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Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures
Purpose Recently, a new minimally invasive technique called ‘vertebral body stenting’ (VBS) was introduced for the treatment of osteoporotic vertebral fractures. The technique was developed to prevent the loss of reduction after deflation of the balloon and to reduce the complication rate associated...
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Published in: | European spine journal 2013-07, Vol.22 (7), p.1608-1616 |
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creator | Thaler, Martin Lechner, Ricarda Nogler, Michael Gstöttner, Michaela Bach, Christian |
description | Purpose
Recently, a new minimally invasive technique called ‘vertebral body stenting’ (VBS) was introduced for the treatment of osteoporotic vertebral fractures. The technique was developed to prevent the loss of reduction after deflation of the balloon and to reduce the complication rate associated with cement leakage.
Methods
The amount of kyphosis correction, improvement of vertebral body height and quantitative cement leakage rate by applying CT-based quantitative volumetry after VBS were measured in 27 patients (55 vertebra) and compared with a control group (29 patients, 61 vertebrae), which was treated with conventional vertebroplasty.
Results
After VBS, a significant improvement was seen in vertebral height, compared to conventional vertebroplasty. The mean improvement in segmental kyphosis and vertebral kyphosis were 5.8° (
p
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doi_str_mv | 10.1007/s00586-012-2603-6 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3698353</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3009550461</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-896251351fd69a95e7fde212d1bb7c9ec5f138c662e0cf3547b3e982180094443</originalsourceid><addsrcrecordid>eNqFkk1rFTEUhoMo9lr9AW4k4MbN2HxMMslGkOIXFLqwXYdM5mRuykwyJjMt_ntzubVUQYRAIOc57_nIi9BrSt5TQrqzQohQsiGUNUwS3sgnaEdbzhqiOXuKdkS3pJEd1SfoRSk3hFChiXyOThhnqp52h-6-b3kMzk54ycnBsGXANg44xLCG-prtENKY7bIPDmco27QWnDy2OMIdtts4Q1ztGlLEK7h9DD82wD5lfAt5hT5XCZfmpWaWA-OzdWutUV6iZ95OBV7d36fo-vOnq_OvzcXll2_nHy8aJwhfG6UlE5QL6geprRbQ-QEYZQPt-85pcMJTrpyUDIjzXLRdz0ErRhWpw7ctP0UfjrrL1s8wuNpt7cksOcw2_zTJBvNnJIa9GdOt4VIrLngVeHcvkFOdraxmDsXBNNkIaSuGtpQJyVrW_h_lihKtpZQVffsXepO2HOsmKtUxpTvdiUrRI-VyKiWDf-ibEnNwgDk6wFQHmIMDzEH5zeOBHzJ-f3kF2BEoNRRHyI9K_1P1F2Ofvdk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1372897975</pqid></control><display><type>article</type><title>Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures</title><source>Springer Link</source><source>PubMed Central</source><creator>Thaler, Martin ; Lechner, Ricarda ; Nogler, Michael ; Gstöttner, Michaela ; Bach, Christian</creator><creatorcontrib>Thaler, Martin ; Lechner, Ricarda ; Nogler, Michael ; Gstöttner, Michaela ; Bach, Christian</creatorcontrib><description>Purpose
Recently, a new minimally invasive technique called ‘vertebral body stenting’ (VBS) was introduced for the treatment of osteoporotic vertebral fractures. The technique was developed to prevent the loss of reduction after deflation of the balloon and to reduce the complication rate associated with cement leakage.
Methods
The amount of kyphosis correction, improvement of vertebral body height and quantitative cement leakage rate by applying CT-based quantitative volumetry after VBS were measured in 27 patients (55 vertebra) and compared with a control group (29 patients, 61 vertebrae), which was treated with conventional vertebroplasty.
