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Non-Balloon Kyphoplasty with High Viscosity Cement: Short-Term Clinical Outcomes

Year 2018, Volume: 10 Issue: 1, 1 - 10, 01.04.2018

Abstract

Aim: Vertebral compression fractures VCF can lead to severe acute and chronic pain, impaired mobility, reduced quality of life, and an increased risk of mortality due to limited mobility. Percutaneous vertebroplasty VP and kyphoplasty KP are two vertebral augmentation procedures VAPs which are minimally invasive surgical options in the treatment of painful VCFs. Vertebral fractures may result in acute pain around the fracture site, loss of vertebral height due to vertebral collapse, spinal instability, and kyphotic deformity. The main goal of the VP and KP procedures is to provide immediate pain relief for patients and restore the vertebral height lost due to the fracture. This study aims to evaluate KP in terms of pain, disability, and quality of life. Costeffective radiological variables i.e., vertebral height restoration and KP for cement extravasation and complications profile were analyzed. Unipedicular or bipedicular approaches were compared. Methods: Following an injury, the patients had conservative treatment of VCFs including bed-rest bracing and analgesics for four weeks. In 55 patients, a total of 83 vertebral fractures were present. The main causes were falling from a height, traffic accident, and malignancies. We used spinal anesthesia for all patients. Vertebral augmentation was done under fluoroscopy. Results: The mean age was 59.18 years SD16.13 . The rate of female population 56.4% and osteoporotic patients 54.5% was higher. Thoracolumbar junction T10-L2 fractures were the most common fractures of spinal column. L1 was the most often affected vertebra 24.09% . After VAP, pain scores of the patients statistically significantly decreased. Unipedicular or bipedicular approaches provided the same pain reduction. The pain scores of osteoporotic patients and preoperative and postoperative pain scores were higher than non-osteoporotic groups. Preoperative and postoperative pain scores of the female patients were higher than male patients. Seven patients 12.7% had cement leakages. Conclusion: Our study result suggest that the use of the optimal material to provide the optimal result for patient is at the discretion of the surgeon. Clinicians can take the advantage of increased working time. Creating cavity by using drill and curve curette or a balloon and high-viscosity cement under low pressure can minimize leakage complications.

