RT info:eu-repo/semantics/article
T1 Percutaneous dorsal instrumentation of vertebral burst fractures: Value of additional percutaneous intravertebral reposition-cadaver study
A1 Krüger, Antonio
A1 Schmuck, Maya
A1 Noriega González, David César
A1 Ruchholtz, Steffen
A1 Baroud, Gamal
A1 Oberkircher, Ludwig
K1 Percutaneous dorsal instrumentation
K1 Instrumentación dorsal percutánea
K1 Vertebral fractures
K1 Fracturas vertebrales
AB Purpose. The treatment of vertebral burst fractures is still controversial. The aim of the study is to evaluate the purpose ofadditional percutaneous intravertebral reduction when combined with dorsal instrumentation. Methods. In this biomechanicalcadaver study twenty-eight spine segments (T11-L3) were used (male donors, mean age 64.9 ± 6.5 years). Burst fractures of L1were generated using a standardised protocol. After fracture all spines were allocated to four similar groups and randomisedaccording to surgical techniques (posterior instrumentation; posterior instrumentation + intravertebral reduction device + cementaugmentation; posterior instrumentation + intravertebral reduction device without cement; and intravertebral reduction device +cement augmentation). After treatment, 100000 cycles (100–600 N, 3 Hz) were applied using a servohydraulic loading frame. Results.Overall anatomical restoration was better in all groups where the intravertebral reduction device was used (𝑝 < 0.05). In particular,it was possible to restore central endplates (𝑝 > 0.05). All techniques decreased narrowing of the spinal canal. After loading,clearance could be maintained in all groups fitted with the intravertebral reduction device. Narrowing increased in the group treatedwith dorsal instrumentation. Conclusions. For height and anatomical restoration, the combination of an intravertebral reductiondevice with dorsal instrumentation showed significantly better results than sole dorsal instrumentation.
PB Hindawi
SN 2314-6141
YR 2015
FD 2015
LK http://uvadoc.uva.es/handle/10324/44991
UL http://uvadoc.uva.es/handle/10324/44991
LA eng
NO BioMed Research International, 2015, vol. 2015. 10 p.
NO Producción Científica
DS UVaDOC
RD 23-nov-2024