19 Harley St, London, W1G 9QJ, UK

[Selective treatment of aged osteoporosis thoracolumbar vertebrae burst fracture with balloon kyphoplasty]

OBJECTIVE: To evaluate the effectiveness and the value of balloon kyphoplasty in treating aged osteoporosis thoracolumbar vertebrae burst fracture. METHODS: Between January 2003 and January 2008, 36 thoracolumbar vertebrae burst fracture patients were treated. There were 15 males and 21 females with an average age of 65.4 years (range, 59-72 years). Fourteen cases had no obvious history of trauma, 19 had a history of slight trauma, and 3 had a history of severe trauma. Forty vertebral bodies were involved, including 1 T7, 3 T9, 8 T10, 10 T12, 9 L1, 7 L2, and 2 L4. All patients displayed local pain and osteoporosis by bone density measurement with no neurological symptom of both lower limbs. Balloon kyphoplasty through unilateral (31 cases) or bilateral (5 cases) vertebral pedicles with polymethylmethacrylate was performed at the injection volume of (3.46 +/- 0.86) mL per vertebral body. Before and after operation, the anterior height and posterior height of fractured vertebral body and the sagittal displacement were measured. RESULTS: Two cases had intraoperative cerebrospinal fluid leakage; 1 case had no remission of waist-back pain and pain was released after symptomatic treatment. All 36 patients were followed up 2.3 years on average (range, 1.5-4.0 years). No cement leakage was found with good diffusion of cement on X-ray film. The restoration of the height of vertebral bodies was satisfactory without nerve compression symptoms and other complications. The Visual Analogue Score at last follow-up (2.34 +/- 1.03) was significantly lower than that of preoperation (6.78 +/- 1.21), (P < 0.05). The compressive percentage of anterior height (19.80% +/- 1.03%) of fractured vertebral body after operation was significantly lower than that before operation (25.30% +/- 2.50%), (P < 0.05). There was no significant difference in posterior compressive percentage and sagittal displacement between pre- and post- operation (P > 0.05). CONCLUSION: Based on roentgenographic scores, balloon kyphoplasty is selectively used to treat aged osteoporosis thoracolumbar vertebrae burst fracture, and the radiographic and clinical results were satisfactory

Keywords : Aged,Bone Density,cerebrospinal fluid,China,complications,Diffusion,etiology,Female,history,Humans,injuries,Kyphoplasty,Lumbar Vertebrae,Male,methods,Middle Aged,Osteoporosis,Pain,Patients,Retrospective Studies,Spinal Fractures,Spine,surgery,Thoracic Vertebrae,Vertebroplasty,X-Ray Film,, Treatment,Aged,Osteoporosis,Thoracolumbar, london spine clinic reviews

Date of Publication : 2010 Nov

Authors : Guo J;Ding W;Shen Y;Li B;Wu H;Cao L;Li P;

Organisation : Department of Spine Surgery, Third Hospital of Hebei Medical University, Shijiazhuang Hebei 050051, PR China

Journal of Publication : Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21226358

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Selective treatment of aged osteoporosis thoracolumbar vertebrae burst fracture with balloon kyphoplasty | Prolapsed disc patient uk

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810