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Security and efficacy of balloon kyphoplasty at Four or extra ranges in a single anesthetic session.
J Neurosurg Backbone. 2018 Jan 26;:1-7
Authors: Wang AC, Fahim DK
Summary
OBJECTIVE On this case sequence, the authors evaluated the protection of balloon kyphoplasty at Four or extra vertebral ranges in a single anesthetic session. The present customary is that not more than three ranges must be cemented at one time due to a perceived threat of elevated problems. METHODS A retrospective chart evaluation was carried out for 19 consecutive sufferers who underwent ? Four-level balloon kyphoplasty between July 1, 2011, and December 31, 2015. Outcomes documented included kyphoplasty-associated problems and incidences of subsequent vertebral fracture. RESULTS Nineteen sufferers aged 22 to 95 years (imply 66.1 years, median 66 years; 53% male, 47% feminine) had Four or extra vertebrae cemented throughout the identical process (imply Four.6 ranges [62 thoracic, 29 lumbar]). No postoperative anesthetic complication, an infection, intensive blood loss, symptomatic cement leakage, pneumothorax, or new-onset anemia was noticed. 5 sufferers skilled new compression fracture inside a imply of 278 days postoperatively. One affected person with metastatic most cancers suffered bilateral pulmonary embolism 19 days after surgical procedure, however no proof of cement within the pulmonary vasculature was discovered. CONCLUSIONS On this case sequence, kyphoplasty carried out on Four or extra vertebral ranges was not discovered to extend threat to affected person security, and it would lower pointless dangers related to a number of operations. Additionally, morbidity related to leaving some fractures untreated due to an unfounded worry of elevated threat of problems is likely to be decreased by treating Four or extra ranges in the identical anesthetic session.
PMID: 29372861 [PubMed – as supplied by publisher]