A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result
BackgroundPercutaneous extra-pedicular kyphoplasty can achieve better clinical results than transpedicular kyphoplasty. However, lumbar segment artery injury as a disaster complication limits its clinical application.ObjectiveTo describe and evaluate a modified trajectory of kyphoplasty for the trea...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1012160/full |
| _version_ | 1817981341866655744 |
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| author | Yi Jiang Jian Li Shuai Yuan Rujun Zuo Chang Liu Jiexun Zhang Ming Ma |
| author_facet | Yi Jiang Jian Li Shuai Yuan Rujun Zuo Chang Liu Jiexun Zhang Ming Ma |
| author_sort | Yi Jiang |
| collection | DOAJ |
| description | BackgroundPercutaneous extra-pedicular kyphoplasty can achieve better clinical results than transpedicular kyphoplasty. However, lumbar segment artery injury as a disaster complication limits its clinical application.ObjectiveTo describe and evaluate a modified trajectory of kyphoplasty for the treatment of osteoporotic vertebral compression fractures (OVCF).MethodsEighty-one patients who underwent percutaneous kyphoplasty (PKP) for lumbar OVCF at our hospital between May 2017 and May 2021 were enrolled. The patients were divided into an observation group (via the superior pedicle approach) and a control group (via the transpedicular approach) according to the surgical trajectory. The surgical procedure was described in detail, and the imaging parameters were recorded. Preoperative and postoperative clinical data were collected for statistical analysis.ResultsPKP via the superior pedicle notch approach could offer large abduction and cranial inclination angles without serious complications. The rate of paravertebral leakage was significantly lower in the observation group than in the control group. Surgery with a superior pedicle notch approach had a shorter operative time and fewer fluoroscopies.ConclusionsPKP via the superior pedicle notch approach is a modified extra-pedicular approach for lumbar osteoporotic vertebral compression fractures. This trajectory is an easy-to-use target position because it enters the vertebral body directly. A shorter operative time and lower radiation exposure can enhance recovery after surgery. |
| first_indexed | 2024-04-13T23:04:39Z |
| format | Article |
| id | doaj.art-fd9248e757d04b7e838999c7f0001b92 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T23:04:39Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-fd9248e757d04b7e838999c7f0001b922022-12-22T02:25:44ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.10121601012160A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical resultYi JiangJian LiShuai YuanRujun ZuoChang LiuJiexun ZhangMing MaBackgroundPercutaneous extra-pedicular kyphoplasty can achieve better clinical results than transpedicular kyphoplasty. However, lumbar segment artery injury as a disaster complication limits its clinical application.ObjectiveTo describe and evaluate a modified trajectory of kyphoplasty for the treatment of osteoporotic vertebral compression fractures (OVCF).MethodsEighty-one patients who underwent percutaneous kyphoplasty (PKP) for lumbar OVCF at our hospital between May 2017 and May 2021 were enrolled. The patients were divided into an observation group (via the superior pedicle approach) and a control group (via the transpedicular approach) according to the surgical trajectory. The surgical procedure was described in detail, and the imaging parameters were recorded. Preoperative and postoperative clinical data were collected for statistical analysis.ResultsPKP via the superior pedicle notch approach could offer large abduction and cranial inclination angles without serious complications. The rate of paravertebral leakage was significantly lower in the observation group than in the control group. Surgery with a superior pedicle notch approach had a shorter operative time and fewer fluoroscopies.ConclusionsPKP via the superior pedicle notch approach is a modified extra-pedicular approach for lumbar osteoporotic vertebral compression fractures. This trajectory is an easy-to-use target position because it enters the vertebral body directly. A shorter operative time and lower radiation exposure can enhance recovery after surgery.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1012160/fullkyphoplastylumbarextra-pedicularvertebral bodytrajectory |
| spellingShingle | Yi Jiang Jian Li Shuai Yuan Rujun Zuo Chang Liu Jiexun Zhang Ming Ma A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result Frontiers in Surgery kyphoplasty lumbar extra-pedicular vertebral body trajectory |
| title | A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result |
| title_full | A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result |
| title_fullStr | A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result |
| title_full_unstemmed | A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result |
| title_short | A modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures: Technique note and clinical result |
| title_sort | modified trajectory of kyphoplasty via superior pedicle notch for osteoporotic vertebral compression fractures technique note and clinical result |
| topic | kyphoplasty lumbar extra-pedicular vertebral body trajectory |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1012160/full |
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