: 10.1302/2058-5241.2.160057

show abstract

Section: The Best Methods Of Cement Augmentation For Ovfsmentioning

confidence: 99%

Percutaneous cement augmentation for osteoporotic vertebral fractures

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In cement augmentation techniques, in addition to vertebroplasty and kyphoplasty, Stentoplasty has been recently described where a cavity is created within the vertebral body by using a titanium device and kept in place for cement injection. 46 It was found to have good to excellent results in pain improvement, quality of life and kyphosis restoration.…”

Section: Other Novel Strategiesmentioning

confidence: 96%

Advancements in osteoporotic spine fixation

Tandon

Franke

Kalidindi

2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

With the global rise in the population of elderly along with other risk factors, spine surgeons have to encounter osteoporotic spine more often. Osteoporotic spine, however, causes problems in management, particularly where instrumentation is involved, resulting in screw loosening, pull out, pseudoarthroses or adjacent segment kyphosis. Osteoporosis alters the bio mechanics at the bone implant interface resulting in various degrees of fixation failure. Various advancements have been made in this field to deal with such issues in addition to modification of basic surgical techniques such as increasing the diameter and length of the screw, smaller pilot hole, under tapping, longer constructs, supplemental anterior fixation, sublaminar wires or laminar hooks, use of transverse connectors and triangulation techniques, among others. They include novel surgical techniques such as cortical bone trajectory, superior cortical trajectory, double screw technique, cross trajectory technique, bicortical screw technique or prophylactic vertebroplasty. Advances in the screw design include expandable screws, fenestrated screws, conical screws and coated screws. In addition to PMMA cement augmentation, other biodegradable cements have been introduced to mitigate the side effects of PMMA such as calcium phosphate, calcium apatite and hydroxyapatite. Pharmacotherapy with teriparatide can aid fusion and lower the rate of pedicle screw loosening. Many of these strategies have only bio mechanical evidence and require well designed clinical trials to establish their clinical efficacy. Though no single technique is fool proof, little modifications in the existing techniques or utilizing a combination of techniques without adding to the cost of the surgery may help to achieve a near-ideal result. Surgeons have to equip their armamentarium with all the recent advances, and should be open to novel thoughts and techniques.

show abstract

“…Reducing the volume of cement as the primary stabilizer in vertebral compression fractures can also reduce the likelihood of cement leakage (11,12). Unfortunately, the recovery of vertebral body height may be only temporary as there is often a total or partial vertebral body collapse after the balloon is deflated (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%