Evaluation of surgical outcome of Jack vertebral dilator kyphoplasty for osteoporotic vertebral compression fracture—clinical experience of 218 cases
| العنوان: | Evaluation of surgical outcome of Jack vertebral dilator kyphoplasty for osteoporotic vertebral compression fracture—clinical experience of 218 cases |
|---|---|
| المؤلفون: | Weihua Cai, Yongxin Ren, Ning Zhang, Naiqing Wu, Guoyong Yin, Lipeng Yu, Jin Fan, Yimin Shen |
| المصدر: | Journal of Orthopaedic Surgery and Research |
| بيانات النشر: | Springer Nature |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Osteoporosis, Lumbar vertebrae, Thoracic Vertebrae, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Jack vertebral dilator, Fractures, Compression, Humans, Medicine, Kyphoplasty, Orthopedics and Sports Medicine, Cementation, Aged, Retrospective Studies, Aged, 80 and over, Lumbar Vertebrae, Cobb angle, business.industry, Vertebral compression fracture, Bone Cements, Equipment Design, Middle Aged, Bone cement, medicine.disease, Dilatation, Surgery, Fracture, Treatment Outcome, medicine.anatomical_structure, Fluoroscopy, Dilator, Orthopedic surgery, Thoracic vertebrae, Spinal Fractures, Female, Thoracolumbar vertebra, business, Osteoporotic Fractures, 030217 neurology & neurosurgery, Research Article, Follow-Up Studies |
| الوصف: | Background Osteoporotic vertebral compression fracture is a serious complication of osteoporosis. Various vertebral kyphoplasty surgeries, which have their own unique features, are commonly used for osteoporotic vertebral compression fracture. Based on the anatomic property of the thoracolumbar vertebral pedicle that its horizontal diameter is twice that of the vertical diameter, we designed Jack vertebral dilator for better restoration of the vertebral height by manipulating the mechanical force. Methods A total of 218 patients (236 vertebrae) with osteoporotic vertebral compression fracture were treated with Jack vertebral dilator. Surgery was successfully completed in all cases, and all the 218 patients were followed up for an average of 14.2 months (range 3 to 30 months). Results Bone cement leakage occurred in 12 cases, but no symptoms were reported. No other complications were noticed. The VAS scores were 8.2 ± 1.3, 1.7 ± 0.9, and 1.8 ± 0.8 and the ODI was 78.2 ± 13.3 %, 18.5 ± 7.3 %, and 20.9 ± 6.8 % before surgery and 1 week after surgery and at the final follow-up, respectively. The anterior vertebral body height was 19.3 ± 3.2, 25.1 ± 2.6, and 24.9 ± 2.6 mm and the central vertebral body height was 18.7 ± 3.0, 24.8 ± 3.0, and 24.5 ± 2.9 mm before surgery and 1 week after surgery and at the final follow-up, respectively. Cobb angle was 16.2° ± 6.6°, 8.1° ± 5.6°, and 8.5° ± 5.6° before surgery and 1 week after surgery and at the final follow-up, respectively. Conclusions Jack vertebral dilator kyphoplasty for osteoporotic vertebral compression fracture is safe, feasible, and effective and has the prospect of further broad application in the future. Electronic supplementary material The online version of this article (doi:10.1186/s13018-016-0371-4) contains supplementary material, which is available to authorized users. |
| اللغة: | English |
| تدمد: | 1749-799X |
| DOI: | 10.1186/s13018-016-0371-4 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b40160f372ff83530117df55e67f5c84 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b40160f372ff83530117df55e67f5c84 |
| قاعدة البيانات: | OpenAIRE |
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