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• W3031545445 abstract "ObjectiveTo explore the clinical efficacy and indications of kyphoplasty with movement and secondary enlargement of balloon for the compression fracture of vertebral body with ruptured posterior wall.MethodsA retrospective analysis was carried out on the data of 29 patients (10 males, 19 females; age range: 55-86 years old; mean age: 71 years old; 29 verte-bral bodies in total) who suffered from compression fracture of the thoracolumbar spine and below, and underwent kyphoplasty through the movement and secondary enlargement of balloon within the vertebral body and were followed up from January 2011 to November 2014. These patients had backache, accompanied by lowered support, limitation of movement, no symptom of nervous lesion on both lower extremities and no past history of balloon kyphoplasty. All fractured vertebral bodies were at T11 or below, including 1 case at T11, 4 cases T12, 11 cases L1, 9 cases L2 and 4 cases L3. The causes of injury included fall (19 cases), car accident (8 cases) and unknown reasons (2 cases). All patients underwent kyphoplasty with the movement and secondary enlargement of balloon within the vertebral body. Photos were taken immediately after the surgery, at 1 month, 3 months, 6 months and 12 months, and these patients were assessed and analyzed in terms of vertebral height, Cobb angle, visual analogue score (VAS) and Oswestry disability index (ODI).ResultsThe operation time (including the formation and solidification of bone cement) of 29 patients was 40 to 65 min and the mean time was 55±7 min; the blood loss during operation was 2 to 15 ml and the mean blood loss was 5±2 ml; the injected volume of bone cement was 2.5-7.5 ml and the mean volume was 5.5±0.5 ml. Post-operative pain was relieved and ambulation was performed under the protection of lumbar orthosis brace. Statstical analysis was conducted on VAS, ODI, vertebral height and Cobb angle before operation and at 1 month, 3 months, 6 months and 12 months after operation, showing statistically significant differences. X ray examination found that there was no alternation or displacement of bone cement location, and no change in vertebral morphology, the vertebral height and cobb angle remained the post-operative status, and posterior wall rupture of the vertebral body was recovered well. CT revealed that the morphology of bone cement was irregular and closely integrated with bone substance, and no cavity or fissure was seen.ConclusionKyphoplasty with movement and secondary enlargement of balloon within the vertebral body has a good, definite clinical efficacy in treating compression vertebral fracture with incomplete posterior wall of the vertebral body without obvious displacement of fractured bone and symptom of nervous lesion on both lower extremities. This surgery is easy to operate, and has an immediate analgesic effect, which could recover vertebral height as well as reduce kyphosis deformity and improve patient’s prognosis.Key words: Spinal fractures; Kyphoplasty; Treatment outcome" @default.
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• W3031545445 date "2017-01-01" @default.
• W3031545445 modified "2023-09-28" @default.
• W3031545445 title "Kyphoplasty with movement and secondary enlargement of balloon for compression fracture of vertebral body with imcomplete posterior wall" @default.
• W3031545445 doi "https://doi.org/10.3760/cma.j.issn.0253-2352.2017.01.004" @default.
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