[Minimal invasive stabilization of osteoporotic vertebral compression fractures. Methods and preinterventional diagnostics].
OBJECTIVE
Minimal invasive stabilizations represent a new alternative for the treatment of osteoporotic compression fractures. Vertebroplasty and balloon kyphoplasty are two methods to enhance the strength of osteoporotic vertebral bodies by the means of cement application.


METHODS
Vertebroplasty is the older and technically easier method. The balloon kyphoplasty is the newer and more expensive method which does not only improve pain but also restores the sagittal profile of the spine.


RESULTS
By balloon kyphoplasty the height of 101 fractured vertebral bodies could be increased up to 90% and the wedge decreased from 12 to 7 degrees. Pain was reduced from 7.2 to 2.5 points. The Oswestry disability index decreased from 60 to 26 points. This effect persisted over a period of two years. Cement leakage occurred in only 2% of vertebral bodies. Fractures of adjacent vertebral bodies were found in 11%.


CONCLUSIONS
Good preinterventional diagnostics and intraoperative imaging are necessary to make the balloon kyphoplasty a successful application.
Grohs
J G
JG
Orthopädische Klinik, Universität Wien, Osterreich. josef.grohs@akh-wien.ac.at
Krepler
P
P
D002404:Catheterization / Q000379:methods; D005592:Fracture Fixation / Q000379:methods*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods; D010024:Osteoporosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D011859:Radiography; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome