Chinthala Anoop S, Obeng-Gyasi Barnabas, Line Trenton A, Tobin Matthew K, Mao Gordon, Bohnstedt Bradley N
Department of Neurological Surgery, Indiana University School of Medicine, 355 W 15th St., Suite 5100, Indianapolis, IN 46202, USA.
Brain Sci. 2025 Jun 19;15(6):659. doi: 10.3390/brainsci15060659.
Kyphoplasty and vertebroplasty are minimally invasive approaches for spinal fractures aiming to reduce pain, increase mobilization, and prevent further vertebral height loss. Their efficacy in treating burst fractures has been questioned due to fragment mobility and concerns for cement leakage. We aim to report outcomes in patients who underwent kyphoplasty for spinal burst fractures. : We conducted a retrospective review of patients with burst fractures treated from 2018 to 2023. Those who underwent kyphoplasty or vertebroplasty and had follow-up imaging were included. Clinical characteristics and follow-up outcomes were obtained through chart review. The primary outcome was the need for surgical intervention after kyphoplasty. : We identified ten patients (mean age 67.9 years, range 36-93 years) with burst fractures who underwent kyphoplasty/vertebroplasty. Six received kyphoplasty/vertebroplasty within 1 week of injury and four between 1 and 4 months post-injury. Nine patients had a TLICS score of 2, and one had a TLICS score of 5. Kyphoplasty/vertebroplasty was performed for pain management in seven patients and significant/worsening vertebral height loss in three patients. At follow-up, 70% of patients reported an improvement in pain and 75% of patients reported improved mobility. One patient experienced progression of an L2 burst fracture but improved with conservative management. No patient required additional surgical fixation. : In this series of ten patients with spinal burst fractures, standalone kyphoplasty was a safe and effective treatment. Our findings suggest kyphoplasty may be a viable treatment option for select spinal traumatic burst fractures, offering potential pain relief and mobility improvement in the short term.
椎体后凸成形术和椎体成形术是治疗脊柱骨折的微创方法，旨在减轻疼痛、增加活动能力并防止椎体高度进一步丢失。由于骨折块的移动性以及对骨水泥渗漏的担忧，它们在治疗爆裂骨折方面的疗效受到质疑。我们旨在报告接受椎体后凸成形术治疗脊柱爆裂骨折患者的治疗结果。：我们对2018年至2023年接受治疗的爆裂骨折患者进行了回顾性研究。纳入了那些接受椎体后凸成形术或椎体成形术并进行了随访影像学检查的患者。通过查阅病历获得临床特征和随访结果。主要结局是椎体后凸成形术后是否需要手术干预。：我们确定了10例接受椎体后凸成形术/椎体成形术的爆裂骨折患者（平均年龄67.9岁，范围36 - 93岁）。6例在受伤后1周内接受了椎体后凸成形术/椎体成形术，4例在受伤后1至4个月接受了该手术。9例患者的胸腰椎损伤分类及严重程度评分（TLICS）为2分，1例患者的TLICS评分为5分。7例患者接受椎体后凸成形术/椎体成形术是为了缓解疼痛，3例患者是为了治疗明显的/加重的椎体高度丢失。在随访时，70%的患者报告疼痛有所改善，75%的患者报告活动能力有所改善。1例患者L2爆裂骨折进展，但经保守治疗后好转。没有患者需要额外的手术固定。：在这组10例脊柱爆裂骨折患者中，单纯椎体后凸成形术是一种安全有效的治疗方法。我们的研究结果表明，椎体后凸成形术可能是某些脊柱创伤性爆裂骨折的可行治疗选择，在短期内可能缓解疼痛并改善活动能力。
