Radiographic and safety details of vertebral body stenting: results from a multicenter chart review

Diel, Peter; Röder, Christoph; Perler, Gosia; Vordemvenne, Thomas; Scholz, Matti; Kandziora, Frank; Fürderer, Sebastian; Eiskjaer, Soren; Maestraetti, Gianluca; Rotter, Robert; Benneker, Lorin Michael; Heini, Paul Friedhelm (2013). Radiographic and safety details of vertebral body stenting: results from a multicenter chart review. BMC musculoskeletal disorders, 14(233), p. 233. BioMed Central 10.1186/1471-2474-14-233

[img]
Preview
Text
1471-2474-14-233.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview

BACKGROUND Up to one third of BKP treated cases shows no appreciable height restoration due to loss of both restored height and kyphotic realignment after balloon deflation. This shortcoming has called for an improved method that maintains the height and realignment reached by the fully inflated balloon until stabilization of the vertebral body by PMMA-based cementation. Restoration of the physiological vertebral body height for pain relief and for preventing further fractures of adjacent and distant vertebral bodies must be the main aim for such a method. A new vertebral body stenting system (VBS) stabilizes the vertebral body after balloon deflation until cementation. The radiographic and safety results of the first 100 cases where VBS was applied are presented. METHODS During the planning phase of an ongoing international multicenter RCT, radiographic, procedural and followup details were retrospectively transcribed from charts and xrays for developing and testing the case report forms. Radiographs were centrally assessed at the institution of the first/senior author. RESULTS 100 patients (62 with osteoporosis) with a total of 103 fractured vertebral bodies were treated with the VBS system. 49 were females with a mean age of 73.2 years; males were 66.7 years old. The mean preoperative anterior-middle-posterior heights were 20.3-17.6-28.0 mm, respectively. The mean local kyphotic angle was 13.1[degree sign]. The mean preoperative Beck Index (anterior edge height/posterior edge height) was 0.73, the mean alternative Beck Index (middle height/posterior edge height) was 0.63. The mean postoperative heights were restored to 24.5-24.6-30.4 mm, respectively. The mean local kyphotic angle was reduced to 8.9[degree sign]. The mean postoperative Beck Index was 0.81, the mean alternative one was 0.82. The overall extrusion rate was 29.1%, the symptomatic one was 1%. In the osteoporosis subgroup there were 23.8% extrusions. Within the three months followup interval there were 9% of adjacent and 4% of remote new fractures, all in the osteoporotic group. CONCLUSIONS VBS showed its strengths especially in realignment of crush and biconcave fractures. Given that fracture mobility is present, the realignment potential is sound and increases with the severity of preoperative vertebral body deformation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Diel, Peter; Röder, Christoph; Perler, Gosia and Benneker, Lorin Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-2474

Publisher:

BioMed Central

Language:

English

Submitter:

Stephanie Schmutz

Date Deposited:

04 Apr 2014 10:34

Last Modified:

26 Jun 2016 01:47

Publisher DOI:

10.1186/1471-2474-14-233

PubMed ID:

23927056

BORIS DOI:

10.7892/boris.42390

URI:

https://boris.unibe.ch/id/eprint/42390

Actions (login required)

Edit item Edit item
Provide Feedback