Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2019

Open Access 01-12-2019 | Refracture | Original Article

Bone-filling mesh container versus percutaneous kyphoplasty in treating Kümmell’s disease

Authors: Z.-K. Duan, J.-F. Zou, X.-L. He, C.-D. Huang, C.-J. He

Published in: Archives of Osteoporosis | Issue 1/2019

Login to get access

Abstract

Summary

Kümmell’s disease (eponymous name for osteonecrosis and collapse of a vertebral body due to ischemia and non-union of anterior vertebral body wedge fractures after major trauma) cannot heal spontaneously. Bone-filling mesh container (BFMC) can significantly relieve pain, help the correction of kyphosis, and may prevent cement leakage. This pilot study may provide the basis for the design of future studies.

Purpose

To compare the effectiveness and safety of BFMC and percutaneous kyphoplasty (PKP) for treatment of Kümmell’s disease.

Methods

From August 2016 to May 2018, 40 patients with Kümmell’s disease were admitted to Guizhou Provincial People’s Hospital. Among them, 20 patients (20 vertebral bodies) received PKP (PKP group) and the other 20 received BFMC (BFMC group). Operation time, Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Cobb’s angle changes, and related complications were recorded.

Results

All patients underwent operations successfully. VAS scores and ODI of both groups at each postoperative time point were lower than preoperatively, with statistically significant difference (p < 0.05). Postoperative Cobb’s angle of both groups postoperatively was lower than preoperatively (p < 0.05). Cement leakage occurred in eight vertebrae (8/20) in the PKP group and in one vertebra (1/20) in the BFMC group. No complications such as pulmonary embolism, paraplegia, or perioperative death occurred during operation in both groups. Adjacent vertebral refractures occurred in five patients (5/20) in the PKP group and in four patients (4/20) in the BFMC group, with no significant difference in the incidence rate of refractures in both groups but the material is too small to verify statistically.

