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Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures

      Abstract

      Vertebral body compression fractures can cause chronic pain and may result in progressive kyphosis. Although vertebroplasty has been used to treat pain, it does not attempt to restore vertebral body height and eliminate spinal deformity. Percutaneous balloon kyphoplasty is a novel technique, which involves the introduction of inflatable bone tamps into the fractured vertebral body for elevation of the endplates, prior to fixation of the fracture with bone cement. Our initial experience with this minimally invasive procedure indicates that percutaneous balloon kyphoplasty can be efficacious in the treatment of painful, osteoporotic vertebral compression fractures.

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      References

        • Deramond H
        • Depriester C
        • Galibert P
        • Le Gars D
        Percutaneous vertebroplasty with polymethylmethacrylate: technique, indications, and results.
        Radiol Clin North Am. 1998; 36: 533-546
        • Jensen ME
        • Evans AJ
        • Mathis JM
        • Kallmes DF
        • Cloft HJ
        • Dion JE
        Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects.
        Am J Neuroradiol. 1997; 18: 1897-1904
        • Weill A
        • Chiras J
        • Simon J
        • Rose M
        • Sola-Martinez T
        • Enkaoua E
        Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement.
        Radiology. 1996; 199: 241-247
        • Tohmeh A
        • Mathis J
        • Fenton D
        • Levine A
        • Belkoff S
        Biomechanical efficacy of unipedicular versus bipedicular vertebroplasty for the management of osteoporotic compression fractures.
        Spine. 1999; 24: 1772-1776
        • Cohen M
        • Blair B
        • Garfin S
        Thoracolumbar compression fractures.
        in: Levine A Eismont F Garfin S Zigler J Spine trauma. WB Saunders, Philadelphia1998: 388-401
        • Silverman S
        The clinical consequences of vertebral compression fracture.
        Bone. 1992; 13S: 27-31
        • Schlaich C
        • Minne HW
        • Bruckner T
        • Wagner G
        • Gebest HJ
        • Grunze M
        • Ziegler R
        • Leidig-Bruckner G
        Reduced pulmonary function in patients with spinal osteoporotic fractures.
        Osteoporosis Int. 1998; 8: 261-267
        • Riggs B
        • Melton L
        The worldwide problem of osteoporosis: insights afforded by epidemiology.
        Bone. 1995; 17: 505-511
        • Kado D
        • Browner W
        • Palermo L
        • Nevitt M
        • Genant H
        • Cummings
        • Cummings SR
        Vertebral fractures and mortality in older women.
        Arch Intern Med. 1999; 159: 1215-1220