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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
Main Authors: Thaler, Martin, Lechner, Ricarda, Nogler, Michael, Gstöttner, Michaela, Bach, Christian
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container_title European spine journal
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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  
doi_str_mv 10.1007/s00586-012-2603-6
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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  &lt; 0.05) and 3.5° ( p  &lt; 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 &amp; 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  &lt; 0.05) and 3.5° ( p  &lt; 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 &amp; 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 ; 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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  &lt; 0.05) and 3.5° ( p  &lt; 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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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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