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European Journal of Trauma and Emergency Surgery

01.10.2013 | Review Article

Percutaneous cement augmentation techniques for osteoporotic spinal fractures

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 5/2013

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Abstract

Minimally invasive vertebral augmentation-based techniques have been used for the treatment of spinal fractures (osteoporotic and malignant) for approximately 25 years. In this review, we try to give an overview of the current spectrum of percutaneous augmentation techniques, safety aspects and indications. Crucial factors for success are careful patient selection, proper technique and choice of the ideal cement augmentation option. Most compression fractures present a favourable natural course, with reduction of pain and regainment of mobility after a few days to several weeks, whereas other patients experience a progressive collapse and persisting pain. In this situation, percutaneous cement augmentation is an effective treatment option with regards to pain and disability reduction, improvement of quality of life and ambulatory and pulmonary function.

Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17(12):1726–33.PubMedCrossRef

Hasserius R, Karlsson MK, Nilsson BE, Redlund-Johnell I, Johnell O; European Vertebral Osteoporosis Study. Prevalent vertebral deformities predict increased mortality and increased fracture rate in both men and women: a 10-year population-based study of 598 individuals from the Swedish cohort in the European vertebral osteoporosis study. Osteoporos Int. 2003;14(1):61–8.PubMedCrossRef

Pongchaiyakul C, Nguyen ND, Jones G, Center JR, Eisman JA, Nguyen TV. Asymptomatic vertebral deformity as a major risk factor for subsequent fractures and mortality: a long-term prospective study. J Bone Miner Res. 2005;20(8):1349–55.PubMedCrossRef

Kado DM, Browner WS, Palermo L, Nevitt MC, Genant HK, Cummings SR. Vertebral fractures and mortality in older women: a prospective study. Study of Osteoporotic Fractures Research Group. Arch Intern Med. 1999;159(11):1215–20.PubMedCrossRef

Kostuik JP, Errico TJ, Gleason TF. Techniques of internal fixation for degenerative conditions of the lumbar spine. Clin Orthop Relat Res. 1986;203:219–31.PubMed

Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie. 1987;33(2):166–8.PubMed

Garfin SR, Yuan HA, Reiley MA. New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine (Phila Pa 1976). 2001;26(14):1511–5.CrossRef

Heini PF. The current treatment—a survey of osteoporotic fracture treatment. Osteoporotic spine fractures: the spine surgeon’s perspective. Osteoporos Int. 2005;16(Suppl 2):S85–92.PubMedCrossRef

Coumans JV, Reinhardt MK, Lieberman IH. Kyphoplasty for vertebral compression fractures: 1-year clinical outcomes from a prospective study. J Neurosurg. 2003;99(1 Suppl):44–50.PubMed

10.

Berlemann U, Franz T, Orler R, Heini PF. Kyphoplasty for treatment of osteoporotic vertebral fractures: a prospective non-randomized study. Eur Spine J. 2004;13(6):496–501.PubMedCrossRef

11.

Heini PF, Orler R. Kyphoplasty for treatment of osteoporotic vertebral fractures. Eur Spine J. 2004;13(3):184–92.PubMedCrossRef

12.

Hulme PA, Krebs J, Ferguson SJ, Berlemann U. Vertebroplasty and kyphoplasty: a systematic review of 69 clinical studies. Spine (Phila Pa 1976). 2006;31(17):1983–2001.CrossRef

13.

Ledlie JT, Renfro M. Balloon kyphoplasty: one-year outcomes in vertebral body height restoration, chronic pain, and activity levels. J Neurosurg. 2003;98(1 Suppl):36–42.PubMed

14.

Lieberman IH, Dudeney S, Reinhardt MK, Bell G. Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures. Spine (Phila Pa 1976). 2001;26(14):1631–8.CrossRef

15.

