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CardioVascular and Interventional Radiology
Erschienen in: CardioVascular and Interventional Radiology 10/2018

22.05.2018 | Review

New Implant-Based Technologies in the Spine

verfasst von: Dimitrios K. Filippiadis, Stefano Marcia, Anthony Ryan, Douglas P. Beall, Salvatore Masala, Frederic Deschamps, Alexis Kelekis

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 10/2018

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Abstract

Vertebral compression fractures (VCFs) may result in a kyphotic deformity which can cause potential systemic complications secondary to respiratory and gastrointestinal dysfunction. The use of implants in the spine for VCF treatment represents a paradigm shift away from cement injection on its own, aiming to combine the analgesic and stabilizing effect of injecting cement into the vertebral body with vertebral height restoration and kyphotic angle correction. Spine implants which can be used for VCF treatment include stents, jacks, PEEK cages and fracture reduction systems. Lumbar spinal stenosis (LSS) with neurogenic intermittent claudication is one of the most commonly occurring spinal conditions, usually affecting people older than 50, which can cause disability and a reducted quality of life. Percutaneous interspinous spacers for the relief of symptoms caused by spinal stenosis can be used in patients who are not surgical candidates. The purpose of this article is to describe the basic concepts of spinal implantation in patients with VCF or spinal stenosis. The role of biomechanics and the different types of implants will be described. Controversies concerning techniques and products will be addressed. Finally, the necessity for an individually tailored approach for the use of different implants in different cases and anatomic locations will be emphasized.
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Metadaten
Titel
New Implant-Based Technologies in the Spine
verfasst von
Dimitrios K. Filippiadis
Stefano Marcia
Anthony Ryan
Douglas P. Beall
Salvatore Masala
Frederic Deschamps
Alexis Kelekis
Publikationsdatum
22.05.2018
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 10/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-1987-z

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