Ces radiol. 2007, 61(2):184-188

Percutaneous kyphoplasty in treatment of osteoporotic fractures of thoracolumbal spineOriginal article

Pavel Ryška¹, Václav Málek², Kurt Kaltofen², Jan Žižka¹, Tomáš Česák², Ladislava Pavlíková³, Ludovít Klzo¹, Ondřej Renc¹, Leoš Ungermann¹, Svatopluk Řehák²

¹ Radiologická klinika LF UK a FN, Hradec Králové

² Neurochirurgická klinika LF UK a FN, Hradec Králové

³ Osteocentrum FN, Hradec Králové

Aim: To evaluate the role of percutaneous kyphoplasty in the therapeutic algorithm of osteoporotic fractures of thoracolumbal spine.

Method: From September 2005 to April 2006, six patients were treated using "Sky bone expander system" (Disc - O - Tech) at our institution. Vertebral fractures resulted from osteoporosis in all cases, the age of trauma ranged from 2 days to 7 weeks. All procedures were performed under general anesthesia in an operating theatre, controlled by fluoroscopy.

Results: The procedure led to clinical improvement in all patients and compressive fracture related pain disapperared within one week. In one patient, minor liquorrhea was found peroperativelly, leading to cephalea at 10 hours after the procedure which disappeared on volumotherapy within next 3 hours. There were no other complications in our study group. The average VAS score decreased from 8.5 preoperatively to 1.3 at three weeks and 1.5 at six weeks after the procedure, respectively. Kyphotic angle decreased from 18 degrees preoperatively to 11 degrees postoperatively.

Conclusion: Our results suggest that percutaneous kyphoplasty is an effective procedure for treatment of painful compressive fractures, with better kyphotic angle correction than in percutaneous vertebroplasty.

Keywords: vertebral compressive fracture, percutaneous vertebroplasty, percutaneous kyphoplasty, PMMA cement, osteoporosis

Accepted: April 15, 2007; Published: June 1, 2007  Show citation