Papanastassiou ID, Phillips FM, Van Meirhaeghe J, Berenson JR, Andersson GB, Chung G, Small BJ, Aghayev K, Vrionis FD. Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies. Eur Spine J. 2012;21(9):1826–43.PubMedCrossRef

16.

Rotter R, Martin H, Fuerderer S, Gabl M, Roeder C, Heini P, Mittlmeier T. Vertebral body stenting: a new method for vertebral augmentation versus kyphoplasty. Eur Spine J. 2010;19(6):916–23.PubMedCrossRef

17.

Orler R, Frauchiger LH, Lange U, Heini PF. Lordoplasty: report on early results with a new technique for the treatment of vertebral compression fractures to restore the lordosis. Eur Spine J. 2006;15(12):1769–75.PubMedCrossRef

18.

Diel P, Freiburghaus L, Röder C, Benneker LM, Popp A, Perler G, Heini PF. Safety, effectiveness and predictors for early reoperation in therapeutic and prophylactic vertebroplasty: short-term results of a prospective case series of patients with osteoporotic vertebral fractures. Eur Spine J. 2012;21(Suppl 6):S792–9.PubMedCrossRef

19.

Dudeney S, Lieberman IH, Reinhardt MK, Hussein M. Kyphoplasty in the treatment of osteolytic vertebral compression fractures as a result of multiple myeloma. J Clin Oncol. 2002;20(9):2382–7.PubMedCrossRef

20.

Fourney DR, Schomer DF, Nader R, Chlan-Fourney J, Suki D, Ahrar K, Rhines LD, Gokaslan ZL. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg. 2003;98(1 Suppl):21–30.PubMed

21.

Theodorou DJ, Theodorou SJ, Duncan TD, Garfin SR, Wong WH. Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures. Clin Imaging. 2002;26(1):1–5.PubMedCrossRef

22.

Weisskopf M, Herlein S, Birnbaum K, Siebert C, Stanzel S, Wirtz DC. Kyphoplasty—a new minimally invasive treatment for repositioning and stabilising vertebral bodies. Z Orthop Ihre Grenzgeb. 2003;141(4):406–11.PubMedCrossRef

23.

Uchida K, Nakajima H, Yayama T, Miyazaki T, Hirai T, Kobayashi S, Chen K, Guerrero AR, Baba H. Vertebroplasty-augmented short-segment posterior fixation of osteoporotic vertebral collapse with neurological deficit in the thoracolumbar spine: comparisons with posterior surgery without vertebroplasty and anterior surgery. J Neurosurg Spine. 2010;13(5):612–21.PubMedCrossRef

24.

Fuentes S, Blondel B, Metellus P, Gaudart J, Adetchessi T, Dufour H. Percutaneous kyphoplasty and pedicle screw fixation for the management of thoraco-lumbar burst fractures. Eur Spine J. 2010;19(8):1281–7.PubMedCrossRef

25.

Cho DY, Lee WY, Sheu PC. Treatment of thoracolumbar burst fractures with polymethyl methacrylate vertebroplasty and short-segment pedicle screw fixation. Neurosurgery. 2003;53(6):1354–60; discussion 1360–1.PubMedCrossRef

26.

Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR Am J Neuroradiol. 1997;18(10):1897–904.PubMed

27.

Cortet B, Cotten A, Boutry N, Flipo RM, Duquesnoy B, Chastanet P, Delcambre B. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study. J Rheumatol. 1999;26(10):2222–8.PubMed

28.

Ryu KS, Park CK, Kim MC, Kang JK. Dose-dependent epidural leakage of polymethylmethacrylate after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures. J Neurosurg. 2002;96(1 Suppl):56–61.PubMed

29.

Klazen CA, Lohle PN, de Vries J, Jansen FH, Tielbeek AV, Blonk MC, Venmans A, van Rooij WJ, Schoemaker MC, Juttmann JR, Lo TH, Verhaar HJ, van der Graaf Y, van Everdingen KJ, Muller AF, Elgersma OE, Halkema DR, Fransen H, Janssens X, Buskens E, Mali WP. Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet. 2010;376(9746):1085–92.PubMedCrossRef

30.

