Abstract:
STUDY DESIGN:Prospective consecutive series. OBJECTIVE:To evaluate the efficacy of minimal invasive surgery for acute lumbar fractures by means of balloon kyphoplasty with calcium phosphate plus segmental short posterior instrumented fusion. SUMMARY OF BACKGROUND DATA:In the surgical treatment of lumbar fractures with short pedicle screw instrumentation, the failure to support the anterior spinal column often results in loss of correction. Transpedicular augmentation techniques with bone and bone substitutes have been attempted whereas kyphoplasty has been increasingly used to augment fractured vertebral body. METHODS:Eighteen consecutive patients with an average age of 64 +/- 15 years, who sustained lumbar (L1-L4) burst and severe compression fracture were included in this prospective study. On admission, 2 (11%) of 18 patients had incomplete neurologic impairment. All patients underwent bilateral balloon kyphoplasty with calcium phosphate bone cement to reduce segmental kyphosis and restore vertebral body height and segmental pedicle screw instrumentation and fusion. Gardner kyphosis angle, anterior (AVBHr) and posterior vertebral body height ratio (PVBHr), and spinal canal encroachment (SCE) were calculated before to after surgery. VAS and SF-36 were used to evaluate functional outcome. RESULTS:All patients were operated within 24 hours after admission and were followed for an average 22 months (17-28 months) after index surgery. Operating time and blood loss averaged 45 minutes and 70 mL, respectively. VAS and SF-36 (role physical and bodily pain domains) were significantly improved after surgery. Both patients with incomplete neurologic lesions recovered, whereas no neurologic deterioration was observed in any case. Segmental kyphosis improved from an average preoperative kyphosis of 16 to 2 degrees after surgery (P < 0.000). AVBHr improved from an average before surgery 0.57 to 0.87 (P < 0.000) after surgery, whereas PVBHr improved from 0.93 before surgery to 0.98 (P < 0.05) after surgery. SCE was reduced from an average 25% before surgery to 19% (P < 0.07) after surgery. Bone cement leakage was observed anteriorly to the fractured vertebral body or to the adjacent superior disc in 4 patients without clinical sequelae, whereas 3 pedicle screws were malpositioned medially to the pedicle in 3 patients without neurologic impairment or associated complaints. Posterolateral radiologic fusion was achieved within 6 to 8 months after index operation. There was no instrumentation failure or loss of sagittal curve and vertebral height correction. CONCLUSION:Balloon kyphoplasty with calcium phosphate cement combined with posterior segmental short minimal invasive fixation for fresh burst and severe compression lumbar fractures provided excellent immediate reduction of post-traumatic segmental kyphosis with simultaneous reduction of spinal canal encroachment and restoration of vertebral body height in the fracture level.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Korovessis P,Hadjipavlou A,Repantis Tdoi
10.1097/BRS.0b013e318166e0bbsubject
Has Abstractpub_date
2008-03-15 00:00:00pages
658-67issue
6eissn
0362-2436issn
1528-1159pii
00007632-200803150-00014journal_volume
33pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:A prospective study in two groups of patients selected randomly. OBJECTIVES:To determine whether keeping the outer and inner cortices of the ilium intact, while obtaining bone graft, would result in reduced postoperative bleeding and less postoperative pain. SUMMARY OF BACKGROUND DATA:Donor site complica...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200007010-00018
更新日期:2000-07-01 00:00:00
abstract:STUDY DESIGN:Clinical, radiographic, and outcomes assessment comparing two surgical techniques. Clinical data were collected prospectively. The radiographic analysis was done retrospectively. OBJECTIVES:Smith-Petersen (chevron type) osteotomy (SPO) and pedicle subtraction osteotomy (PSO) have been used to correct fixe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000179085.92998.ee
更新日期:2005-09-15 00:00:00
abstract:STUDY DESIGN:Spine Update on the biopsychosocial model. OBJECTIVE:To review and discuss the strengths and weaknesses of the application of the model to spine care. SUMMARY OF BACKGROUND DATA:The biopsychosocial model of illness has had (and will continue to have) a significant impact on spine care. It has changed-in ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181604572
更新日期:2008-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The primary objective of our study was to evaluate the surgical outcomes and complications of minimally invasive surgery (MIS) versus open surgery in the management of intermediate to high grade spondylolisthesis, and secondarily to compare the outcomes following MIS ...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000003573
更新日期:2020-10-15 00:00:00
abstract:STUDY DESIGN:A case report of transient blindness after lumbar epidural steroids is presented. OBJECTIVE:To report the diagnosis and treatment of a case of blindness after administration of lumbar epidural steroids. SUMMARY OF BACKGROUND DATA:Nine previous cases of blindness after lumbar epidural injection for back p...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-200211010-00022
