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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 the benefits of newer third generation percutaneous kyphoplasty (PKs) in minimizing risks associated with older generation procedures, such as new adjacent fractures, fracture progression, cement leakage, neurologic issues, and kyphosis. The article also explores how posterior pedicle spinal fusion (PPSF) can help reduce long-term complications following PKs while maximizing stable spinal alignment. A case study presented in the article shows how PPSF and laminectomy successfully corrected adjacent fracture progression, retropulsion, and kyphosis in a patient who experienced complications after third generation kyphoplasty. The patient experienced prolonged symptomatic relief and improved quality of life after the procedure. This study supports the use of PPSF in managing complications related to third generation PKs to provide long-term symptom relief for patients with severe osteoporotic compression fractures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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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.ABSTRACTNewer 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,

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 : the highest rated treatment facility in UK

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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.ABSTRACTNewer 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

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