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European Spine Journal

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Open Access 01-06-2012 | Case Report

Treatment of an osteoporotic vertebral compression fracture with the StaXx FX system resulting in intrathoracic wafers: a serious complication

Authors: L. W. van der Plaat, G. H. Bulstra, G. H. R. Albers, J. P. Eerenberg, H. M. van der Vis

Published in: European Spine Journal | Special Issue 4/2012

Abstract

Purpose

To report a serious complication of the StaXx FX system used to stabilize an osteoporotic vertebral fracture.

Case report

A 76-year-old woman presented with a painful vertebral fracture. Treatment by means of a PEEK wafer kyphoplasty was complicated by malposition of the wafers. The patient recovered fully after removal of the wafers by means of a thoracotomy.

Conclusions

New treatment modalities have their own pitfalls and possible complications, as demonstrated in this case report. Caution regarding implementation of new treatment modalities should be practiced.

Ioannidis G, Papaioannou A, Hopman WM, Akhtar-Danesh N, Anastassiades T, Pickard L, Kennedy CC, Prior JC, Olszynski WP, Davison KS, Goltzman D, Thabane L, Gafni A, Papadimitropoulos EA, Brown JP, Josse RG, Hanley DA, Adachi JD (2009) Relation between fractures and mortality: results from the Canadian multicentre osteoporosis study. CMAJ 181(5):265–271PubMedCrossRef

Papaioannou A, Kennedy CC, Ioannidis G, Sawka A, Hopman WM, Pickard L, Brown JP, Josse RG, Kaiser S, Anastassiades T, Goltzman D, Papadimitropoulos M, Tenenhouse A, Prior JC, Olszynski WP, Adachi JD (2009) The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian multicentre osteoporosis study. Osteoporos Int 20(5):703–714PubMedCrossRef

Papaioannou A, Watts NB, Kendler DL, Yuen CK, Adachi JD, Ferko N (2002) Diagnosis and management of vertebral fractures in elderly adults. Am J Med 113(3):220–228PubMedCrossRef

Klazen CA, Verhaar HJ, Lohle PN, Lampmann LE, Juttmann JR, Schoemaker MC, van Everdingen KJ, Muller AF, Mali WP, de Vries J (2010) Clinical course of pain in acute osteoporotic vertebral compression fractures. J Vasc Interv Radiol 21(9):1405–1409PubMedCrossRef

Grados F, Depriester C, Cayrolle G, Hardy N, Deramond H, Fardellone P (2000) Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology (Oxford) 39(12):1410–1414CrossRef

Teng MM, Cheng H, Ho DM, Chang CY (2006) Intraspinal leakage of bone cement after vertebroplasty: a report of 3 cases. Am J Neuroradiol 27(1):224–229PubMed

Freitag M, Gottschalk A, Schuster M, Wenk W, Wiesner L, Standl TG (2006) Pulmonary embolism caused by polymethylmethacrylate during percutaneous vertebroplasty in orthopaedic surgery. Acta Anaesthesiol Scand 50(2):248–251PubMedCrossRef

Monticelli F, Meyer HJ, Tutsch-Bauer E (2005) Fatal pulmonary cement embolism following percutaneous vertebroplasty (PVP). Forensic Sci Int 149(1):35–38PubMedCrossRef

Renner SM, Tsitsopoulos PP, Dimitriadis AT, Voronov LI, Havey RM, Carandang G, McIntosh B, Carson C, Ty D, Ringelstein JG, Patwardhan AG (2011) Restoration of spinal alignment and disk mechanics following polyetheretherketone wafer kyphoplasty with StaXx FX. AJNR Am J Neuroradiol 32(7):1295–1300PubMedCrossRef

10.

Boger A, Heini P, Windolf M, Schneider E (2007) Adjacent vertebral failure after vertebroplasty: a biomechanical study of low-modulus PMMA cement. Eur Spine J 16(12):2118–2125PubMedCrossRef

11.

Boger A, Wheeler KD, Schenk B, Heini PF (2009) Clinical investigations of polymethylmethacrylate cement viscosity during vertebroplasty and related in vitro measurements. Eur Spine J 18(9):1272–1278PubMedCrossRef

12.

Heini PF, Berlemann U (2001) Bone substitutes in vertebroplasty. Eur Spine J 10:S205–S213 Suppl 2PubMedCrossRef

13.

Heini PF, Berlemann U, Kaufmann M, Lippuner K, Fankhauser C, van Landuyt P (2001) Augmentation of mechanical properties in osteoporotic vertebral bones—a biomechanical investigation of vertebroplasty efficacy with different bone cements. Eur Spine J 10(2):164–171PubMedCrossRef

14.

