title: Radiologic study of disc behavior following compression fracture of the thoracolumbar hinge managed by kyphoplasty: A 52-case series.
abstract: BACKGROUND
  Kyphoplasty has proved effective for durable correction of traumatic vertebral deformity following Magerl A fracture, but subsequent behavior of the adjacent discs is unclear. The objective of the present study was to analyze evolution according to severity of initial kyphosis and quality of fracture reduction.
  
  
  METHODS
  A single-center prospective study included cases of single compression fracture of the thoracolumbar hinge managed by Kyphon Balloon Kyphoplasty with polymethylmethacrylate bone cement. Radiology focused on traumatic vertebral kyphosis (VK), disc angulation (DA) and disc height index (DHI) in the adjacent discs. Linear regression assessed the correlation between superior disc height index (SupDHI) and postoperative VK on the one hand and correction gain on the other, using the Student t test for matched pairs and Pearson correlation coefficient.
  
  
  RESULTS
  Fifty-two young patients were included, with mean follow-up of 18.6 months. VK fell from 13.9° preoperatively to 8.2° at last follow-up. DHI found significant superior disc subsidence (P=0.0001) and non-significant inferior disc subsidence (P=0.116). DA showed significantly reduced superior disc lordosis (P=4*10(-5)). SupDHI correlated with VK correction (r=0.32). Preoperative VK did not correlate with radiologic degeneration of the adjacent discs.
  
  
  CONCLUSIONS
  Correction of traumatic vertebral deformity avoids subsidence and loss of mechanical function in the superior adjacent disc. The underlying disc compensates for residual deformity. Balloon kyphoplasty is useful in compression fracture, providing significant reduction of traumatic vertebral deformity while conserving free and healthy adjacent discs.
  
  
  METHODS
  IV.
authors.affiliation: Unité Fonctionnelle Rachis et Neurostimulation, CHU La-Milétrie, 2, rue de la Milétrie, 86000 Poitiers, France. Electronic address: s.teyssedou@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Teyssédou
authors.affiliation: Unité Fonctionnelle Rachis et Neurostimulation, CHU La-Milétrie, 2, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: M
authors.initials: M
authors.lastname: Saget
authors.affiliation: Service de Chirurgie Orthopédique et Traumatologique, CHU La-Milétrie, 2, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: L E
authors.initials: LE
authors.lastname: Gayet
authors.affiliation: Unité Fonctionnelle Rachis et Neurostimulation, CHU La-Milétrie, 2, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: P
authors.initials: P
authors.lastname: Pries
authors.affiliation: Laboratoire d'Anatomie et de Biomécanique, 6, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: C
authors.initials: C
authors.lastname: Brèque
authors.affiliation: Unité Fonctionnelle Rachis et Neurostimulation, CHU La-Milétrie, 2, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: T
authors.initials: T
authors.lastname: Vendeuvre
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D050815:Fractures, Compression / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D058498:Kyphoplasty / Q000379:methods*; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000293:injuries*; D055815:Young Adult
keywords: Intervertebral disc; Kyphoplasty; Minimally invasive; PMMA bone cement; Vertebral fracture