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Published in: European Spine Journal 6/2014

01-10-2014 | Original Article

Balloon kyphoplasty for pure traumatic thoracolumbar fractures: retrospective analysis of 61 cases focusing on restoration of vertebral height

Authors: R. de Falco, A. Bocchetti

Published in: European Spine Journal | Special Issue 6/2014

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Abstract

Purpose

The literature concerning the use of balloon kyphoplasty (BKP) for pure traumatic fractures is unclear. We report our experience about the treatment of a specific subgroup of traumatic vertebral fractures (AOSpine type A) with BKP through a retrospective analysis.

Methods

Sixty-one patients affected by AOSpine type A traumatic fractures of the thoracolumbar spine underwent BKP at our institution (2004–2008): 26 males and 35 females; mean age 52 ± 15 (18–75) years. At 6–12 and 60 months follow-up examinations, vertebral height restoration, sagittal spinal alignment and pain were recorded.

Results

Kyphoplasty proved to be a safe method to treat these fractures preserving a relative correct spinal sagittal balance with recovery of the morphology of the fractured vertebra, vertebral height and the angle of kyphosis.

Conclusions

BKP used for traumatic fractures significantly alleviates pain, does not cause notable complications and enables patients to return to their normal lives in a short time.
Literature
1.
go back to reference Vaccaro AR, Oner C, Kepler CK et al (2014) AOSpine thoracolumbar spine injury classification system. Spine 38:2028–2037CrossRef Vaccaro AR, Oner C, Kepler CK et al (2014) AOSpine thoracolumbar spine injury classification system. Spine 38:2028–2037CrossRef
2.
go back to reference McCormack T, Karaikovic E, Gaines RW (1994) The load sharing classification of the spine fractures. Spine 19:1741–1744PubMedCrossRef McCormack T, Karaikovic E, Gaines RW (1994) The load sharing classification of the spine fractures. Spine 19:1741–1744PubMedCrossRef
3.
go back to reference Resch H, Rabi M, Klampfer H, Ritter E, Povacz P (2000) Surgical vs. conservative treatment of fractures of the thoracolumbar transition. Unfallchirurg 103:281–288PubMedCrossRef Resch H, Rabi M, Klampfer H, Ritter E, Povacz P (2000) Surgical vs. conservative treatment of fractures of the thoracolumbar transition. Unfallchirurg 103:281–288PubMedCrossRef
4.
go back to reference de Falco R, Scarano E, Di Celmo D, Grasso U, Guarnieri L (2005) Balloon kyphoplasty in traumatic fractures of the thoracolumbar junction. Preliminary experience in 12 cases. J Neurosurg Sci 49(4):147–153PubMed de Falco R, Scarano E, Di Celmo D, Grasso U, Guarnieri L (2005) Balloon kyphoplasty in traumatic fractures of the thoracolumbar junction. Preliminary experience in 12 cases. J Neurosurg Sci 49(4):147–153PubMed
5.
go back to reference Freslon M, Mosnier T, Gayet LE, Skalli W (2007) Biomechanical evaluation of posterior instrumentation for lumbar burst fracture: comparison of two internal devices. Rev Chir Orthop Reparatrice Appar Mot 93(3):213–221PubMedCrossRef Freslon M, Mosnier T, Gayet LE, Skalli W (2007) Biomechanical evaluation of posterior instrumentation for lumbar burst fracture: comparison of two internal devices. Rev Chir Orthop Reparatrice Appar Mot 93(3):213–221PubMedCrossRef
6.
go back to reference Falavigna A, Righesso Neto O, Polesso MA, Franceschini PR (2007) Anterior approach in patients with traumatic compression fracture type of thoracolumbar spine (T11–L2). Arq Neuropsiquiatr 65(3B):906–911PubMedCrossRef Falavigna A, Righesso Neto O, Polesso MA, Franceschini PR (2007) Anterior approach in patients with traumatic compression fracture type of thoracolumbar spine (T11–L2). Arq Neuropsiquiatr 65(3B):906–911PubMedCrossRef
7.
