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Kyphoplasty for treatment of osteoporotic vertebral fractures

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Abstract

Cement reinforcement for the treatment of osteoporotic vertebral fractures is efficient mean with high success in pain release and prevention of further sintering of the reinforced vertebrae; however, the technique does not allow to address the kyphotic deformity. Kyphoplasty was designed to address the kyphotic deformity and help to realign the spine. It involves the percutaneous placement of an inflatable bone tamp into a vertebral body. Restoration of VB height and kyphosis correction is achieved by inflation of the bone tamp with liquid. After deflation, a cavity is created that eases the cement application. The potential of kyphosis reduction is given in fresh fractures with a range of 0–90% for height restoration and absolute correction of the kyphotic angle of 8.5°. The cavity formation, on one hand, and the different cementing technique leads to lower risk for cement extravasation. An alternative method for kyphosis correction represents the so-called lordoplasty where the adjacent vertebrae are reinforced first and with the cannulas in place acting as a lever the reduction of the collapsed vertebra can be performed. The results with respect to kyphosis correction are superior in comparison with a kyphoplasty procedure.

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Fig. 7a–c

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Acknowledgments

Reproduction of Figure  1 and  2 with kind permission of the Journal of Neurosurgery, and the authors, Golakasan et al. 2003.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Spine Service, Inselspital Bern, Freiburgstrasse, 3010, Bern, Switzerland

    Paul F. Heini & Rene Orler

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  1. Paul F. Heini
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  2. Rene Orler
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Correspondence to Paul F. Heini.

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Heini, P.F., Orler, R. Kyphoplasty for treatment of osteoporotic vertebral fractures. Eur Spine J 13, 184–192 (2004). https://doi.org/10.1007/s00586-003-0654-4

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