TechniquePercutaneous vertebroplasty for treatment of thoracolumbar spine bursting fracture
Section snippets
Methods
Patient selection was limited to those patients with focal, intense, deep pain associated with plain film evidence of a recent vertebral bursting fracture. The patients who had fractures involving the posterior column or had severe neurologic deficits were excluded from this study. Often the pain had extended to the patient's lower back, and the symptoms appeared to be deteriorating. The patients initially experienced difficulty in walking and rising from bed, and later could not tolerate
Patients and results
There were 21 patients (17 males, 4 females) with thoracolumbar spinal burst fractures included in this study within 1.5-years period. The follow-up period was at least 12 months. Thirteen patients (62%) had improved symptoms and signs with conservative treatment and TLSO brace. Two (9.5%) patients had deteriorated neurologic deficit and underwent surgical decompression and reconstruction operations. Six male patients (28.5%) who suffered from burst fractures of vertebrae with disabling back
Discussion
The thoracolumbar junction is a zone between the rigid vertebral column with the associated rib cage and the relatively mobile lumbar vertebrae. Therefore, the most common pathologic process at the thoracolumbar junction is a fracture 4, 7, 19. Our patients with fractured vertebra failure of the end plates and vertebral bodies revealed competent ligaments, which rendered the spine stable. In the Holdsworth classification scheme [10], our patients' fractures were classified as burst compression
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2020, Cancer LettersCitation Excerpt :Unlike PVP, it is necessary to slowly inflate the balloon under fluoroscopy before the injection of bone cement to maximize the kyphotic angle and form a cavity, and then inject the bone cement into this cavity with low pressure (Fig. 4). There are many prospective and retrospective studies in the literature reporting favorable results of PVA procedures in the treatment of spinal metastases, especially PKP surgeries [3,7,11,16,22–27]. A multicentric, randomized controlled trial evaluated the efficacy and safety of PKP compared with non-surgical treatment for patients with cancer and painful vertebral compression fractures [25].
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