更新日期:2002-11-01 00:00:00
abstract::Changes in the macromolecular matrix of the intervertebral disc may predispose to biomechanical failure of the disc. Such changes would involve extracellular enzymes capable of altering the collagen and proteoglycan of the disc matrix. In this study, extracts from homogenates of both annuli fibrosi and nuclei pulposi ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1982-05-01 00:00:00
abstract:STUDY DESIGN:In vivo measurements of low back flexion posture and muscle activity before, during, and after static flexion. OBJECTIVE:To identify the occurrence of creep and muscle fatigue development in the low back during static upper body deep flexion that resembled an above ground work posture. SUMMARY OF BACKGRO...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181aa6a55
更新日期:2009-08-01 00:00:00
abstract:STUDY DESIGN:Case report and review of relevant literature. OBJECTIVE:To report a rare complication of esophageal perforation in cervical fracture patient with progressive ankylosing spondylitis (AS) and review of relevant literature. SUMMARY OF BACKGROUND DATA:Esophageal perforation in cervical fracture is extremely...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001885
更新日期:2016-11-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the first case of posterior spinal artery (PSA) infarct due to patent foramen ovale (PFO). SUMMARY OF BACKGROUND DATA:Infarct in the territories of PSA are very rare: till now 38 cases are reported in the literature. Moreover only 1 case of spinal cord infarction was attr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181cf29ea
更新日期:2010-03-01 00:00:00
abstract:STUDY DESIGN:An investigation of the reliability of various factors used to analyze electromyograms of paraspinal muscles of the lumbar spine. OBJECTIVES:To determine the reproducibility of several electromyographic variables over time and to assess the influence of confounding factors. SUMMARY OF BACKGROUND DATA:Pre...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199905010-00009
更新日期:1999-05-01 00:00:00
abstract:STUDY DESIGN:Applied anatomical study and clinical application. OBJECTIVE:To design and optimize the method of cervical pedicle screw placement for cervical vertebrae C3-C5, and to test it in clinical applications. SUMMARY OF BACKGROUND DATA:Most of the anatomical studies on cervical pedicle screw placement previousl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182880065
更新日期:2013-04-15 00:00:00
abstract:STUDY DESIGN:Fifty-one consecutive patients who underwent extradural sensory rhizotomy for chronic radiculopathy after lumbar surgery were reviewed retrospectively. OBJECTIVES:To determine the effectiveness of sensory rhizotomy in the management of chronic radiculopathy in patients selected by extensive imaging techni...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199710010-00018
更新日期:1997-10-01 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, controlled, multicenter clinical study was conducted. OBJECTIVE:To compare the clinical and radiographic outcomes of patients treated with OP-1 (BMP-7) Putty to autogenous iliac crest bone graft for one-level uninstrumented posterolateral fusion of the lumbar spine following dec...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/01.brs.0000137062.79201.98
更新日期:2004-09-01 00:00:00
abstract:STUDY DESIGN:Case control comparative series. OBJECTIVE:Describe surgical range adolescent idiopathic scoliosis (AIS) patients electing to forgo surgery and compare health-related quality-of-life outcomes to a similar cohort of operated AIS patients by the same single surgeon. SUMMARY OF BACKGROUND DATA:No data have ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002004
更新日期:2017-08-15 00:00:00
abstract:STUDY DESIGN:A case of intradural venous varix producing a mass-like lesion in the lumbar spine is reported. OBJECTIVE:To present a rare cause of an intradural mass lesion along the cauda equina. To present radiologic findings of this entity and to offer a hypothesis for its formation. SUMMARY OF BACKGROUND DATA:Epid...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000085359.59829.44
更新日期:2003-10-15 00:00:00
abstract::Chylothorax as a complication of anterior thoracic spine fusion is described in the case of a male with congenital kyphosis. Treatment with protracted chest tube drainage was required, along with dietary modification in which fat ingestion was restricted. This complication is reported to occur in 0.2% of intrathoracic...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract::A systematic approach to low-back pain is presented that relies on the classification of patients according to their symptoms. Rational systems of physiotherapy are proposed for each group and incorporated into an algorithmn. One hundred forty-two patients with mechanical low-back pain have been treated, and their res...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198507000-00012