References

  • 1. Lamy O, Uebelhart B, Aubry-Rozier B. Risks and benefits of percutanoeus vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures. Osteoporosis Int 2014 ;25: 807-819.
  • 2. The European Prospective Osteoporosis Study (EPOS) group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study(EPOS) J Bone Miner Res 17:716-724.
  • 3. Hsieh M-K, Chen L-H, Chen W-J. Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: Evidencebased review. Biomedical Journal 2013; 36(4):154-161.
  • 4. Bednar T, Heyde CE, Bednar G, Nguyen D, Volpi E, Przkora R. Kyphoplasty for vertebral augmentation in the elderly with osteoporotic vertebral compression fractures: scenarios and review of recent studies. a case report. Clinical Therapeutics 2013; 35(11):1721-1727.
  • 5. American Academy of Orthopedics Surgeons (AAOS) 2010 Guidelines treating spinal compression fractures. Accessed October 10, 2013.
  • 6. Yimin Y, Zhiwei R, Wei M, Jha R. Current status of percutaneous vertebroplasty and percutaneous kyphoplasty - a review. Med Sci. Monit. 2013; 19:826- 836.
  • 7. Layton KF, Thielen KR, Koch CA, et al. Vertebroplasty, first 1000 levels of a single center. Evaluation of the outcome and complications. Am J Neuroradiol. 2007; 28: 683-89.
  • 8. Hazzard MA, Huang KT, Toche UN, Ugiliweneza B, Patil CG, Boakye M, Lad SP. Compression of vertebroplasty, kyphoplasty, and nonsurgical management of vertebral compression fractures and impact on US healthcare resource utilization . Asian Spine J. Oct 2014;8(5):605- 614.
  • 9. Wardlaw D, Cummimgs SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE) a randomised controlled trial. Lancet 2009; 373:1016-1024.
  • 10. Papanastassiou ID, Philips FM, Van Meirhaeghe J, et al. Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized controlled studies. Eur Spine J 2012; 21:1826-1843.
  • 11. Dahl OE, Garvik LJ, Lyberg T. Toxic effects of methylmethacrylate monomer on leukocytes and endothelial cells in vivo. Acta Orthop Scand 1994; 65(2):147-53. Maltepe Tıp Dergisi / Maltepe Medical Journal 9 Maltepe Tıp Dergisi Cilt: 10 Sayı: 1/2018
  • 12. Nakano M, Hirano N, Ishihara H, et al. Calcium phosphate cement-based vertebroplasty compared with treatment for osteoporotic compression fractures: a matched case-control study. J Neurosurg Spine 2006; 4(2):110-17.
  • 13. De Vriad HH, Wondergem J, Haveman J. Hyperthermia-induced damage to rat sciatic nerve assessed in vivo with functional methods and with electrophysiology. J Neurosci Methods 1992; 45(3):165-174.
  • 14. Belkoff SM, Mathis JM, Jasper LE, Deramond H. The biomechanics of vertebroplasty .The effect of cement volume on mechanical behavior. Spine (Phila Pa.1976) 2001; 26(14):1537-41.
  • 15. Papanastassiou ID, Filis A, Gerochristou MA, Vrionis FD. Controversial issues in kyphoplasty and vertebroplasty in osteoporotic vertebral fractures. Biomed Res Int 2014; 2014:934206
  • 16. Lewis G. Injectable bone cement for use in vertebroplasty and kyphoplasty: State-of-the-art review. Journal of Biomedical Materials Research B 2006; 76(2):456-468.
  • 17. Lai P-L, Chen L-H, Chen W-J, Chu I-M. Chemical and physical properties of bone cement for vertebroplasty. Biomedical Journal 2013; 36(4):162-167.
  • 18. Turner TM, Urban RM, Singh K, Hall DJ, Renner SM, Lim TH, et al. Vertebroplasty comparing injectable calcium phosphate cement compared with polymethylmethacrylate in a unique canine vertebral body large defect model. Spine J 2008; 8:482-7.
  • 19. Nieuwenhuijse MJ, Mujis SP, van Erkel AR, Dijkstra SP. A clinical comparative study on low versus medium viscosity polymethylmetacrylate bone cement in percutaneous vertebroplasty:Viscosity associated with cement leakage. Spine 2010; 35:E1037-44.
  • 20. Baroud G, Samara M, Steffen T. Influence of mixing method on the cement temperature-mixing time history and doughing time of three acrylic cements for vertebroplasty. J Biomed Mater Res B Appl Biomater 004;68:112-6.
  • 21. Loeffel M, Ferguson SJ, Nolte L-P, Kowal JH. Vertebroplasty . Experimental characterization of polymethylmethacrylate bone cement spreading as a function of viscosity, bone porosity, and flow rate. Spine 2008; 33:1352-9.
  • 22. Lai PL, Tai CL, Chen LH, Nien NY. Cement leakage causes potential thermal injury in vertebroplasty. BMC Musculoskelet Disord 2011; 12:116.
  • 23. Martincic D, Brojan M, Kosel F, Stern D,Vrtovec T, Antolic V, Vengust R. Minimum cement volume for vertebroplasty . Int Orthop 2014 Dec 12. PMID: 25500712
  • 24. Kim J M, Shin D A, Byun D H, Kim H S, Kim S, Kim H I. Effect of bone cement volume and stiffness on occurrences of adjacent vertebral fractures after vertebroplasty . J Korean Neurosurg Soc Nov 2012; 52(5):435-440.
