RT info:eu-repo/semantics/article
T1 Restoration in vertebral compression fractures (VCF): Effectiveness evaluation based on 3D technology
A1 Noriega González, David César
A1 Ardura Aragón, Francísco
A1 Crespo Sanjuan, Jesús
A1 Santiago Maniega, Silvia
A1 Labrador Hernández, Gregorio
A1 Bragado González, María
A1 Pérez Valdecantos, Daniel
A1 Caballero García, Alberto
A1 Córdova Martínez, Alfredo
K1 Vertebral compression fracture
K1 Fractura por compresión vertebral
K1 Vertebral fractures
K1 Fracturas vertebrales
K1 Percutaneous anatomical restoration
K1 Bones - Diseases
K1 Huesos - Fracturas
K1 Orthopedic implants - Materials
K1 Implantes
K1 Impresión 3D
K1 Biomaterials
K1 Biomateriales
K1 Orthopedics
K1 32 Ciencias Médicas
K1 3213.04 Cirugía de Huesos
K1 3213.10 Cirugía Ortopédica
AB There are few studies about anatomical reduction of the fractured vertebral body before stabilization for treatment of vertebral compression fracture (VCF). Although restoration on vertebral height has been useful, the reduction of fractured endplates is limited. The vertebra is part of a joint, and vertebral endplates must be treated like other weight-bearing joint to avoid complications. The aim of this study was to evaluate the feasibility of anatomic reduction of vertebral compression fracture, in different bone conditions, fracture types, and ages (VCF). Under methodological point of view, we followed different steps: first was the placement of two expandable titanium implants just below the fracture. Later, to push the fractured endplates into a more anatomical position, the implants were expanded. Finally, with the implants perfectly positioned, PMMA cement was injected to avoid any loss of correction. To evaluate the effectiveness of this procedure in anatomical fracture reduction, a method based on 3D CT reconstructions was developed. In this paper, we have developed the procedure in three case studies. In all of them, we were able to demonstrate the efficacy of this procedure to reduce the VCF. The percentage of correction of the kyphotic angle varied range between 49% and 62% with respect to the value after the fracture preoperative value. This was accompanied by a reduction of the pain level on the VAS scale around 50%. In conclusion, this novel approach to the vertebral fracture treatment (VCF) associated with 3D assessment have demonstrated the possibility of reducing the vertebral kyphosis angle and the vertebral endplate fractures. However, given the few cases presented, more studies are necessaries to confirm these results.
PB MDPI
SN 2079-4983
YR 2022
FD 2022
LK https://uvadoc.uva.es/handle/10324/62760
UL https://uvadoc.uva.es/handle/10324/62760
LA eng
NO Journal of Functional Biomaterials,  2022, Vol. 13, Nº. 2, 60
NO Producción Científica
DS UVaDOC
RD 08-jul-2024