go back to reference Payer M, Sottas C (2008) Mini-open anterior approach for corpectomy in the thoracolumbar spine. Surg Neurol. 69(1):25–31 (discussion 31–32)PubMedCrossRef Payer M, Sottas C (2008) Mini-open anterior approach for corpectomy in the thoracolumbar spine. Surg Neurol. 69(1):25–31 (discussion 31–32)PubMedCrossRef
8.
go back to reference Wilson JA, Bowen S, Branch CL Jr, Meredith JW (1999) Review of 31 cases of anterior thoracolumbar fixation with the anterior thoracolumbar locking plate system. Neurosurg Focus 7(1):e1PubMedCrossRef Wilson JA, Bowen S, Branch CL Jr, Meredith JW (1999) Review of 31 cases of anterior thoracolumbar fixation with the anterior thoracolumbar locking plate system. Neurosurg Focus 7(1):e1PubMedCrossRef
9.
go back to reference Müller U, Berlemann U, Sledge J, Schwarzenbach O (1999) Treatment of thoracolumbar burst fractures without neurological deficit by indirect reduction and posterior instrumentation: bisegmental stabilization with monosegmental fusion. Eur Spine J 8:284–289PubMedCrossRefPubMedCentral Müller U, Berlemann U, Sledge J, Schwarzenbach O (1999) Treatment of thoracolumbar burst fractures without neurological deficit by indirect reduction and posterior instrumentation: bisegmental stabilization with monosegmental fusion. Eur Spine J 8:284–289PubMedCrossRefPubMedCentral
10.
go back to reference Wood K, Butterman G, Mehbod A, Garvey T, Jhanjee R, Sechriest V, Butterman G (2003) Operative compared with non-operative treatment of a thoracolumbar burst fracture without neurological deficit. J Bone J Surg Am 85(5):773–781 Wood K, Butterman G, Mehbod A, Garvey T, Jhanjee R, Sechriest V, Butterman G (2003) Operative compared with non-operative treatment of a thoracolumbar burst fracture without neurological deficit. J Bone J Surg Am 85(5):773–781
11.
go back to reference Oner FC, van der Rijt RR, Ramos LM, Dhert WJ, Verbout AJ (1998) Changes in the disc space after fractures of the thoracolumbar spine. J Bone Joint Surg Br 80:833–839PubMedCrossRef Oner FC, van der Rijt RR, Ramos LM, Dhert WJ, Verbout AJ (1998) Changes in the disc space after fractures of the thoracolumbar spine. J Bone Joint Surg Br 80:833–839PubMedCrossRef
12.
go back to reference Oner FC, van Gils AP, Dhert WJ, Verbout AJ (1999) MRI findings of thoracolumbar spine fractures: a categorisation based on MRI examination of 100 fractures. Skeletal Radiol 28:433–443PubMedCrossRef Oner FC, van Gils AP, Dhert WJ, Verbout AJ (1999) MRI findings of thoracolumbar spine fractures: a categorisation based on MRI examination of 100 fractures. Skeletal Radiol 28:433–443PubMedCrossRef
13.
go back to reference Garfin SR, Yuan HA, Reiley MA (2001) New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26(14):1511–1515PubMedCrossRef Garfin SR, Yuan HA, Reiley MA (2001) New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26(14):1511–1515PubMedCrossRef
14.
go back to reference Siebenga J, Leferink VM, Segers MJM, Elzinga MJ, Bakker FC, Haarman HJ, Rommens PM, Ten Duis HJ, Patka P (2006) Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of comparative nonsurgical treatment. Spine 31(25):2881–2890PubMedCrossRef Siebenga J, Leferink VM, Segers MJM, Elzinga MJ, Bakker FC, Haarman HJ, Rommens PM, Ten Duis HJ, Patka P (2006) Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of comparative nonsurgical treatment. Spine 31(25):2881–2890PubMedCrossRef
15.
go back to reference Verlaan JJ, Diekerhof CH, Buskens E, van der Tweel I, Verbout AJ, Dhert WJ, Oner FC (2004) Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine 29:803–814PubMedCrossRef Verlaan JJ, Diekerhof CH, Buskens E, van der Tweel I, Verbout AJ, Dhert WJ, Oner FC (2004) Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine 29:803–814PubMedCrossRef
17.