  • 25. Belkoff SM, Mathis JM, Erbe EM, Fenton DC. Biomechanical evaluation of a new bone cement for use in vertebroplasty. Spine (Phila Pa 1976) 2000;25:1061- 1064
  • 26. Molloy S, Mathis JM, Belkoff SM. The effect of vertebral body percentage fill on mechanical behavior during percutaneous vertebroplasty . Spine 2003; 28(14):1549-1554.
  • 27. Luo J, Daines L, Charalambous A, Adams MA, Annesley-Williams DJ, Dolan P. Vertebroplasty :Only small cement volumes are required to normalize stress distributions on the vertebral bodies. Spine 2009; 34:2865-73.
  • 28. Boonen S, Van Meirhaeghe J, Bastian L, et al. Balloon kyphoplasty for treatment of acute vertebral compression fractures.2-year results from a randomized trial .J Bone Miner Res. 2011;26:1627-1637.
  • 29. Klazen CAH, Lohle PNM, De Vries J, et al. Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures(VERTOSII):an open-label randomised trial. The Lancet. 2010; 376(9746):1085-1092.
  • 30. McArthur N, Kasperk C, Baier M, Tanner M, Gritzbach B, Shoierer O, et al. 1150 kyphoplasties over 7 years indications, techniques, and intraoperative complications. Orthopedics 2009; 32:90
  • 31. Nizar A. Al-Nakshabandi . Percutaneous vertebroplasty complications , Ann Saudi Med. 2011 May-Jun; 31(3):294-297.
  • 32. Bopparaju S, Varon J, Surani S, Pulmonary embolism with vertebral augmentation procedures (Case report) Case Reports in Pulmonology Volume 2013 (2013),Article ID785307,4 pages.
  • 33. Luo J, Adams A, Dolan P. Vertebroplasty and kyhoplasty can restore normal spine mechanics following osteoporotic vertebral fracture, Journal of Osteoporosis, Vol. 2010 Article ID 729257.
  • 34. Venmans A, Klazen CA, Van Rooji WJ, et al. Postprocedural CT for perivertebral cement leakage in percutaneous vertebroplasty is not necessary-results from VERTOS ΙΙ . Neuroradiology.2011 Jan; 53(1)19- 22.
  • 35. Kallmes DF, Comstock BA, Heagerty PJ, et al. A randomized trial of vertebroplasty for osteoporotic spinal fractures. N England J Med. 2009; 361:569-579. 36. Kuehn K-D, Ege W, Gopp U. Acrylic bone cements: Composition and properties. Orthop Clin North Am 2005; 36:17-28. 10
  • 37. Zhang L, Wang J, Feng X, Tao Y, Wang Y, Zhang S, Cai J, Huang J. A compression of high viscosity bone cement and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures. Clin Neurol Neurosurg 2014 Dec 4; 129C:10-16.
  • 38. Georgy BA. Comparison between radiofrequency targeted vertebral augmentation and balloon kyphoplasty in the treatment of vertebral compression fractures: adressing factors that affect cement extravasation and distribution. Pain Physician 2013; 16(5):E513-E518.
  • 39. Bohner M, Gasser B, Baround G, Heini P. Theoretical and experimental model to describe the injection of a polymethymethacrylate cement into a porous structure. Biomaterials 2003; 24(16):2721-2730.
  • 40. Taylor RS, Taylor RJ, Fritzell P. Balloon Kyphoplasty and vertebroplasty for vertebral compression fractures: a comparative systematic review of efficacy and safety .Spine 2006; 31:2747-558.
  • 41. Eck JC, Nachtigall D, Himphreys SC, et al. Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures. A meta-analysis of the literature. Spine J 2008; 8:488-97.
  • 42. Mc Call T, Cole C, Dailey A. Vertebroplasty and kyphoplasty : a comparative review of efficacy and adverse events. Curr Rev Musculoskelet Med. 2008;1:17-23.
  • 43. Wei HY, Tan MS, Liang L. Unilateral multiple channels approach in percutaneous vertebroplasty for osteoporotic vertebral fractures. Zhonggou Gu Shang 2013 Dec; 26(12):1010-4.
  • 44. Chen B, Li Y, Xie D, Yang X, Zheng Z. Comprasion of unipedicular and bipedicular kyphoplasty on the stiffness and biomechanical balance of compression fractured vertebrae. European Spine Journal. 2011 20(8):1272-1280.
  • 45. Rebolledo BJ, Gladnick BP, Unnanuntana A, Nguyen JT, Kepler CK, Lane JM. Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. a prospective randomised study. The Bone&Joint Journal. 2013; 95(3):401-406.
  • 46. Sisodia GB. Methods of predicting vertebral body fractures of the lumbar spine .World J Orthop . 2013 October 18; 4(4):241-7.
  • 47. Georgy B A. Metastatic Spinal Lesions :State-ofthe-Art Treatment Options and Future Trends. AJNR October 2008; 29:1605-11.
  • 48. Chung HJ, Kwan IH. Comparative study of balloon kyphoplasty with unilateral versus bialteral approach in osteoporotic vertebral compression fractures. Int Orthopaedics 2008; 32(6):817-820.
  • 49. Lieberman HL, Dudeney S, Reinhardt MK,et al. İnitial outcome and efficancy of ‘’kyphoplasty’’ in the treatment of painful osteoporotic vertebral compression fractures. Spine. 2001; 26:1631-38.
  • 50. Berlemna U, Franz T, Orler R, et al.Kyphoplasty for treatment of osteoporotic vertebral fracture: a prospective non-randomized study. Eur Spine J 2004; 13:496-501.

