Header

UZH-Logo

Maintenance Infos

Stand-alone percutaneous stent-kyphoplasty for thoracolumbar split and burst-split fractures


Scherer, Julian; Tiziani, Simon; Sprengel, Kai; Pape, Hans-Christoph; Osterhoff, Georg (2022). Stand-alone percutaneous stent-kyphoplasty for thoracolumbar split and burst-split fractures. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, 29:101539.

Abstract

Introduction

Traditionally, thoracolumbar split and burst-split fractures are treated with combined antero-posterior bi-segmental fusion procedures. Especially in the lower lumbar spine, such interventions are invasive and are associated with increased risk of neurological and vascular complications. This retrospective study aims to determine whether percutaneous stent-kyphoplasty is a viable treatment option for these injuries in terms of kyphotic angle correction and patient safety.
Methods

From Nov. 2014 to Dec. 2017, 25 consecutive patients (9 female, mean age 58 years) with 8 thoracolumbar split and 17 burst-split fractures (T11 to L5) of different etiology (7 high vs. 18 low energy trauma) were treated with percutaneous stent-kyphoplasty (SpineJack®). CT and/or MR imaging was performed preoperatively in all patients while radiographs were obtained postoperatively and at each follow-up. The mean follow-up was 176 days (SD 130). All cases were evaluated retrospectively for complications regarding nervous damage, LOS, duration of opioid intake, pain-VAS, return to work time and change of radiographic kyphotic angle.
Results

The mean kyphotic angle did not change from 1.1° (SD 9.2°) preoperatively to 1.1° (SD 7.9°) postoperatively. Radiologically, the mean increase of the kyphotic angle between surgery and the last follow-up was 2.65° (SD 4.2°). The mean pain-VAS was reduced to 1.8 postoperatively (SD 2.5, p = 0.03). The mean opioid intake duration was 4 days.
Conclusion

SpineJack®-kyphoplasty appears to be a safe and expeditious, minimally invasive treatment option for thoracolumbar split or burst-split fractures. It may be considered as an alternative to combined anterior-posterior instrumented bi-segmental fusion with its associated surgical morbidity.

Abstract

Introduction

Traditionally, thoracolumbar split and burst-split fractures are treated with combined antero-posterior bi-segmental fusion procedures. Especially in the lower lumbar spine, such interventions are invasive and are associated with increased risk of neurological and vascular complications. This retrospective study aims to determine whether percutaneous stent-kyphoplasty is a viable treatment option for these injuries in terms of kyphotic angle correction and patient safety.
Methods

From Nov. 2014 to Dec. 2017, 25 consecutive patients (9 female, mean age 58 years) with 8 thoracolumbar split and 17 burst-split fractures (T11 to L5) of different etiology (7 high vs. 18 low energy trauma) were treated with percutaneous stent-kyphoplasty (SpineJack®). CT and/or MR imaging was performed preoperatively in all patients while radiographs were obtained postoperatively and at each follow-up. The mean follow-up was 176 days (SD 130). All cases were evaluated retrospectively for complications regarding nervous damage, LOS, duration of opioid intake, pain-VAS, return to work time and change of radiographic kyphotic angle.
Results

The mean kyphotic angle did not change from 1.1° (SD 9.2°) preoperatively to 1.1° (SD 7.9°) postoperatively. Radiologically, the mean increase of the kyphotic angle between surgery and the last follow-up was 2.65° (SD 4.2°). The mean pain-VAS was reduced to 1.8 postoperatively (SD 2.5, p = 0.03). The mean opioid intake duration was 4 days.
Conclusion

SpineJack®-kyphoplasty appears to be a safe and expeditious, minimally invasive treatment option for thoracolumbar split or burst-split fractures. It may be considered as an alternative to combined anterior-posterior instrumented bi-segmental fusion with its associated surgical morbidity.

Statistics

Citations

Dimensions.ai Metrics
1 citation in Web of Science®
1 citation in Scopus®
Google Scholar™

Altmetrics

Downloads

25 downloads since deposited on 10 Jan 2023
13 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Department of Trauma Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Neurology (clinical)
Uncontrolled Keywords:Neurology (clinical), Surgery
Language:English
Date:1 September 2022
Deposited On:10 Jan 2023 16:52
Last Modified:23 Jun 2024 03:30
Publisher:Elsevier
ISSN:2214-7519
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1016/j.inat.2022.101539
  • Content: Published Version
  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)