更新日期:1985-07-01 00:00:00
abstract::The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198607000-00003
更新日期:1986-07-01 00:00:00
abstract:STUDY DESIGN:This study was an exploratory repeated measures design comparing patients undergoing two magnitudes of surgery in the lumbar spine: lumbar herniated disc repair and posterior lumbar fusion. OBJECTIVE:The present study evaluated and compared the effect of perceived pain, perceived stress, anxiety, and mood...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000231795.85409.87
更新日期:2006-08-15 00:00:00
abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To investigate whether classification of increased signal intensity (ISI) on magnetic resonance imaging (MRI) of spinal cord in patients with cervical ossification of the posterior longitudinal ligament (C-OPLL) reflects severity of myelopathy and surgical outcome. SUM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001717
更新日期:2017-01-15 00:00:00
abstract:STUDY DESIGN:This study retrospectively compares the clinical and radiologic outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with those of transvertebral screw fixation of the lumbosacral spine in high-grade spondylolisthesis. OBJECTIVE:To examine the outcome and perioperative complications of uni...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817ecc01
更新日期:2008-08-15 00:00:00
abstract:STUDY DESIGN:Case report of a solitary osteochondroma of the cervical spine causing myelopathy in a 66-year-old woman. OBJECTIVES:To review the relevant literature and describe a highly unusual clinical manifestation of solitary osteochondroma. SUMMARY OF BACKGROUND DATA:Osteochondromas are common benign bony lesions...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-200005150-00017
更新日期:2000-05-15 00:00:00
abstract:STUDY DESIGN:Cadaveric laboratory study. OBJECTIVE:To compare the accuracy, efficiency, and safety of intraoperative cone beam-computed tomography with navigation (O-ARM) with traditional intraoperative fluoroscopy (C-ARM) for the placement of pedicle screws. SUMMARY OF BACKGROUND DATA:Radiation exposure remains a co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a51d1e
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:A retrospective study investigated the progression risk of juvenile scoliosis until skeletal maturity or spinal fusion. OBJECTIVES:To define risk factors of curve progression during pubertal growth and analyze the timing of arthrodesis. SUMMARY OF BACKGROUND DATA:Juvenile scoliosis is characterized by a ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000229230.68870.97
更新日期:2006-08-01 00:00:00
abstract:STUDY DESIGN:Expression of light chain 3 (LC3), a characteristic marker of autophagy, was examined by immunohistochemistry and Western blot using a spinal cord injury (SCI) model in mice. Electron microscopic analysis was also performed to examine the anatomic formation of autophagy and autophagic cell death in the inj...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182028c3a
更新日期:2011-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective chart review of 103 cases. OBJECTIVES:To describe the clinical use of magnetic resonance imaging in a pyogenic vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:Long delays in diagnosing pyogenic vertebral osteomyelitis of the spine have been shown in many reports. Magnetic resonance imag...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199704010-00015
更新日期:1997-04-01 00:00:00
abstract::Does infant malnutrition produce smaller adult spinal canals? Lumbar and thoracic vertebrae (n X 1073), from a prehistoric American Indian population (15-55 yrs of age), were measured for anteroposterior (AP) and transverse (TR) vertebral canal sizes, nerve root tunnel (intervertebral foramen) widths (NRT), vertebral ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198503000-00012
更新日期:1985-03-01 00:00:00
abstract:STUDY DESIGN:Pedicle screw fixation for unstable thoracolumbar spine injuries is relatively new. The effect of one or two crosslinks on rotational and lateral bending stiffness was studied. OBJECTIVE:To determine the rotational and bending stiffness values of thoracolumbar fractures fixed by the AO's internal fixation...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199707150-00007
更新日期:1997-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective study using a national administrative database. OBJECTIVE:To define the cohort differences in patient characteristics between patients undergoing cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) in a large national sample, and to describe the impact of thos...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003427
更新日期:2020-07-15 00:00:00
abstract:STUDY DESIGN:Compression-induced changes in the concentration of substance P and VIP (vasoactive intestinal polypeptide), in spinal nerve roots and dorsal root ganglia were studied in an experimental nerve root compression model in pigs. OBJECTIVES:To analyze by radioimmunoassay the concentration of the neuropeptides ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199503150-00007
更新日期:1995-03-15 00:00:00