DOI QR코드

DOI QR Code

Single-Balloon Kyphoplasty in Osteoporotic Vertebral Compression Fractures : Far-Lateral Extrapedicular Approach

  • Ryu, Kyeong-Sik (Department of Neurosurgery, Kangnam St. Mary's Hospital, The Catholic University of Korea) ;
  • Huh, Han-Yong (Department of Neurosurgery, Kangnam St. Mary's Hospital, The Catholic University of Korea) ;
  • Jun, Sung-Chul (Department of Neurosurgery, Kangnam St. Mary's Hospital, The Catholic University of Korea) ;
  • Park, Chun-Kun (Department of Neurosurgery, Kangnam St. Mary's Hospital, The Catholic University of Korea)
  • 발행 : 2009.02.28

초록

Single-balloon kyphoplasty via an extrapedicular approach has been reported to be effective because it requires less time than conventional two-balloon kyphoplasty and has comparable therapeutic efficacy. However, single-balloon kyphoplasty is not popular because the extrapedicular approach is believed to be complicated and unsuitable for the thoracolumbar and lumbar spine. The authors describe a standardized surgical technique that utilizes a far-lateral extrapedicular approach for single-balloon kyphoplasty, which can be performed in any part of the spine by physicians without substantial difficulty.

키워드

참고문헌

  1. Berlemann U, Franz T, Orler R, Heini PF : Kyphoplasty for treatment of osteoporotic vertebral fractures : a prospective non-randomized study. Eur Spine J 13 : 496-501, 2004 https://doi.org/10.1007/s00586-004-0691-7
  2. Boszczyk BM, Bierschneider M, Hauck S, Beisse R, Potulski M, Jaksche H : Transcostovertebral kyphoplasty of the mid and high thoracic spine. Eur Spine J 14 : 992-999, 2005 https://doi.org/10.1007/s00586-005-0943-1
  3. Brugieres P, Gaston A, Heran F, Voisin MC, Marsault C : Percutaneous biopsies of the thoracic spine under CT guidance : transcostovertebral approach. J Comput Assist Tomogr 14 : 446-448, 1990 https://doi.org/10.1097/00004728-199005000-00023
  4. Deen HG, Aranda-Michel J, Reimer R, Putzke JD : Preliminary results of balloon kyphoplasty for vertebral compression fractures in organ transplant recipients. Neurosurg Focus 18 : e6, 2005
  5. Feltes C, Fountas KN, Machinis T, Nikolakakos LG, Dimopoulos V, Davydov R, et al : Immediate and early postoperative pain relief after kyphoplasty without significant restoration of vertebral body height in acute osteoporotic vertebral fractures. Neurosurg Focus 18 : e5, 2005
  6. Grohs JG, Matzner M, Trieb K, Krepler P : Minimal invasive stabilization of osteoporotic vertebral fractures : a prospective nonrandomized comparison of vertebroplasty and balloon kyphoplasty. J Spinal Disord Tech 18 : 238-242, 2005
  7. Hadjipavlou A, Tosounidis T, Gaitanis I, Kakavelakis K, Katonis P: Balloon kyphoplasty as a single or as an adjunct procedure for the management of symptomatic vertebral haemangiomas. J Bone Joint Surg Br 89 : 495-502, 2007 https://doi.org/10.1302/0301-620X.89B4.18121
  8. Ledlie JT, Renfro M : Balloon kyphoplasty : one-year outcomes in vertebral body height restoration, chronic pain, and activity levels. J Neurosurg 98 (1 Suppl) : 36-42, 2003
  9. Lieberman IH, Dudeney S, Reinhardt MK, Bell G : Initial outcome and efficacy of "kyphoplasty" in the treatment of painful osteoporotic vertebral compression fractures. Spine 26 : 1631-1638, 2001 https://doi.org/10.1097/00007632-200107150-00026
  10. Phillips FM, Ho E, Campbell-Hupp M, McNally T, Todd Wetzel F, Gupta P : Early radiographic and clinical results of balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. Spine 28 : 2260-2265; discussion 2265-2267, 2003 https://doi.org/10.1097/01.BRS.0000085092.84097.7B
  11. Pradhan BB, Bae HW, Kropf MA, Patel VV, Delamarter RB : Kyphoplasty reduction of osteoporotic vertebral compression fractures : correction of local kyphosis versus overall sagittal alignment. Spine 31 : 435-441, 2006 https://doi.org/10.1097/01.brs.0000200036.08679.1e
  12. Ryu KS, Park CK, Kim MK, Kim DH : Single balloon kyphoplasty using far-lateral extrapedicular approach : technical note and preliminary results. J Spinal Disord Tech 20 : 392-398, 2007 https://doi.org/10.1097/BSD.0b013e31802da846
  13. Shindle MK, Gardner MJ, Koob J, Bukata S, Cabin JA, Lane JM : Vertebral height restoration in osteoporotic compression fractures : kyphoplasty balloon tamp is superior to postural correction alone. Osteoporos Int 17 : 1815-1819, 2006 https://doi.org/10.1007/s00198-006-0195-x
  14. 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 26 : 1-5, 2002 https://doi.org/10.1016/S0899-7071(01)00350-3
  15. Watts NB, Harris ST, Genant HK : Treatment of painful osteoporotic vertebral fractures with percutaneous vertebroplasty or kyphoplasty. Osteoporos Int 12 : 429-437, 2001 https://doi.org/10.1007/s001980170086
  16. Yang HL, Niu GQ, Liang DC, Wang GL, Meng B, Chen L, et al : [The contrast study between single and double balloon bilateral dilatation of kyphoplasty]. Zhonghua Wai Ke Za Zhi 42 : 1299-1302, 2004
  17. Zheng ZM, Kuang GM, Dong ZY, Li FB, Lu Y, Chen H, et al : [One-stage single balloon multiple expansions percutaneous kyphoplasty : report of 18 cases]. Zhonghua Yi Xue Za Zhi 87 : 580-584, 2007

피인용 문헌

  1. Therapeutic Efficacy of Injectable Calcium Phosphate Cement in Osteoporotic Vertebral Compression Fractures: Prospective Nonrandomized Controlled Study at 6-Month Follow-up vol.73, pp.4, 2009, https://doi.org/10.1016/j.wneu.2010.01.006
  2. Uniextrapedicular Kyphoplasty for the Treatment of Thoracic Osteoporotic Vertebral Fractures vol.36, pp.8, 2013, https://doi.org/10.3928/01477447-20130724-17
  3. Osteoporotic Vertebral Compression Fracture and Single Balloon Extrapedicular Kyphoplasty: Findings and Technical Considerations vol.8, pp.1, 2009, https://doi.org/10.29252/beat-080106
  4. A Study on the Anatomical Relationship of the Lumbar Extrapedicular Puncture Approach with the Spinal Nerve and its Branches vol.46, pp.11, 2009, https://doi.org/10.1097/brs.0000000000003947