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The vertebral biomechanic previous and after kyphoplasty

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Abstract

The biomechanical understanding of increasing anterior column load with progressing kyphosis leading to subsequent vertebral compression fracture (VCF) established the basic rationale for kyphoplasty. The lumbar spine can support an effort of 500 kg in the axis of the vertebral body, and a bending moment of 20 Nm in flexion. Consequently, if this effort is forward deviated of only 10 cm, the acceptable effort will be reduced to 20 kg so it is important to restore the vertebral anterior wall after a VCF: the authors describe the biomechanical modifications in the spine after kyphoplasty.

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References

  1. Voggenreiter G (2005) Balloon kyphoplasty is effective in deformity correction of osteoporotic vertebral compression fractures. Spine (Phila Pa 1976) 30:2806–2812

    Article  Google Scholar 

  2. Luo J, Bertram W, Sangar D, Adams MA, Annesley-Williams DJ, Dolan P (2010) Is kyphoplasty better than vertebroplasty in restoring normal mechanical function to an injured spine? Bone 46:1050–1057

    Article  PubMed  Google Scholar 

  3. Nardi A, Tarantino U, Ventura L, Armotti P, Resmini G, Cozzi L, Tonini G, Ramazzina E, Rossini M (2011) Domino Effect: mechanic factors role. Clin Cases Miner Bone Metab 8(2):38–42 (PMC3279072)

    PubMed  Google Scholar 

  4. Trout AT, Kallmes DF, Lane JI, Layton KF, Marx WF (2006) Subsequent vertebral fractures after vertebroplasty: association with intraosseous clefts. AJNR Am J Neuroradiol 27(7):1586–1591

    PubMed  CAS  Google Scholar 

  5. Trout AT, Kallmes DF, Kaufmann TJ (2006) New fractures after vertebroplasty: adjacent fractures occur significantly sooner. AJNR Am J Neuroradiol 27(1):217–223

    PubMed  CAS  Google Scholar 

  6. Trout AT, Kallmes DF (2006) Does vertebroplasty cause incident vertebral fractures? A review of available data. AJNR Am J Neuroradiol 27(7):1397–1403 (Review)

    PubMed  CAS  Google Scholar 

  7. Mudano AS, Bian J, Cope JU, Curtis JR, Gross TP, Allison JJ, Kim Y, Briggs D, Melton ME, Xi J, Saag KG (2009) Vertebroplasty and kyphoplasty are associated with an increased risk of secondary vertebral compression fractures: a population-based cohort study. Osteoporos Int 20(5):819–826 (Epub 2008 Sep 17)

    Article  PubMed  CAS  Google Scholar 

  8. Baroud G, Heini P, Nemes J, Bohner M, Ferguson S, Steffen T (2003) Biomechanical explanation of adjacent fractures following vertebroplasty. Radiology 229:606–607

    Article  PubMed  Google Scholar 

  9. Baroud G, Nemes J, Heini P, Steffen T (2003) Load shift of the intervertebral disc after a vertebroplasty: a finite-element study. Eur Spine J 12:421–426

    Article  PubMed  CAS  Google Scholar 

  10. Polikeit A, Nolte LP, Ferguson SJ (2003) The effect of cement augmentation on the load transfer in an osteoporotic functional spinal unit: finite-element analysis. Spine 28:991–996

    PubMed  Google Scholar 

  11. Baroud G, Bohner M (2006) Biomechanical impact of vertebroplasty. Postoperative biomechanics of vertebroplasty. Jt Bone Spine 73(2):144–150

    Article  Google Scholar 

  12. Berlemann U, Ferguson SJ, Nolte LP, Heini PF (2002) Adjacent vertebral failure after vertebroplasty. A biomechanical investigation. J Bone Jt Surg Br 84:748–752

    Article  CAS  Google Scholar 

  13. Ananthakrishnan D, Lotz JC, Berven S, Puttlitz C (2003) Changes in spinal loading due to vertebral augmentation: vertebroplasty versus kyphoplasty. In: Annual Meeting of the American Academy of Orthopaedic Surgeons. p 472 (New Orleans)

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Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. Orthopedics Section I and II, Department of Basic Medical Science, Neuroscience and Sensorial Organs, University of Bari “Aldo Moro”, Bari, Italy

    V. Pesce, Andrea Piazzolla, L. Moretti, S. Carlucci, C. Parato & B. Moretti

  2. Spinal, Biologics and Navigation Division, Medtronic Europe Sàrl, Tolochenaz, Switzerland

    P. Maxy

Authors
  1. V. Pesce
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  2. Andrea Piazzolla
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  3. L. Moretti
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  4. S. Carlucci
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  5. C. Parato
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  6. P. Maxy
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  7. B. Moretti
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Corresponding author

Correspondence to Andrea Piazzolla.

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Pesce, V., Piazzolla, A., Moretti, L. et al. The vertebral biomechanic previous and after kyphoplasty. Aging Clin Exp Res 25 (Suppl 1), 71–74 (2013). https://doi.org/10.1007/s40520-013-0073-2

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  • DOI: https://doi.org/10.1007/s40520-013-0073-2

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