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Is Balloon Kyphoplasty Effective For Bone Remodeling Of AO-Type A3-4 Fractures At The Thoracolumbar Junction? – Balloon Kyphoplasty

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The article discusses the evaluation of parameters that affect bone retropulsion and restoration in vertebral compression fractures (VCF) at the thoracolumbar junction (TLJ) without neurological deficits. The study retrospectively evaluated 31 cases of TLJ VCF with bone retropulsion into the spinal canal. Measurements of vertebral heights, kyphotic angles, spinal cord area, and bone retropulsion were taken preoperatively, early postoperatively, and late postoperatively. The results showed that early surgery resulted in a greater increase in vertebral heights compared to late surgery. Elderly patients had a greater decrease in kyphotic angle measurements at the six-month follow-up, and female patients had a significant decrease in measurements. Patients with a higher body mass index also had lower kyphotic angle measurements. Overall, the study concluded that balloon kyphoplasty effectively reduces bone retropulsion and restores vertebral angles and heights

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Published article

The restoration of vertebral angles and heights with the maximum level of BKP can effectively reduce BRC.

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Abstract Aim: Vertebral compression fractures (VCF) occur most commonly at the thoracolumbar junction (TLJ). Balloon kyphoplasty (BKP) is an effective method of bone remodeling in these cases. In this study, we evaluate the parameters that affect bone retropulsion and restoration in TLJ VCF without neurological deficits. Material and methods: Thirty-one of Frankel E and AO,

Abstract

Aim: Vertebral compression fractures (VCF) occur most commonly at the thoracolumbar junction (TLJ). Balloon kyphoplasty (BKP) is an effective method of bone remodeling in these cases. In this study, we evaluate the parameters that affect bone retropulsion and restoration in TLJ VCF without neurological deficits.

Material and methods: Thirty-one of Frankel E and AO A3-4 type VCFs fractures at the TLJ, with bone retropulsion into the spinal canal, from 2017 to 2020, were evaluated retrospectively. Data was gathered on patient demographics and medical histories. Measurements of anterior vertebral heights, posterior vertebral heights, local kyphotic angles, spinal cord area, and bone retropulsion into the spinal canal (BRC) were evaluated preoperatively, early postoperatively, and late postoperatively.

Results: In those patients who underwent early surgery ( 4 weeks postfracture), a significantly greater increase in anterior vertebral heights was seen between early postoperative and preoperative measurements than in patients who underwent late surgery ( 4 weeks postfracture) (p = 0.016). At the six-month follow-up, a significantly greater decrease in local kyphotic angle measurements was seen in patients over 65 years of age than those under 65 (p = 0.023). Comparison of local kyphotic angles between sexes revealed a significant decrease in measurements at follow-up in female patients (p = 0.029). Both early postoperative and late postoperative local kyphotic angle measurements of patients with a body mass index (BMI) ≥25 were significantly lower than those of patients with a BMI 25 (p = 0.012).

The restoration of vertebral angles and heights with the maximum level of BKP can effectively reduce BRC.

The London Spine Unit : most experienced spine clinic in the world

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Is Balloon Kyphoplasty Effective for Bone Remodeling of AO-Type A3-4 Fractures at the Thoracolumbar Junction?

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Abstract Aim: Vertebral compression fractures (VCF) occur most commonly at the thoracolumbar junction (TLJ). Balloon kyphoplasty (BKP) is an effective method of bone remodeling in these cases. In this study, we evaluate the parameters that affect bone retropulsion and restoration in TLJ VCF without neurological deficits. Material and methods: Thirty-one of Frankel E and AO

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