Yüksek Viskoziteli Çimentoyla Balon Kullanılmadan Yapılan Kifoplasti: Kısa Dönem Klinik Sonuçları

Year 2018, Volume: 10 Issue: 1, 1 - 10, 01.04.2018

Abstract

Amaç: Vertebra sıkışma kırıkları VSK ; şiddetli akut ağrı, kronik ağrı, hareketliliği kısıtlama, hayat kalitesini azaltma ve hareket kısıtlanmasından ötürü mortalite riskini artırmaya öncülük edebilir. Perkütan Vertebroplasti VP ve Kifoplasti KP , ağrılı VSK’da minimal girişimsel cerrahi seçenekleri olan iki vertebra yükseltme yöntemidir. Vertebra kırıkları; kırık etrafında akut ağrı, vertebra çökmesine bağlı yükseklik kaybı, omurga instabilitesi ve kifotik deformiteye sebep olabilir. VP ve KP işlemlerinin hedefi hızlıca hastaların ağrıdan kurtulması ve kırık nedeniyle oluşan yükseklik kaybını onarılmasıdır. Bu çalışma kifoplastinin; ağrı, hayat kalitesi ve yetersizlik gibi faktörler üzerine olan etkilerini değerlendirmek amacındadır. KP ve radyolojik değişkenler vertebra yükseklik onarımı, vb , çimento kaçakları ve komplikasyon profilleri ile analiz edildi. Tek veya iki taraflı pediküler yaklaşımlar karşılaştırıldı. Materyel ve Metod: Yaralanma sonrası VSK hastaları; 4 haftalık yatak istirahati, korse ve analjezik tedavi gibi konservatif tedaviler aldılar. 55 hastada toplam 83 vertebra kırığı mevcuttu. Yüksekten düşme, trafik kazası ve malignensiler ana nedenleriydi. Tüm hastalar için spinal anestezi uyguladı. Vertebra yükseltme işlemleri floroskopi altında yapıldı. Bulgular: Ortalama yaş 59.18 ±16.13 idi. Kadın hasta populasyonu % 56.4 ve osteoporotik hasta populasyonu % 54.5 yüksekti. Omurga sütununun kırıklarının en sık olduğu yer torakolomber kesişim noktasıydı. Lomber birinci vertebra en çok etkilenen vertebraydı %24.9 . Vertebra yükseltme işlemi sonrası hastaların ağrı skorları istatiksel olarak belirgin azaldı. Tek veya iki taraflı pediküler yaklaşımlar, aynı ağrı skoru düzelmesi sağladı. Osteoporotik hastaların operasyon öncesi ve sonrası ağrı skorları osteoporotik olmayan hasta grubundan daha yüksekti. Bayan hastaların operasyon öncesi ve sonrası ağrı skorları erkek hastalardan daha yüksekti. Yedi hastada çimento kaçağı oluştu. Sonuç: Çalışmamızın sonucu; hasta için en uygun sonuçları sağlamak için en uygun material ve yöntemin kullanılmasının cerrahın tercihinde olmasını önermektedir. Klinisyen, çalışma zamanını azaltmanın avantajlarını alabilir. Vertebrada balonla, dril ve küret yardımıyla kavite oluşturmak ve yüksek viskositeli çimentoyu düşük basınçla vermek, çimento kaçağı komplikasyonlarını minimuma indirebilir.

