Cargando…
Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants
In this case, an 80-year-old active patient developed an acute osteoporotic fracture after a fall at L1 above a previous interlaminar implant at L4-5 for stenosis with neurogenic claudication. Radiologic studies found both intra-discal and intra-vertebral vacuum clefts that are highly correlated wit...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6649873/ https://www.ncbi.nlm.nih.gov/pubmed/31355063 http://dx.doi.org/10.7759/cureus.4701 |
_version_ | 1783438063182020608 |
---|---|
author | Hartman, Jason Granville, Michelle Jacobson, Robert E |
author_facet | Hartman, Jason Granville, Michelle Jacobson, Robert E |
author_sort | Hartman, Jason |
collection | PubMed |
description | In this case, an 80-year-old active patient developed an acute osteoporotic fracture after a fall at L1 above a previous interlaminar implant at L4-5 for stenosis with neurogenic claudication. Radiologic studies found both intra-discal and intra-vertebral vacuum clefts that are highly correlated with instability and progressive kyphosis. Long-term experience with kyphoplasty has shown that acute and subacute fractures can often be re-expanded; however, over three months to one year, the correction is frequently lost and the vertebral height continues to decrease leading to increased risk of both continued deformity and especially adjacent level fractures. The use of newly available titanium intra-vertebral implants combined with bone cement restores and maintains vertebral height and correction of deformities. Long-term studies also demonstrate a reduced risk of adjacent level fractures compared to balloon kyphoplasty. Using vertebral body implants that remain in place within the fractured vertebral body the initial height correction can be better maintained leading to less adjacent level fractures. |
format | Online Article Text |
id | pubmed-6649873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-66498732019-07-28 Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants Hartman, Jason Granville, Michelle Jacobson, Robert E Cureus Radiology In this case, an 80-year-old active patient developed an acute osteoporotic fracture after a fall at L1 above a previous interlaminar implant at L4-5 for stenosis with neurogenic claudication. Radiologic studies found both intra-discal and intra-vertebral vacuum clefts that are highly correlated with instability and progressive kyphosis. Long-term experience with kyphoplasty has shown that acute and subacute fractures can often be re-expanded; however, over three months to one year, the correction is frequently lost and the vertebral height continues to decrease leading to increased risk of both continued deformity and especially adjacent level fractures. The use of newly available titanium intra-vertebral implants combined with bone cement restores and maintains vertebral height and correction of deformities. Long-term studies also demonstrate a reduced risk of adjacent level fractures compared to balloon kyphoplasty. Using vertebral body implants that remain in place within the fractured vertebral body the initial height correction can be better maintained leading to less adjacent level fractures. Cureus 2019-05-21 /pmc/articles/PMC6649873/ /pubmed/31355063 http://dx.doi.org/10.7759/cureus.4701 Text en Copyright © 2019, Hartman et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Radiology Hartman, Jason Granville, Michelle Jacobson, Robert E Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title | Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title_full | Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title_fullStr | Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title_full_unstemmed | Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title_short | Treatment of a High-risk Thoracolumbar Compression Fracture Using Bilateral Expandable Titanium SpineJack Implants |
title_sort | treatment of a high-risk thoracolumbar compression fracture using bilateral expandable titanium spinejack implants |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6649873/ https://www.ncbi.nlm.nih.gov/pubmed/31355063 http://dx.doi.org/10.7759/cureus.4701 |
work_keys_str_mv | AT hartmanjason treatmentofahighriskthoracolumbarcompressionfractureusingbilateralexpandabletitaniumspinejackimplants AT granvillemichelle treatmentofahighriskthoracolumbarcompressionfractureusingbilateralexpandabletitaniumspinejackimplants AT jacobsonroberte treatmentofahighriskthoracolumbarcompressionfractureusingbilateralexpandabletitaniumspinejackimplants |