title: Complications following kyphoplasty in unstable osteoporotic vertebral body fractures. A guide to correct fracture analysis.
abstract: The possibilities offered by kyphoplasty in the treatment of osteoporotic vertebral fractures have been widely described. Kyphoplasty is technically not very demanding, it can be easily learned and it is minimally invasive when compared to open surgical fracture treatment. Like many other simple surgical methods, it has spread rapidly and as a consequence of the above factors combined with its good reimbursement in many countries, it has experienced a widening in the indications for which it is being employed. The intial purpose of kyphoplasty was pain relief based on vertebral body stabilisation combined with restoration of vertebral body height. An increasingly uncritical use of the method can be observed and as a consequence, an increase in serious complications. During recent years, spinal surgery departments have received an increasing number of patients with serious complications following kyphoplasty, requiring major reconstructive spinal surgery. On the basis of 12 cases treated over the past 36 months, we aim to provide guidelines for the indications of the kyphoplasty procedure.
authors.affiliation: Franziskus Hospital, Bielefeld, Germany. dr.trouillier@ws-chirurgie.com
authors.forename: Hans-Heinrich
authors.initials: HH
authors.lastname: Trouillier
authors.affiliation: Department of Orthopaedics, University of Munich, Grosshadern Campus, Germany.
authors.forename: Christof
authors.initials: C
authors.lastname: Birkenmaier
authors.affiliation: Department of Orthopaedics, University of Munich, Grosshadern Campus, Germany.
authors.forename: Tamara
authors.initials: T
authors.lastname: Seidl
authors.affiliation: Department of Orthopaedics, University of Munich, Grosshadern Campus, Germany.
authors.forename: Volkmar
authors.initials: V
authors.lastname: Jansson
mesh_terms: D006801:Humans; D058498:Kyphoplasty / Q000009:adverse effects* / Q000379:methods; D009568:Nitrendipine; D058866:Osteoporotic Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D011859:Radiography; D012008:Recurrence; D016103:Spinal Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*
chemical_list: D009568:Nitrendipine