References

  • 1. Lamy O, Uebelhart B, Aubry-Rozier B. Risks and benefits of percutanoeus vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures. Osteoporosis Int 2014 ;25: 807-819.
  • 2. The European Prospective Osteoporosis Study (EPOS) group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study(EPOS) J Bone Miner Res 17:716-724.
  • 3. Hsieh M-K, Chen L-H, Chen W-J. Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: Evidencebased review. Biomedical Journal 2013; 36(4):154-161.
  • 4. Bednar T, Heyde CE, Bednar G, Nguyen D, Volpi E, Przkora R. Kyphoplasty for vertebral augmentation in the elderly with osteoporotic vertebral compression fractures: scenarios and review of recent studies. a case report. Clinical Therapeutics 2013; 35(11):1721-1727.
  • 5. American Academy of Orthopedics Surgeons (AAOS) 2010 Guidelines treating spinal compression fractures. Accessed October 10, 2013.
  • 6. Yimin Y, Zhiwei R, Wei M, Jha R. Current status of percutaneous vertebroplasty and percutaneous kyphoplasty - a review. Med Sci. Monit. 2013; 19:826- 836.
  • 7. Layton KF, Thielen KR, Koch CA, et al. Vertebroplasty, first 1000 levels of a single center. Evaluation of the outcome and complications. Am J Neuroradiol. 2007; 28: 683-89.
  • 8. Hazzard MA, Huang KT, Toche UN, Ugiliweneza B, Patil CG, Boakye M, Lad SP. Compression of vertebroplasty, kyphoplasty, and nonsurgical management of vertebral compression fractures and impact on US healthcare resource utilization . Asian Spine J. Oct 2014;8(5):605- 614.
  • 9. Wardlaw D, Cummimgs SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE) a randomised controlled trial. Lancet 2009; 373:1016-1024.
  • 10. Papanastassiou ID, Philips FM, Van Meirhaeghe J, et al. Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized controlled studies. Eur Spine J 2012; 21:1826-1843.
  • 11. Dahl OE, Garvik LJ, Lyberg T. Toxic effects of methylmethacrylate monomer on leukocytes and endothelial cells in vivo. Acta Orthop Scand 1994; 65(2):147-53. Maltepe Tıp Dergisi / Maltepe Medical Journal 9 Maltepe Tıp Dergisi Cilt: 10 Sayı: 1/2018
  • 12. Nakano M, Hirano N, Ishihara H, et al. Calcium phosphate cement-based vertebroplasty compared with treatment for osteoporotic compression fractures: a matched case-control study. J Neurosurg Spine 2006; 4(2):110-17.
  • 13. De Vriad HH, Wondergem J, Haveman J. Hyperthermia-induced damage to rat sciatic nerve assessed in vivo with functional methods and with electrophysiology. J Neurosci Methods 1992; 45(3):165-174.
  • 14. Belkoff SM, Mathis JM, Jasper LE, Deramond H. The biomechanics of vertebroplasty .The effect of cement volume on mechanical behavior. Spine (Phila Pa.1976) 2001; 26(14):1537-41.
  • 15. Papanastassiou ID, Filis A, Gerochristou MA, Vrionis FD. Controversial issues in kyphoplasty and vertebroplasty in osteoporotic vertebral fractures. Biomed Res Int 2014; 2014:934206
  • 16. Lewis G. Injectable bone cement for use in vertebroplasty and kyphoplasty: State-of-the-art review. Journal of Biomedical Materials Research B 2006; 76(2):456-468.
  • 17. Lai P-L, Chen L-H, Chen W-J, Chu I-M. Chemical and physical properties of bone cement for vertebroplasty. Biomedical Journal 2013; 36(4):162-167.
