ID 83935
Author
Miyagi, Ryo Department of Orthopedic Surgery, Tokushima Municipal Hospital|Department of Orthopedic Surgery, Kaminaka Hospital KAKEN Search Researchers
Sakai, Toshinori Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School|Department of Orthopedic Surgery, University of California Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Bhatia, Nitin N. Department of Orthopedic Surgery, University of California
Sairyo, Koichi Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Katoh, Shinsuke Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Chikawa, Takashi Department of Orthopedic Surgery, Tokushima Municipal Hospital
Keywords
compression fracture
vertebroplasty
salvage procedure
polymethylmethacrylate (PMMA)
Content Type
Journal Article
Description
Although vertebroplasty (VP) using polymethylmethacrylate (PMMA) is thought
to be an effective procedure for osteoporotic vertebral compression fractures, several
complications have been reported. In this paper, we present three patients who developed
local kyphotic deformity as a result of late collapse of the cemented vertebrae. In
all patients we safely removed the PMMA block through an anterior approach and anterior
reconstruction was performed successfully. In only one patient who had a three column
unstable injury with fractured posterior elements was additional posterior spinal
fixation needed. In conclusion, VP is thought to be an effective and minimal invasive
technique to treat osteoporotic compression fractures in older patients. Once collapse
or nonunion of the treated vertebral body occurs, however, removal of the cement and
anterior reconstruction may be required to realign of the affected segments and reconstruct
the spine.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
1-2
Start Page
148
End Page
153
Sort Key
148
Published Date
2011-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
departments
University Hospital
Medical Sciences