Conclusions

Both PKP and BFMC technologies can significantly relieve pain and help the correction of kyphosis while treating Kümmell’s disease. Moreover, the BMFC may prevent cement leakage.
Literature
1.
Lim J, Choi SW, Youm JY, Kwon HJ, Kim SH, Koh HS (2018) Posttraumatic delayed vertebral collapse: Kummell’s disease. J Korean Neurosurg Soc 61(1):1–9CrossRef
2.
Kim JE, Choi SS, Lee MK, Lee DK, Cho SI (2017) Failed percutaneous vertebroplasty due to insufficient correction of intravertebral instability in Kummell’s disease: a case report. Pain Prac 17(8):1109–1114CrossRef
3.
Larry LT, Schucany WG, Opatowsky MJ (2013) Kummell disease. Proc (BaylUniv Med Cent) 26(3):300–301
4.
Massarotti M, Fabbriciani G, Barbieri M, De Santis M, Bukhari M (2016) Osteoanabolic therapy: a valid option to reduce refracture risk after vertebral augmentation procedures? Osteoporos Int 27(11):3387–3388CrossRef
5.
Yoon ST, Qureshi AA, Heller JG, Nordt JC 3rd (2005) Kyphoplasty for salvage of a failed vertebroplasty in osteoporotic vertebral compression fractures: case report and surgical technique. J Spinal Disord Tech 18:129–134CrossRef
6.
D'Oria S, Delvecchio C, Dibenedetto M, Zizza F, Somma C (2017) Case report of Kummell’s disease with delayed onset myelopathy and the literature review. Eur J Orthop Surg Traumatol 28(2):309–316CrossRef
7.
Martin DJ, Rad AE, Kallmes DF (2012) Prevalence of extra vertebral cement leakage after vertebroplasty: procedural documentation versus CT detection. Acta Radiol 53:569–572CrossRef
8.
He CJ, Liu GD (2018) Comparison of the efficacy and safety of bone filling mesh container and simple percutaneous balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Pain Physician 21:259–267PubMed
9.
Li KC, Li AF, Hsieh CH, Li TH, Chen CH (2007) Another option to treat Kummell’s disease with cordcompression. Eur Spine J 16(9):1479–1487CrossRef
10.
Yang H, Pan J, Wang G (2014) A review of osteoporotic vertebral fracture nonunion management. Spine 39(26):B4–B6CrossRef
11.
Bergasa NV, Jones EA (2017) Assessment of the visual analogue score in the evaluation of the pruritus of cholestasis. J Clin Transl Hepatol 5(3):203–207PubMedPubMedCentral
12.
Chew C, Ritchie M, O’Dwyer PJ, Edwards R (2011) A prospective study of percutaneous vertebroplasty in patients with myeloma and spinal metastases. Clin Radiol 66(12):1193–1196CrossRef
13.
Vanti C, Ferrari S, Villafafie JH, Berjano P, Monticone M (2017) Responsiveness and minimum important change of the Osweslry Disability Index in Italian subjects with symptomatic lumbar spondylolisthesis. J Orthop Traumatol 18(2):145–150CrossRef
14.
Venmans A, Klazen CA, Rooij WJ, de Vries J, Mali WP, Lohle PN (2011) Postprocedural CT for perivertebral cement leakage in percutaneous vertebroplasty is not necessary-results from VERTOS II. Neuroradiology 53(1):19–22CrossRef
15.
Yeom JS, Kim WJ, Choy WS, Lee CK, Chang BS, Kang JW (2003) Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg (Br) 85(85):83–89CrossRef
16.
Yu W, Liang D, Yao Z, Qiu T, Ye L, Huang X, Jiang X (2017) Risk factors for recollapse of the augmented vertebrae after percutaneous vertebroplasty for osteoporotic vertebral fractures with intravertebral vacuum cleft. Medicine 96(2):e5675CrossRef
17.
Ma R, Chow R, Shen FH (2010) Kummell’s disease:delayed posttraumatic osteoneerosis of the vertebral body. Eur Spine J 19(7):1065–1070CrossRef
18.
Wu AM, Chi YL, Ni WF (2013) Vertebral compression fracture with intravertebral vacuum cleft sign: pathogenesis, image, and surgical intervention. Asian Spine J 7(2):148–155CrossRef
19.
Zhang X, Hu W, Yu J, Wang Z, Wang Y (2016) An effective treatment option for kummell disease with neurological deficits: modified transpedicular subtraction and disc osteotomy combined with long-segment fixation. Spine 41(15):E923CrossRef
20.
Ranjan M, Mahadevan A, Prasad C, Sommana S, Susarla Krishna S (2013) Kummell’s disease-uncommon or under reported disease: aclinic opathological account of a case and review of literature. J Neurosci Rural Pract 4(4):439–442CrossRef
21.
Kanayama M, Ishida T, Hashimoto T, Shigenobu K, Togawa D, Oha F, Kaneda K (2010) Role of major spine surgery using kaneda anterior instrumentation for osteoporotic vertebral collapse. J Spinal Disord Tech 23(1):53–56CrossRef
22.
Elnoamany H (2015) Percutaneous vertebroplasty: a first line treatment in traumatic non-osteoporotic vertebral compression fractures. Asian Spine J 9(2):178–184CrossRef
23.
Mattei TA, Mendel E, Bourekas EC (2014) Vertebral compression fractures in patients under treatment with denosumab: a contraindication for percutaneous vertebroplasty? Spine J 14(6):e29–e35CrossRef
24.
Zhang GQ, Gao YZ, Chen SL, Ding S, Gao K, Wang HQ (2015) Comparison of percutaneous vertebroplastyand percutaneous kyphoplasty for the management of Kummell;s disease: a retrospective study. Indian J Orthop 49(6):577–582CrossRef
25.
Nieuwenhuijse MJ, Van Erkel AR, Dijkstra PDS (2011) Percutaneous vertebroplasty in very severe osteoporotic vertebral compression fractures: feasible and beneficial. J Vasc Interv Radiol 22(7):1017–1023CrossRef
26.
Li HD, Xu CJ, Wang H, Liu W, Jiang XJ, Zhu XQ (2015) Percutaneous vertebroplasty for single osteoporotic vertebral body compression fracture results of unilateral 3-D percutaneous puncture technique. Indian J Orthop 49(2):245–250CrossRef
27.
Zuleika SP, Patricia C, Teresa L-C, Saz-Parkinson Z, Amate JM (2009) Balloon kyphoplasty in malignant spinal fractures: a systematic review and meta-analysis. BMC Palliat Care 8(1):1–9CrossRef
28.
Huang Y, Peng M, He S, Tang X, Dai M, Tang C (2016) Clinical efficacy of percutaneous kyphoplasty at the hyperextension position for the treatment of osteoporotic Kummell disease. Clin Spine Surg 29(4):161–166CrossRef
29.
Papanastassiou ID, Phillips FM, Meirhaeghe J, Berenson JR, Andersson GB, Chung G, Small BJ, Aghayev K, Vrionis FD (2012) Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies. Eur Spine J 21(9):1826–1843CrossRef
30.
Chen WJ, Kao YH, Yang SC, Yu SW, Tu YK, Chung KC (2010) Impact of cement leakage into disks on the development of adjacent vertebral compression fractures. J Spinal Disord Tech 23(1):35–39CrossRef
Metadata
Title
Bone-filling mesh container versus percutaneous kyphoplasty in treating Kümmell’s disease
Authors
Z.-K. Duan
J.-F. Zou
X.-L. He
C.-D. Huang
C.-J. He
Publication date
01-12-2019
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2019
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-019-0656-4

Other articles of this Issue 1/2019

Archives of Osteoporosis 1/2019 Go to the issue

Original Article

Glucocorticoid-induced osteoporosis preventive care in rheumatology patients

Original Article

The health and economic burden of osteoporotic fractures in Singapore and the potential impact of increasing treatment rates through more pharmacological options

Original Article

The role of bone mineral density in therapeutic decision-making using the Fracture Risk Assessment Tool (FRAX): a sub-study of the Taiwan OsteoPorosis Survey (TOPS)

Original Article

Management of osteoporosis in the Middle East and North Africa: a survey of physicians’ perceptions and practices

Original Article

The sunshine under our skin: public knowledge and practices about vitamin D deficiency in Al Ain, United Arab Emirates

Original Article

An investigation into the effects of kinesiotaping for posture correction on kyphosis angle, pain, and balance in patients with postmenopausal osteoporosis-associated thoracic kyphosis