  • 18. Turner TM, Urban RM, Singh K, Hall DJ, Renner SM, Lim TH, et al. Vertebroplasty comparing injectable calcium phosphate cement compared with polymethylmethacrylate in a unique canine vertebral body large defect model. Spine J 2008; 8:482-7.
  • 19. Nieuwenhuijse MJ, Mujis SP, van Erkel AR, Dijkstra SP. A clinical comparative study on low versus medium viscosity polymethylmetacrylate bone cement in percutaneous vertebroplasty:Viscosity associated with cement leakage. Spine 2010; 35:E1037-44.
  • 20. Baroud G, Samara M, Steffen T. Influence of mixing method on the cement temperature-mixing time history and doughing time of three acrylic cements for vertebroplasty. J Biomed Mater Res B Appl Biomater 004;68:112-6.
  • 21. Loeffel M, Ferguson SJ, Nolte L-P, Kowal JH. Vertebroplasty . Experimental characterization of polymethylmethacrylate bone cement spreading as a function of viscosity, bone porosity, and flow rate. Spine 2008; 33:1352-9.
  • 22. Lai PL, Tai CL, Chen LH, Nien NY. Cement leakage causes potential thermal injury in vertebroplasty. BMC Musculoskelet Disord 2011; 12:116.
  • 23. Martincic D, Brojan M, Kosel F, Stern D,Vrtovec T, Antolic V, Vengust R. Minimum cement volume for vertebroplasty . Int Orthop 2014 Dec 12. PMID: 25500712
  • 24. Kim J M, Shin D A, Byun D H, Kim H S, Kim S, Kim H I. Effect of bone cement volume and stiffness on occurrences of adjacent vertebral fractures after vertebroplasty . J Korean Neurosurg Soc Nov 2012; 52(5):435-440.
  • 25. Belkoff SM, Mathis JM, Erbe EM, Fenton DC. Biomechanical evaluation of a new bone cement for use in vertebroplasty. Spine (Phila Pa 1976) 2000;25:1061- 1064
  • 26. Molloy S, Mathis JM, Belkoff SM. The effect of vertebral body percentage fill on mechanical behavior during percutaneous vertebroplasty . Spine 2003; 28(14):1549-1554.
  • 27. Luo J, Daines L, Charalambous A, Adams MA, Annesley-Williams DJ, Dolan P. Vertebroplasty :Only small cement volumes are required to normalize stress distributions on the vertebral bodies. Spine 2009; 34:2865-73.
  • 28. Boonen S, Van Meirhaeghe J, Bastian L, et al. Balloon kyphoplasty for treatment of acute vertebral compression fractures.2-year results from a randomized trial .J Bone Miner Res. 2011;26:1627-1637.
  • 29. Klazen CAH, Lohle PNM, De Vries J, et al. Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures(VERTOSII):an open-label randomised trial. The Lancet. 2010; 376(9746):1085-1092.
  • 30. McArthur N, Kasperk C, Baier M, Tanner M, Gritzbach B, Shoierer O, et al. 1150 kyphoplasties over 7 years indications, techniques, and intraoperative complications. Orthopedics 2009; 32:90
  • 31. Nizar A. Al-Nakshabandi . Percutaneous vertebroplasty complications , Ann Saudi Med. 2011 May-Jun; 31(3):294-297.
  • 32. Bopparaju S, Varon J, Surani S, Pulmonary embolism with vertebral augmentation procedures (Case report) Case Reports in Pulmonology Volume 2013 (2013),Article ID785307,4 pages.
  • 33. Luo J, Adams A, Dolan P. Vertebroplasty and kyhoplasty can restore normal spine mechanics following osteoporotic vertebral fracture, Journal of Osteoporosis, Vol. 2010 Article ID 729257.
  • 34. Venmans A, Klazen CA, Van Rooji WJ, et al. Postprocedural CT for perivertebral cement leakage in percutaneous vertebroplasty is not necessary-results from VERTOS ΙΙ . Neuroradiology.2011 Jan; 53(1)19- 22.
