Vertebral height restoration following kyphoplasty

Mooney, James; Amburgy, John; Self, Mitchell; Agee, Bonita S.; Schoel, Leah; Pritchard, Patrick R.; Chambers, M. R.

doi:10.21037/jss.2019.04.02

Cited by 6 publications

(8 citation statements)

References 17 publications

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“…More than 700,000 people suffer from vertebral compression fractures each year in the U.S., and kyphoplasty could be recommended as an early treatment for this population. [ 2 , 6 ] This procedure involves the insertion of an inflatable balloon into the bone tissue where the balloon is inflated, creating a cavity where cement will subsequently be injected. [ 1 , 6 ] In (Beall, cited by Imamideen N, 2022), kyphoplasty accomplished significantly better pain reduction versus conservative management.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 , 6 ] This procedure involves the insertion of an inflatable balloon into the bone tissue where the balloon is inflated, creating a cavity where cement will subsequently be injected. [ 1 , 6 ] In (Beall, cited by Imamideen N, 2022), kyphoplasty accomplished significantly better pain reduction versus conservative management. [ 5 ] Usually is performed on patients in the prone position.…”

Section: Discussionmentioning

confidence: 99%

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Three cases of kyphoplasty performed in the lateral position due to significant comorbidities

Aguirre,

Aguayo,

Lagunas

et al. 2024

Surgical Neurology International

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Background: More than 700,000 people suffer from vertebral compression fractures attributed to osteoporosis, metastatic disease, or trauma each year in the United States, and undergo kyphoplasty. They are typical. These often undergo kyphoplasty to treat resultant pain or new neurological deficits. Here, we present three patients who, due to significant comorbidities, underwent kyphoplasty performed in the lateral decubitus rather than the prone position. Case Description: Three females, two with metastatic cancer and one with osteoporosis, presented with lumbar compression fractures and new accompanying pain and/or neurological deficits. Due to significant accompanying comorbidities, kyphoplasty was safely and effectively performed in all three patients utilizing the lateral decubitus rather than the prone position. Conclusion: Although vertebral kyphoplasties are typically performed in the prone position, here, we present three patients who, due to significant comorbidities, safely and effectively underwent kyphoplasties performed in the lateral decubitus position.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three cases of kyphoplasty performed in the lateral position due to significant comorbidities

Aguirre,

Aguayo,

Lagunas

et al. 2024

Surgical Neurology International

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“…This height restoration can alleviate pain, improve spinal alignment, and enhance overall quality of life. However, it's crucial to determine whether the restored vertebral height is maintained over the long term or if there is any gradual loss of height over time [ 49 ].…”

Section: Reviewmentioning

confidence: 99%

“…Patients undergoing vertebral height restoration procedures should be closely monitored to determine if any fractures or structural changes develop in the adjacent vertebrae. This ongoing assessment is crucial for understanding the procedure's impact on the spine's overall health [ 49 ].…”

Section: Reviewmentioning

confidence: 99%

Beyond Pain Relief: An In-Depth Review of Vertebral Height Restoration After Balloon Kyphoplasty in Vertebral Compression Fractures

Patel,

Khan,

Dasari

et al. 2023

Cureus

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This comprehensive review delves into the intricate landscape of vertebral height restoration after balloon kyphoplasty in cases of vertebral compression fractures. With a comprehensive examination of procedural intricacies, radiological evaluations, clinical outcomes, and influential factors, a nuanced comprehension unfolds. Beyond its immediate alleviation of pain, vertebral height restoration emerges as a linchpin in enhancing spinal alignment, fostering functional recuperation, and augmenting the overall quality of life. This review underscores the pivotal role of balloon kyphoplasty, transcending its mere medical utility to become a conduit for renewed independence and well-being among individuals grappling with vertebral compression fractures. The ongoing advancements in medical science and the continued pursuit of research stand poised to amplify the significance of vertebral height restoration, manifesting a promising horizon for individuals seeking respite from pain, a revitalised capacity for movement, and a life unburdened by its constraints.

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“…Although the BKP and SpineJack have been shown to restore the lost vertebral body height, 21%-30% vertebral body height loss has been reported in the literature [12,13]. The biomechanical behavior of the lumbar spine is highly related to its geometry, from a biomechanical perspective.…”

Section: Introductionmentioning

confidence: 99%

Numerical Comparison of Restored Vertebral Body Height after Incomplete Burst Fracture of the Lumbar Spine

Jhong

Chung

et al. 2022

JPM

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Background and objectives: Vertebral compression fracture is a major health care problem worldwide due to its direct and indirect negative influence on health-related quality of life and increased health care costs. Although a percutaneous surgical intervention with balloon kyphoplasty or metal expansion, the SpineJack, along with bone cement augmentation has been shown to efficiently restore and fix the lost vertebral height, 21–30% vertebral body height loss has been reported in the literature. Furthermore, the effect of the augmentation approaches and the loss of body height on the biomechanical responses in physiological activities remains unclear. Hence, this study aimed to compare the mechanical behavior of the fractured lumbar spine with different restored body heights, augmentation approaches, and posterior fixation after kyphoplasty using the finite element method. Furthermore, different augmentation approaches with bone cement and bone cement along with the SpineJack were also considered in the simulation. Materials and Methods: A numerical lumbar model with an incomplete burst fracture at L3 was used in this study. Two different degrees of restored body height, namely complete and incomplete restorations, after kyphoplasty were investigated. Furthermore, two different augmentation approaches of the fractured vertebral body with bone cement and SpineJack along with bone cement were considered. A posterior instrument (PI) was also used in this study. Physiological loadings with 400 N + 10 Nm in four directions, namely flexion, extension, lateral bending, and axial rotation, were applied to the lumbar spine with different augmentation approaches for comparison. Results: The results indicated that both the bone cement and bone cement along with the SpineJack could support the fractured vertebral body to react similarly with an intact lumbar spine under identical loadings. When the fractured body height was incompletely restored, the peak stress in the L2–L3 disk above the fractured vertebral body increased by 154% (from 0.93 to 2.37 MPa) and 116% (from 0.18 to 0.39 MPa), respectively, in the annular ground substance and nucleus when compared with the intact one. The use of the PI could reduce the range of motion and facet joint force at the implanted levels but increase the facet joint force at the upper level of the PI. Conclusions: In the present study, complete restoration of the body height, as possible in kyphoplasty, is suggested for the management of lumbar vertebral fractures.

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Vertebral height restoration following kyphoplasty

Cited by 6 publications

References 17 publications

Three cases of kyphoplasty performed in the lateral position due to significant comorbidities

Three cases of kyphoplasty performed in the lateral position due to significant comorbidities

Beyond Pain Relief: An In-Depth Review of Vertebral Height Restoration After Balloon Kyphoplasty in Vertebral Compression Fractures

Numerical Comparison of Restored Vertebral Body Height after Incomplete Burst Fracture of the Lumbar Spine

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