Orler R, Frauchiger LH, Lange U, Heini PF (2006) Lordoplasty: report on early results with a new technique for the treatment of vertebral compression fractures to restore the lordosis. Eur Spine J 15(12):1769–1775PubMedCrossRef

15.

Flors L, Lonjedo E, Leiva-Salinas C, Marti-Bonmati L, Martinez-Rodrigo JJ, Lopez-Perez E, Figueres G, Raoli I (2009) Vesselplasty: a new technical approach to treat symptomatic vertebral compression fractures. Am J Roentgenol 193(1):218–226CrossRef

16.

Rotter R, Martin H, Fuerderer S, Gabl M, Roeder C, Heini P, Mittlmeier T (2010) Vertebral body stenting: a new method for vertebral augmentation versus kyphoplasty. Eur Spine J 19(6):916–923PubMedCrossRef

17.

Kerr SM, Liechty B, Patel R, Harrop JS (2008) Percutaneous vertebral compression fracture management with polyethylene mesh-contained morcelized allograft bone. Curr Rev Musculoskelet Med 1(2):84–87PubMedCrossRef

18.

Liu JB, Tang XM, Xu NW, Bao HT (2008) Preliminary results for the treatment of a pain-causing osteoporotic vertebral compression fracture with a sky bone expander. K J Radiol 9(5):420–425CrossRef

19.

Olan W (2009) Structural kyphoplasty: a novel approach that is safe and effective for vertebral fracture repair with early results suggesting a lower subsequent fracture rate. J Neuro Interv Surg 1(1):77CrossRef

20.

Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P, Wriedt C, Graves S, Staples MP, Murphy B (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 361(6):557–568PubMedCrossRef

21.

Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Ralston SH, Jarvik JG (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361(6):569–579PubMedCrossRef

22.

Fisher CG, Vaccaro AR (2010) The highest level of evidence in a high impact journal: is this the final verdict? Spine 35(15):E676–E677PubMedCrossRef

23.

Fisher CG, Vaccaro AR, Whang PG, Prasad SK, Angevine PD, Mulpuri K, Thomas KC, Patel AA (2011) Evidence-based recommendations for spine surgery. Spine 36(14):E897–E903PubMedCrossRef

24.

Noonan P (2009) Randomized vertebroplasty trials: bad news or sham news? Am J Neuroradiol 30(10):1808–1809PubMedCrossRef

25.

Yi L, Jingping B, Gele J, Baoleri X, Taixiang W (2006) Operative versus non-operative treatment for thoracolumbar burst fractures without neurological deficit. Cochrane Database Syst Rev (4):CD005079

26.

Rousing R, Hansen KL, Andersen MO, Jespersen SM, Thomsen K, Lauritsen JM (2010) Twelve-months follow-up in forty-nine patients with acute/semiacute osteoporotic vertebral fractures treated conservatively or with percutaneous vertebroplasty: a clinical randomized study. Spine 35(5):478–482PubMedCrossRef

27.

Wardlaw D, Cummings SR, Van Meirhaeghe J, Bastian L, Tillman JB, Ranstam J, Eastell R, Shabe P, Talmadge K, Boonen S (2009) Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet 373(9668):1016–1024PubMedCrossRef

28.

Kallmes DF, Jarvik JG (2009) Spinal augmentation research: FREE at last? Lancet 373(9668):982–984PubMedCrossRef

29.

Longo UG, Denaro V (2009) Spinal augmentation: what have we learnt? Lancet 373(9679):1947 (author reply 1947–1948)PubMedCrossRef

30.

Klazen CA, Lohle PN, de Vries J, Jansen FH, Tielbeek AV, Blonk MC, Venmans A, van Rooij WJ, Schoemaker MC, Juttmann JR, Lo TH, Verhaar HJ, van der Graaf Y, van Everdingen KJ, Muller AF, Elgersma OE, Halkema DR, Fransen H, Janssens X, Buskens E, Mali WP (2010) Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet 376(9746):1085–1092PubMedCrossRef

Title: Treatment of an osteoporotic vertebral compression fracture with the StaXx FX system resulting in intrathoracic wafers: a serious complication
Authors: L. W. van der Plaat
G. H. Bulstra
G. H. R. Albers
J. P. Eerenberg
H. M. van der Vis
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue Special Issue 4/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-011-2053-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of an osteoporotic vertebral compression fracture with the StaXx FX system resulting in intrathoracic wafers: a serious complication

Abstract

Purpose

Case report

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Case report

Conclusions

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