A Clinical Study on Selectivity of Transpedicular Balloon Kyphoplasty for Osteoporotic Thoracolumbar Burst Fractures / 医学研究杂志

ABSTRACT

Objective To discuss the possibility of transpedicular balloon kyphoplasty for aged osteoporotic thoracolumbar burst fractures.Methods 7 consecutive procedures were performed in 7 patients of aged osteoporotic spinal fractures.The burst fractures were confirmed by CT before the procedure.Although bony fragments were seen to protrud into the spinal canal in the cases,no patient had nerve injury preoperatively.This operation involved the percutaneous insertion of two inflatable bone tamps into a fractured vertebral body transpedicularly under fluoroscopic guidance.Inflation of the bone tamp would elevate the endplates,restoring the vertebral body height,while creating a cavity to be filled with bone cement.Preoperative and postoperative heights were measured.Results 7 patients tolerated the procedure well with immediate relief of their back pain in 24 hours.There was no leakage of cement into the epidural.The height restoration of vertebral was confirmed by x-ray after the procedure.No complications occurred.The patients were allowed to take walk after the procedure.Conclusion Transpedicular balloon kyphoplasty was a effective way to treat aged osteoporotic thoracolumbar burst fractures without obvious canal occupations and neurologic deficit,the procedure can restore height of aged osteoporotic thoracolumbar burst fractures,cement distribution and vertebral canal stenosis can be avoided.