Oswald, Katharina A C; Kälin, Joel; Tinner, Christian; Deml, Moritz C; Bigdon, Sebastian F; Hoppe, Sven; Benneker, Lorin M; Albers, Christoph E (2023). Anterior thoracolumbar column reconstruction with the vertebral body stent-safety and efficacy. European spine journal, 32(3), pp. 934-949. Springer 10.1007/s00586-023-07537-3
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PURPOSE
The aim of this study was to assess safety and efficacy of vertebral body stenting (VBS) by analyzing (1) radiographic outcome, (2) clinical outcome, and (3) perioperative complications in patients with vertebral compression fractures treated with VBS at minimum 6-month follow-up.
METHODS
In this retrospective cohort study, 78 patients (61 ± 14 [21-90] years; 67% female) who have received a vertebral body stent due to a traumatic, osteoporotic or metastatic thoracolumbar compression fracture at our hospital between 2012 and 2020 were included. Median follow-up was 0.9 years with a minimum follow-up of 6 months. Radiographic and clinical outcome was analyzed directly, 6 weeks, 12 weeks, 6 months postoperatively, and at last follow-up.
RESULTS
Anterior vertebral body height of all patients improved significantly by mean 6.2 ± 4.8 mm directly postoperatively (p < 0.0001) and remained at 4.3 ± 5.1 mm at last follow-up compared to preoperatively (p < 0.0001). The fracture kyphosis angle of all patients improved significantly by mean 5.8 ± 6.9 degrees directly postoperatively (p < 0.0001) and remained at mean 4.9 ± 6.9 degrees at last follow-up compared to preoperatively (p < 0.0001). The segmental kyphosis angle of all patients improved significantly by mean 7.1 ± 7.6 degrees directly postoperatively (p < 0.0001) and remained at mean 2.8 ± 7.8 degrees at last follow-up compared to preoperatively (p = 0.03). Back pain was ameliorated from a preoperative median Numeric Rating Scale value of 6.5 to 3.0 directly postoperatively and further bettered to 1.0 six months postoperatively (p = 0.0001). Revision surgery was required in one patient after 0.4 years.
CONCLUSION
Vertebral body stenting is a safe and effective treatment option for osteoporotic, traumatic and metastatic compression fractures.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Oswald, Katharina Anna Christine, Tinner, Christian, Deml, Moritz Caspar, Bigdon, Sebastian, Hoppe, Sven, Benneker, Lorin Michael, Albers, Christoph E. |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0940-6719 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
01 Feb 2023 12:22 |
Last Modified: |
08 Mar 2023 00:15 |
Publisher DOI: |
10.1007/s00586-023-07537-3 |
PubMed ID: |
36715755 |
Uncontrolled Keywords: |
Spine Thoracolumbar column reconstruction Thoracolumbar compression fracture Vertebral body stent |
BORIS DOI: |
10.48350/178128 |
URI: |
https://boris.unibe.ch/id/eprint/178128 |
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