Results
After VBS, a significant improvement was seen in vertebral height, compared to conventional vertebroplasty. The mean improvement in segmental kyphosis and vertebral kyphosis were 5.8° (
p
< 0.05) and 3.5° (
p
< 0.05), respectively. In the VBS group, the mean injected volume of cement per vertebral body was 7.33 cm
3
(3.34–10.19 cm
3
). The average amount of cement outside the vertebrae was 0.28 cm
3
(0.01–1.64 cm
3
), which was 1.36 % of the applied total cement volume. In the vertebroplasty group, the applied mean volume of the cement per level was 2.7 cm
3
(1–5.8 cm
3
) and the average amount of cement outside the vertebrae was 0.15 cm
3
(0.01–1.8 cm
3
), which was 11.5 % (0.2–60 %) of the applied total volume of cement.
Conclusion
The frequency of cement leakage after VBS was 25.5 % compared to 42.1 % in the vertebroplasty group. VBS led to a significant decrease in the leakage rate compared with conventional vertebroplasty.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-012-2603-6</identifier><identifier>PMID: 23283284</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Bone Cements - therapeutic use ; Female ; Fractures, Compression - surgery ; Humans ; Kyphosis - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Neurosurgery ; Original ; Original Article ; Orthopedic Procedures - methods ; Spinal Fractures - surgery ; Surgical Orthopedics</subject><ispartof>European spine journal, 2013-07, Vol.22 (7), p.1608-1616</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-896251351fd69a95e7fde212d1bb7c9ec5f138c662e0cf3547b3e982180094443</citedby><cites>FETCH-LOGICAL-c503t-896251351fd69a95e7fde212d1bb7c9ec5f138c662e0cf3547b3e982180094443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698353/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698353/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23283284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thaler, Martin</creatorcontrib><creatorcontrib>Lechner, Ricarda</creatorcontrib><creatorcontrib>Nogler, Michael</creatorcontrib><creatorcontrib>Gstöttner, Michaela</creatorcontrib><creatorcontrib>Bach, Christian</creatorcontrib><title>Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Recently, a new minimally invasive technique called ‘vertebral body stenting’ (VBS) was introduced for the treatment of osteoporotic vertebral fractures. The technique was developed to prevent the loss of reduction after deflation of the balloon and to reduce the complication rate associated with cement leakage.
Methods
The amount of kyphosis correction, improvement of vertebral body height and quantitative cement leakage rate by applying CT-based quantitative volumetry after VBS were measured in 27 patients (55 vertebra) and compared with a control group (29 patients, 61 vertebrae), which was treated with conventional vertebroplasty.
Results
After VBS, a significant improvement was seen in vertebral height, compared to conventional vertebroplasty. The mean improvement in segmental kyphosis and vertebral kyphosis were 5.8° (
p
< 0.05) and 3.5° (
p
< 0.05), respectively. In the VBS group, the mean injected volume of cement per vertebral body was 7.33 cm
3
(3.34–10.19 cm
3
). The average amount of cement outside the vertebrae was 0.28 cm
3
(0.01–1.64 cm
3
), which was 1.36 % of the applied total cement volume. In the vertebroplasty group, the applied mean volume of the cement per level was 2.7 cm
3
(1–5.8 cm
3
) and the average amount of cement outside the vertebrae was 0.15 cm
3
(0.01–1.8 cm
3
), which was 11.5 % (0.2–60 %) of the applied total volume of cement.
