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Minimally Invasive Stent Screw-Assisted Internal Fixation Technique Corrects Kyphosis In Osteoporotic Vertebral Fractures With Severe Collapse: A Pilot “Vertebra Plana” Series – Balloon Kyphoplasty

Balloon Kyphoplasty

This article discusses a study that assessed the feasibility, clinical outcomes, and radiologic outcomes of a stent screw-assisted internal fixation technique for the treatment of non-neoplastic vertebra plana fractures. The study included 37 consecutive patients with these fractures who underwent the procedure. The results showed that the technique was effective in restoring vertebral body height, correcting kyphotic angles, and relieving pain in these patients. There were no complications reported during the procedure. The authors conclude that the stent screw-assisted internal fixation technique is a viable treatment option for severe vertebral collapse in patients with vertebra plana fractures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised treatment clinic in UK

Published article

CONCLUSIONS: The stent screw-assisted internal fixation technique was effective in obtaining height restoration, kyphosis correction, and pain relief in patients with severe vertebral collapse.

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Abstract Background and purpose: Fractures with “vertebra plana” morphology are characterized by severe vertebral body collapse and segmental kyphosis; there is no established treatment standard for these fractures. Vertebroplasty and balloon kyphoplasty might represent an undertreatment, but surgical stabilization is challenging in an often elderly osteoporotic population. This study assessed the feasibility, clinical outcome, and,

Abstract

Background and purpose: Fractures with “vertebra plana” morphology are characterized by severe vertebral body collapse and segmental kyphosis; there is no established treatment standard for these fractures. Vertebroplasty and balloon kyphoplasty might represent an undertreatment, but surgical stabilization is challenging in an often elderly osteoporotic population. This study assessed the feasibility, clinical outcome, and radiologic outcome of the stent screw-assisted internal fixation technique using a percutaneous implant of vertebral body stents and cement-augmented pedicle screws in patients with non-neoplastic vertebra plana fractures.

Materials and methods: Thirty-seven consecutive patients with vertebra plana fractures were treated with the stent screw-assisted internal fixation technique. Vertebral body height, local and vertebral kyphotic angles, outcome scales (numeric rating scale and the Patient’s Global Impression of Change), and complications were assessed. Imaging and clinical follow-up were obtained at 1 and 6 months postprocedure.

Results: Median vertebral body height restoration was 7 mm (+74%), 9 mm (+150%), and 3 mm (+17%) at the anterior wall, middle body, and posterior wall, respectively. Median local and vertebral kyphotic angles correction was 8° and 10° and was maintained through the 6-month follow-up. The median numeric rating scale score improved from 8/10 preprocedure to 3/10 at 1 and 6 months (P < .001). No procedural complications occurred.

Conclusions: The stent screw-assisted internal fixation technique was effective in obtaining height restoration, kyphosis correction, and pain relief in patients with severe vertebral collapse.

The London Spine Unit : most specialised treatment clinic in UK

Read the original publication:

Minimally Invasive Stent Screw-Assisted Internal Fixation Technique Corrects Kyphosis in Osteoporotic Vertebral Fractures with Severe Collapse: A Pilot “Vertebra Plana” Series

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Abstract Background and purpose: Fractures with "vertebra plana" morphology are characterized by severe vertebral body collapse and segmental kyphosis; there is no established treatment standard for these fractures. Vertebroplasty and balloon kyphoplasty might represent an undertreatment, but surgical stabilization is challenging in an often elderly osteoporotic population. This study assessed the feasibility, clinical outcome, and

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