@article{article_1487864, title={An Unconventional Treatment: Kyphoplasty as an Indirect Decompression Technique for Posterior Wall Retropulsion of Fractured Vertebral Body}, journal={Güncel Tıbbi Araştırmaları Dergisi}, volume={4}, pages={32–38}, year={2024}, DOI={10.52818/cjmr.1487864}, author={Bozdag, Selin and Sevin, Ertan}, keywords={Kanal basısı, Patlama kırıkları, Kifoplasti, Dekompresyon}, abstract={There is no clear consensus on how to manage burst fractures that involve retropulsion of bony fragments of the posterior wall of the vertebral body. Many surgeons consider kyphoplasty relatively contraindicated due to technical challenges, increased risk of epidural cement leakage, and potential for further displacement of fragments into the central canal, which could potentially worsen the neurologic condition. We present the case of a neurologically intact 45-year-old man with a burst fracture at the T8 level and ≈50% compromised spinal canal with RWR. Kyphoplasty was performed. There was no cement leakage during the procedure. Pain relief is achieved immediately after surgery (VAS decreased from 7 to 2), and no neurological deterioration occurred. He could go back to work without pain within one week. Significant postoperative correction of kyphosis (wedge angle decreased from 22.6 to 6.9) and restoration of vertebral height (Beck index increased from 37.84% to 72.62%) was observed and was not lost during follow-up for a year (wedge angle 9.4, Beck index 75.81%). Retropulsion decreased from 7.8 mm (46,43% canal compromise) to 5.57 mm (33.15% canal compromise). At 1-year follow-up, the posterior wall appeared intact and there was almost no retropulsed fragment. Kyphoplasty for burst fractures with PWR can be an effective option for selected patients.}, number={2}, publisher={İzmir Katip Çelebi Üniversitesi}, organization={Bulunmamaktadır.}