Conclusion
The frequency of cement leakage after VBS was 25.5 % compared to 42.1 % in the vertebroplasty group. VBS led to a significant decrease in the leakage rate compared with conventional vertebroplasty.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Cements - therapeutic use</subject><subject>Female</subject><subject>Fractures, Compression - surgery</subject><subject>Humans</subject><subject>Kyphosis - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedic Procedures - methods</subject><subject>Spinal Fractures - surgery</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFkk1rFTEUhoMo9lr9AW4k4MbN2HxMMslGkOIXFLqwXYdM5mRuykwyJjMt_ntzubVUQYRAIOc57_nIi9BrSt5TQrqzQohQsiGUNUwS3sgnaEdbzhqiOXuKdkS3pJEd1SfoRSk3hFChiXyOThhnqp52h-6-b3kMzk54ycnBsGXANg44xLCG-prtENKY7bIPDmco27QWnDy2OMIdtts4Q1ztGlLEK7h9DD82wD5lfAt5hT5XCZfmpWaWA-OzdWutUV6iZ95OBV7d36fo-vOnq_OvzcXll2_nHy8aJwhfG6UlE5QL6geprRbQ-QEYZQPt-85pcMJTrpyUDIjzXLRdz0ErRhWpw7ctP0UfjrrL1s8wuNpt7cksOcw2_zTJBvNnJIa9GdOt4VIrLngVeHcvkFOdraxmDsXBNNkIaSuGtpQJyVrW_h_lihKtpZQVffsXepO2HOsmKtUxpTvdiUrRI-VyKiWDf-ibEnNwgDk6wFQHmIMDzEH5zeOBHzJ-f3kF2BEoNRRHyI9K_1P1F2Ofvdk</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Thaler, Martin</creator><creator>Lechner, Ricarda</creator><creator>Nogler, Michael</creator><creator>Gstöttner, Michaela</creator><creator>Bach, Christian</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130701</creationdate><title>Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures</title><author>Thaler, Martin ; Lechner, Ricarda ; Nogler, Michael ; Gstöttner, Michaela ; Bach, Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-896251351fd69a95e7fde212d1bb7c9ec5f138c662e0cf3547b3e982180094443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Cements - therapeutic use</topic><topic>Female</topic><topic>Fractures, Compression - surgery</topic><topic>Humans</topic><topic>Kyphosis - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedic Procedures - methods</topic><topic>Spinal Fractures - surgery</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thaler, Martin</creatorcontrib><creatorcontrib>Lechner, Ricarda</creatorcontrib><creatorcontrib>Nogler, Michael</creatorcontrib><creatorcontrib>Gstöttner, Michaela</creatorcontrib><creatorcontrib>Bach, Christian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thaler, Martin</au><au>Lechner, Ricarda</au><au>Nogler, Michael</au><au>Gstöttner, Michaela</au><au>Bach, Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>22</volume><issue>7</issue><spage>1608</spage><epage>1616</epage><pages>1608-1616</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Recently, a new minimally invasive technique called ‘vertebral body stenting’ (VBS) was introduced for the treatment of osteoporotic vertebral fractures. The technique was developed to prevent the loss of reduction after deflation of the balloon and to reduce the complication rate associated with cement leakage.
Methods
The amount of kyphosis correction, improvement of vertebral body height and quantitative cement leakage rate by applying CT-based quantitative volumetry after VBS were measured in 27 patients (55 vertebra) and compared with a control group (29 patients, 61 vertebrae), which was treated with conventional vertebroplasty.
Results
After VBS, a significant improvement was seen in vertebral height, compared to conventional vertebroplasty. The mean improvement in segmental kyphosis and vertebral kyphosis were 5.8° (
p
< 0.05) and 3.5° (
p
< 0.05), respectively. In the VBS group, the mean injected volume of cement per vertebral body was 7.33 cm
3
(3.34–10.19 cm
3
). The average amount of cement outside the vertebrae was 0.28 cm
3
(0.01–1.64 cm
3
), which was 1.36 % of the applied total cement volume. In the vertebroplasty group, the applied mean volume of the cement per level was 2.7 cm
3
(1–5.8 cm
3
) and the average amount of cement outside the vertebrae was 0.15 cm
3
(0.01–1.8 cm
3
), which was 11.5 % (0.2–60 %) of the applied total volume of cement.
Conclusion
The frequency of cement leakage after VBS was 25.5 % compared to 42.1 % in the vertebroplasty group. VBS led to a significant decrease in the leakage rate compared with conventional vertebroplasty.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23283284</pmid><doi>10.1007/s00586-012-2603-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | Springer Link; PubMed Central |
subjects | Aged Aged, 80 and over Bone Cements - therapeutic use Female Fractures, Compression - surgery Humans Kyphosis - surgery Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - methods Neurosurgery Original Original Article Orthopedic Procedures - methods Spinal Fractures - surgery Surgical Orthopedics |
title | Surgical procedure and initial radiographic results of a new augmentation technique for vertebral compression fractures |
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