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Multilevel posterior spinal fusion following percutaneous third generation kyphoplasty complicated by vertebral compression fracture progression – Lumbar Spinal Stenosis

The article discusses a case study where a patient experienced complications following third generation percutaneous kyphoplasty (PKs), including adjacent fracture progression, posterior retropulsion, and kyphosis. The patient underwent posterior pedicle spinal fusion (PPSF) and L1-L2 laminectomy, which successfully corrected the vertebral compression fracture progression and provided prolonged symptomatic relief. Follow-up appointments showed continued improvement in back pain and resolution of thigh and groin pain. The case suggests that PPSF may be a beneficial option for managing complications related to third generation PKs, leading to long-term symptom relief and improved quality of life for patients with severe osteoporotic compression fractures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine clinic in London

Published article

Newer third generation percutaneous kyphoplasty (PKs) may minimize risks associated with older generation kyphoplasties such as new adjacent fractures, fracture progression, cement leakage, neurologic sequelae, and kyphosis. Additionally, posterior pedicle spinal fusion (PPSF) may minimize risk of long-term complications following PKs while maximizing the benefits of stable spinal alignment. The patient developed adjacent fracture progression, posterior retropulsion, and kyphosis following third…

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J Surg Case Rep. 2024 Mar 27;2024(3):rjae193. doi: 10.1093/jscr/rjae193. eCollection 2024 Mar. ABSTRACT Newer third generation percutaneous kyphoplasty (PKs) may minimize risks associated with older generation kyphoplasties such as new adjacent fractures, fracture progression, cement leakage, neurologic sequelae, and kyphosis. Additionally, posterior pedicle spinal fusion (PPSF) may minimize risk of long-term complications following PKs while,

J Surg Case Rep. 2024 Mar 27;2024(3):rjae193. doi: 10.1093/jscr/rjae193. eCollection 2024 Mar.

ABSTRACT

Newer third generation percutaneous kyphoplasty (PKs) may minimize risks associated with older generation kyphoplasties such as new adjacent fractures, fracture progression, cement leakage, neurologic sequelae, and kyphosis. Additionally, posterior pedicle spinal fusion (PPSF) may minimize risk of long-term complications following PKs while maximizing the benefits of stable spinal alignment. The patient developed adjacent fracture progression, posterior retropulsion, and kyphosis following third generation kyphoplasty. Vertebral compression fracture progression was corrected and prolonged symptomatic relief was successfully achieved with T11-L4 PPSF and L1-L2 laminectomy. Postoperative follow-ups at 2, 4, 7 weeks, 1 and 2 years showed continued symptomatic improvement in back pain with resolution of thigh and groin pain. This case supports the use of PPSF in third generation PK-related complications to provide long-term symptom relief and improve quality of life in patients with severe osteoporotic compression fractures.

PMID:38549719 | PMC:PMC10973398 | DOI:10.1093/jscr/rjae193

The London Spine Unit : most established spine clinic in London

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Multilevel posterior spinal fusion following percutaneous third generation kyphoplasty complicated by vertebral compression fracture progression

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J Surg Case Rep. 2024 Mar 27;2024(3):rjae193. doi: 10.1093/jscr/rjae193. eCollection 2024 Mar. ABSTRACT Newer third generation percutaneous kyphoplasty (PKs) may minimize risks associated with older generation kyphoplasties such as new adjacent fractures, fracture progression, cement leakage, neurologic sequelae, and kyphosis. Additionally, posterior pedicle spinal fusion (PPSF) may minimize risk of long-term complications following PKs while

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