go back to reference Denis F, Armstrong GW, Searls K, Matta L (1984) Acute thoracolumbar burst fractures in the absence of neurologic deficit: a comparison between operative and nonoperative treatment. Clin Orthop Relat Res 189:142–149PubMed Denis F, Armstrong GW, Searls K, Matta L (1984) Acute thoracolumbar burst fractures in the absence of neurologic deficit: a comparison between operative and nonoperative treatment. Clin Orthop Relat Res 189:142–149PubMed
18.
go back to reference Domenicucci M, Preite R, Ramieri A, Ciappetta P, Delfini R, Romanini L (1996) Thoracolumbar fractures without neurosurgical involvement: surgical or conservative treatment? J Neurosurg Sci 40:1–10PubMed Domenicucci M, Preite R, Ramieri A, Ciappetta P, Delfini R, Romanini L (1996) Thoracolumbar fractures without neurosurgical involvement: surgical or conservative treatment? J Neurosurg Sci 40:1–10PubMed
19.
go back to reference Gertzbein SD (1992) Scoliosis Research Society: multicenter spine fracture study. Spine 17:528–540PubMedCrossRef Gertzbein SD (1992) Scoliosis Research Society: multicenter spine fracture study. Spine 17:528–540PubMedCrossRef
20.
go back to reference Gotzen L, Puplat D, Junge A (1996) Indications, technique and results of monosegmental dorsal spondylodesis in wedge compression fractures (grade II) of the thoracolumbar spine. Unfallchirurg 95:445–454 Gotzen L, Puplat D, Junge A (1996) Indications, technique and results of monosegmental dorsal spondylodesis in wedge compression fractures (grade II) of the thoracolumbar spine. Unfallchirurg 95:445–454
21.
go back to reference Leferink VJ, Keizer HJE, Oosterhuis JK, van der Sluis CK, ten Duis HJ (2003) Functional outcome in patients with thoracolumbar burst fractures treated with dorsal instrumentation and transpedicular cancellous bone grafting. Eur Spine J 12:261–267PubMedPubMedCentral Leferink VJ, Keizer HJE, Oosterhuis JK, van der Sluis CK, ten Duis HJ (2003) Functional outcome in patients with thoracolumbar burst fractures treated with dorsal instrumentation and transpedicular cancellous bone grafting. Eur Spine J 12:261–267PubMedPubMedCentral
22.
go back to reference Burnham RS, Warren SA, Saboe LA, Davis LA, Russel GG, Reid DC (1996) Factors predicting employment 1 year after traumatic spine fracture. Spine 21:1066–1071PubMedCrossRef Burnham RS, Warren SA, Saboe LA, Davis LA, Russel GG, Reid DC (1996) Factors predicting employment 1 year after traumatic spine fracture. Spine 21:1066–1071PubMedCrossRef
23.
go back to reference Kraemer WJ, Schemitsch EH, Lever J, McBroom RJ, McKee MD, Waddell JP (1996) Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 10:541–544PubMedCrossRef Kraemer WJ, Schemitsch EH, Lever J, McBroom RJ, McKee MD, Waddell JP (1996) Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 10:541–544PubMedCrossRef
24.
go back to reference Tropiano P, Huang RC, Louis CA, Poitout DG, Louis RP (2003) Functional and radiographic outcome of thoracolumbar and lumbar burst fractures managed by close orthopaedic reduction and casting. Spine 28:2459–2465PubMedCrossRef Tropiano P, Huang RC, Louis CA, Poitout DG, Louis RP (2003) Functional and radiographic outcome of thoracolumbar and lumbar burst fractures managed by close orthopaedic reduction and casting. Spine 28:2459–2465PubMedCrossRef
25.
go back to reference Maestretti G, Cremer C, Otten P, Jakob RP (2007) Prospective study of stand alone balloon kyphoplasty with calcium phosphate cement augmentation in traumatic fractures. Eur Spine J 16:601–610PubMedCrossRefPubMedCentral Maestretti G, Cremer C, Otten P, Jakob RP (2007) Prospective study of stand alone balloon kyphoplasty with calcium phosphate cement augmentation in traumatic fractures. Eur Spine J 16:601–610PubMedCrossRefPubMedCentral
Metadata
Title
Balloon kyphoplasty for pure traumatic thoracolumbar fractures: retrospective analysis of 61 cases focusing on restoration of vertebral height
Authors
R. de Falco
A. Bocchetti
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 6/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-014-3548-8

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