Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures.

Hoppe, Sven; Budmiger, Mathias; Bissig, Philipp; Aghayev, Emin; Benneker, Lorin M (2016). Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures. Journal of neurosurgery - spine, 24(6), pp. 922-7. American Association of Neurological Surgeons 10.3171/2015.10.SPINE151016

[img] Text
Hoppe JNeurosurgSpine 2016.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (1MB) | Request a copy

OBJECTIVE Vertebroplasty and balloon kyphoplasty are effective treatment options for osteoporotic vertebral compression fractures but are limited in correction of kyphotic deformity. Lordoplasty has been reported as an alternative, cost-effective, minimally invasive, percutaneous cement augmentation technique with good restoration of vertebral body height and alignment. The authors report on its clinical and radiological midterm results. METHODS A retrospective review was conducted of patients treated with lordoplasty from 2002 to 2014. Inclusion criteria were clinical and radiological follow-up evaluations longer than 24 months. Radiographs were accessed regarding initial correction and progressive loss of reduction. Complications and reoperations were recorded. Actual pain level, pain relief immediately after surgery, autonomy, and subjective impression of improvement of posture were assessed by questionnaire. RESULTS Sixty-five patients (46 women, 19 men, age range 38.9-86.2 years old) were treated with lordoplasty for 69 vertebral compression and insufficiency fractures. A significant correction of the vertebral kyphotic angle (mean 13°) and segmental kyphotic angle (mean 11°) over a mean follow-up of 33 months (range 24-108 months) was achieved (p < 0.001). On average, pain was relieved to 90% of the initial pain level. In 24% of the 65 patients a second spinal intervention was necessary: 16 distant (24.6%) and 7 adjacent (10.8%) new osteoporotic fractures, 4 instrumented stabilizations (6.2%), 1 new adjacent traumatic fracture (1.5%), and 1 distant microsurgical decompression (1.5%). Cement leakage occurred in 10.4% but was only symptomatic in 1 case. CONCLUSIONS Lordoplasty appeared safe and effective in midterm pain alleviation and restoration of kyphotic deformity in osteoporotic compression and insufficiency fractures. The outcomes of lordoplasty are consistent with other augmentation techniques.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
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:

Hoppe, Sven; Aghayev, Emin and Benneker, Lorin Michael

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1547-5654

Publisher:

American Association of Neurological Surgeons

Language:

English

Submitter:

Fabian Röthlisberger

Date Deposited:

27 Apr 2016 12:42

Last Modified:

01 Dec 2016 22:46

Publisher DOI:

10.3171/2015.10.SPINE151016

PubMed ID:

26895528

Additional Information:

BKA = bisegmental kyphotic angle BKP = balloon kyphoplasty SKA = segmental kyphotic angle VBS = vertebral body stenting VCF = vertebral compression fracture VKA = vertebral kyphotic angle cement augmentation kyphotic correction lordoplasty osteoporosis technique vertebral compression fracture

BORIS DOI:

10.7892/boris.79236

URI:

https://boris.unibe.ch/id/eprint/79236

Actions (login required)

Edit item Edit item
Provide Feedback