  • 35. Kallmes DF, Comstock BA, Heagerty PJ, et al. A randomized trial of vertebroplasty for osteoporotic spinal fractures. N England J Med. 2009; 361:569-579. 36. Kuehn K-D, Ege W, Gopp U. Acrylic bone cements: Composition and properties. Orthop Clin North Am 2005; 36:17-28. 10
  • 37. Zhang L, Wang J, Feng X, Tao Y, Wang Y, Zhang S, Cai J, Huang J. A compression of high viscosity bone cement and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures. Clin Neurol Neurosurg 2014 Dec 4; 129C:10-16.
  • 38. Georgy BA. Comparison between radiofrequency targeted vertebral augmentation and balloon kyphoplasty in the treatment of vertebral compression fractures: adressing factors that affect cement extravasation and distribution. Pain Physician 2013; 16(5):E513-E518.
  • 39. Bohner M, Gasser B, Baround G, Heini P. Theoretical and experimental model to describe the injection of a polymethymethacrylate cement into a porous structure. Biomaterials 2003; 24(16):2721-2730.
  • 40. Taylor RS, Taylor RJ, Fritzell P. Balloon Kyphoplasty and vertebroplasty for vertebral compression fractures: a comparative systematic review of efficacy and safety .Spine 2006; 31:2747-558.
  • 41. Eck JC, Nachtigall D, Himphreys SC, et al. Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures. A meta-analysis of the literature. Spine J 2008; 8:488-97.
  • 42. Mc Call T, Cole C, Dailey A. Vertebroplasty and kyphoplasty : a comparative review of efficacy and adverse events. Curr Rev Musculoskelet Med. 2008;1:17-23.
  • 43. Wei HY, Tan MS, Liang L. Unilateral multiple channels approach in percutaneous vertebroplasty for osteoporotic vertebral fractures. Zhonggou Gu Shang 2013 Dec; 26(12):1010-4.
  • 44. Chen B, Li Y, Xie D, Yang X, Zheng Z. Comprasion of unipedicular and bipedicular kyphoplasty on the stiffness and biomechanical balance of compression fractured vertebrae. European Spine Journal. 2011 20(8):1272-1280.
  • 45. Rebolledo BJ, Gladnick BP, Unnanuntana A, Nguyen JT, Kepler CK, Lane JM. Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. a prospective randomised study. The Bone&Joint Journal. 2013; 95(3):401-406.
  • 46. Sisodia GB. Methods of predicting vertebral body fractures of the lumbar spine .World J Orthop . 2013 October 18; 4(4):241-7.
  • 47. Georgy B A. Metastatic Spinal Lesions :State-ofthe-Art Treatment Options and Future Trends. AJNR October 2008; 29:1605-11.
  • 48. Chung HJ, Kwan IH. Comparative study of balloon kyphoplasty with unilateral versus bialteral approach in osteoporotic vertebral compression fractures. Int Orthopaedics 2008; 32(6):817-820.
  • 49. Lieberman HL, Dudeney S, Reinhardt MK,et al. İnitial outcome and efficancy of ‘’kyphoplasty’’ in the treatment of painful osteoporotic vertebral compression fractures. Spine. 2001; 26:1631-38.
  • 50. Berlemna U, Franz T, Orler R, et al.Kyphoplasty for treatment of osteoporotic vertebral fracture: a prospective non-randomized study. Eur Spine J 2004; 13:496-501.
There are 49 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Aykut Akpınar This is me

Uzay Erdoğan This is me

Ali Osman Akdemir This is me

Publication Date April 1, 2018
Published in Issue Year 2018 Volume: 10 Issue: 1

Cite

Vancouver Akpınar A, Erdoğan U, Akdemir AO. Yüksek Viskoziteli Çimentoyla Balon Kullanılmadan Yapılan Kifoplasti: Kısa Dönem Klinik Sonuçları. Maltepe tıp derg. 2018;10(1):1-10.