A biomechanical comparison of kyphoplasty using a balloon bone tamp versus an expandable polymer bone tamp in a deer spine model.
We performed a biomechanical study to compare the augmentation of isolated fractured vertebral bodies using two different bone tamps. Compression fractures were created in 21 vertebral bodies harvested from red deer after determining their initial strength and stiffness, which was then assessed after standardised bipedicular vertebral augmentation using a balloon or an expandable polymer bone tamp. The median strength and stiffness of the balloon bone tamp group was 6.71 kN (sd 2.71) and 1.885 kN/mm (sd 0.340), respectively, versus 7.36 kN (sd 3.43) and 1.882 kN/mm (sd 0.868) in the polymer bone tamp group. The strength and stiffness tended to be greater in the polymer bone tamp group than in the balloon bone tamp group, but this difference was not statistically significant (strength p>0.8, and stiffness p=0.4).
Seel
E H
EH
Department of Orthopaedics, Southampton University, Hospitals NHS Trust, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. edward@eseel.wanadoo.co.uk
Davies
E M
EM
D000818:Animals; D001696:Biomechanical Phenomena; D001843:Bone Cements / Q000627:therapeutic use; D002404:Catheterization; D002484:Cementation / Q000379:methods; D003670:Deer; D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D004195:Disease Models, Animal; D004548:Elasticity; D050815:Fractures, Compression / Q000628:therapy*; D007738:Kyphosis / Q000628:therapy*; D011108:Polymers; D016103:Spinal Fractures / Q000628:therapy*; D013314:Stress, Mechanical; D016474:Weight-Bearing
D001843:Bone Cements; D011108:Polymers