Choe DH, Marom EM, Ahrar K, Truong MT, Madewell JE. Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphoplasty. AJR Am J Roentgenol. 2004;183(4):1097–102.PubMedCrossRef

31.

Kim SY, Seo JB, Do KH, Lee JS, Song KS, Lim TH. Cardiac perforation caused by acrylic cement: a rare complication of percutaneous vertebroplasty. AJR Am J Roentgenol. 2005;185(5):1245–7.PubMedCrossRef

32.

Seo JS, Kim YJ, Choi BW, Kim TH, Choe KO. MDCT of pulmonary embolism after percutaneous vertebroplasty. AJR Am J Roentgenol. 2005;184(4):1364–5.PubMedCrossRef

33.

Duran C, Sirvanci M, Aydoğan M, Ozturk E, Ozturk C, Akman C. Pulmonary cement embolism: a complication of percutaneous vertebroplasty. Acta Radiol. 2007;48(8):854–9.PubMedCrossRef

34.

Bohner M, Gasser B, Baroud G, Heini P. Theoretical and experimental model to describe the injection of a polymethylmethacrylate cement into a porous structure. Biomaterials. 2003;24(16):2721–30.PubMedCrossRef

35.

Hoppe S, Wangler S, Aghayev E, Benneker LM. Reduction of cement leakage by sequential PMMA application. In: 7. Jahrestagung der Deutschen Wirbelsäulengesellschaft. Stuttgart. 2012.

36.

Heini PF, Orler R. Vertebroplasty in severe osteoporosis. Technique and experience with multi-segment injection. Orthopade. 2004;33(1):22–30.PubMedCrossRef

37.

Benneker LM, Krebs J, Boner V, Boger A, Hoerstrup S, Heini PF, Gisep A. Cardiovascular changes after PMMA vertebroplasty in sheep: the effect of bone marrow removal using pulsed jet-lavage. Eur Spine J. 2010;19(11):1913–20.PubMedCrossRef

38.

Benneker LM, Heini PF, Suhm N, Gisep A. The effect of pulsed jet lavage in vertebroplasty on injection forces of polymethylmethacrylate bone cement, material distribution, and potential fat embolism: a cadaver study. Spine (Phila Pa 1976). 2008;33(23):E906–10.CrossRef

39.

Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P, Wriedt C, Graves S, Staples MP, Murphy B. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med. 2009;361(6):557–68.PubMedCrossRef

40.

Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Ralston SH, Jarvik JG. A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med. 2009;361(6):569–79.PubMedCrossRef

41.

Long SS, Morrison WB, Parker L. Vertebroplasty and kyphoplasty in the United States: provider distribution and guidance method, 2001–2010. AJR Am J Roentgenol. 2012;199(6):1358–64.PubMedCrossRef

42.

Röder C, Maestretti G. Zementvolumen ist der wichtigste modifizierbare Prädiktor für Schmerzbefreiung nach BKP—Ergebnisse von SWISSspine, einem landesweiten Register. In: 7. Jahrestagung der Deutschen Wirbelsäulengesellschaft. Stuttgart. 2012.

43.

Wardlaw D, Cummings SR, Van Meirhaeghe J, Bastian L, Tillman JB, Ranstam J, Eastell R, Shabe P, Talmadge K, Boonen S. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. 2009;373(9668):1016–24.PubMedCrossRef

44.

Boonen S, Van Meirhaeghe J, Bastian L, Cummings SR, Ranstam J, Tillman JB, Eastell R, Talmadge K, Wardlaw D. Balloon kyphoplasty for the treatment of acute vertebral compression fractures: 2-year results from a randomized trial. J Bone Miner Res. 2011;26(7):1627–37.PubMedCrossRef

45.

Rousing R, Hansen KL, Andersen MO, Jespersen SM, Thomsen K, Lauritsen JM. Twelve-months follow-up in forty-nine patients with acute/semiacute osteoporotic vertebral fractures treated conservatively or with percutaneous vertebroplasty: a clinical randomized study. Spine (Phila Pa 1976). 2010;35(5):478–82.CrossRef

46.

Syed MI, Patel NA, Jan S, Harron MS, Morar K, Shaikh A. Intradiskal extravasation with low-volume cement filling in percutaneous vertebroplasty. AJNR Am J Neuroradiol. 2005;26(9):2397–401.PubMed

47.

Lin EP, Ekholm S, Hiwatashi A, Westesson PL. Vertebroplasty: cement leakage into the disc increases the risk of new fracture of adjacent vertebral body. AJNR Am J Neuroradiol. 2004;25(2):175–80.PubMed

48.

Lee YK, Jang S, Jang S, Lee HJ, Park C, Ha YC, Kim DY. Mortality after vertebral fracture in Korea: analysis of the National Claim Registry. Osteoporos Int. 2012;23(7):1859–65.PubMedCrossRef

49.

Kang KC, Lee CS, Shin SK, Park SJ, Chung CH, Chung SS. Ossification of the ligamentum flavum of the thoracic spine in the Korean population. J Neurosurg Spine. 2011;14(4):513–9.PubMedCrossRef

50.

Ross JS, Ruggieri PM, Glicklich M, Obuchowski N, Dillinger J, Masaryk TJ, Qu Y, Modic MT. 3D MRI of the cervical spine: low flip angle FISP vs. Gd-DTPA TurboFLASH in degenerative disk disease. J Comput Assist Tomogr. 1993;17(1):26–33.PubMedCrossRef

51.

Lindsay R, Silverman SL, Cooper C, Hanley DA, Barton I, Broy SB, Licata A, Benhamou L, Geusens P, Flowers K, Stracke H, Seeman E. Risk of new vertebral fracture in the year following a fracture. JAMA. 2001;285(3):320–3.PubMedCrossRef

52.

Voormolen MH, Mali WP, Lohle PN, Fransen H, Lampmann LE, van der Graaf Y, Juttmann JR, Jansssens X, Verhaar HJ. Percutaneous vertebroplasty compared with optimal pain medication treatment: short-term clinical outcome of patients with subacute or chronic painful osteoporotic vertebral compression fractures. The VERTOS study. AJNR Am J Neuroradiol. 2007;28(3):555–60.PubMed

53.

Alvarez L, Alcaraz M, Pérez-Higueras A, Granizo JJ, de Miguel I, Rossi RE, Quiñones D. Percutaneous vertebroplasty: functional improvement in patients with osteoporotic compression fractures. Spine (Phila Pa 1976). 2006;31(10):1113–8.CrossRef

54.

Dong R, Chen L, Gu Y, Han G, Yang H, Tang T, Xiaoqing C. Improvement in respiratory function after vertebroplasty and kyphoplasty. Int Orthop. 2009;33(6):1689–94.PubMedCrossRef

55.

Yang HL, Zhao L, Liu J, Sanford CG Jr, Chen L, Tang T, Ebraheim NA. Changes of pulmonary function for patients with osteoporotic vertebral compression fractures after kyphoplasty. J Spinal Disord Tech. 2007;20(3):221–5.PubMedCrossRef

56.

Edidin AA, Ong KL, Lau E, Kurtz SM. Mortality risk for operated and nonoperated vertebral fracture patients in the medicare population. J Bone Miner Res. 2011;26(7):1617–26.PubMedCrossRef

Titel: Percutaneous cement augmentation techniques for osteoporotic spinal fractures
Publikationsdatum: 01.10.2013
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 5/2013
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-013-0265-7

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Percutaneous cement augmentation techniques for osteoporotic spinal fractures

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Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie