Percutaneous balloon kyphoplasty experience in mid-thoracic vertebra fractures

Gokhan Gurkan; Ismail Kaya; Murat Atar; Inan Uzunoglu; Ilker Deniz Cingoz; Baran Taskala; Nurullah Yuceer

doi:10.19161/etd.1168170

TR EN

Orta seviye torakal vertebra fraktürlerinde perkütan balon kifoplasti deneyimi

Öz

Amaç: Vertebra kırıklarında uygulanan perkütan balon kifoplasti yöntemi, popüler minimal invaziv bir tekniktir. Vertebra kırıkları çoğunlukla torakolomber bölgede meydana gelse de tüm vertebral kolonda kompresyon fraktürü görülebilir. Orta torakal seviyeler minimal invaziv işlemlerde komplikasyon açısından riskli bölgelerdendir. Çalışmamızda orta torakal vertebra kırıklarında uygulanan perkütan balon kifoplasti yönteminin vertebra yüksekliğine, kifoz açısına etkisini ve komplikasyonu olan sement kaçaklarını incelemeyi amaçladık. Gereç ve Yöntem: 2017-2020 yılları arasında tek ya da çoklu seviye orta torakal vertebra fraktürü nedeni ile kifoplasti uygulanan hastaların radyolojik görüntüleri, hasta dosyaları ve patoloji sonuçları retrospektif olarak incelendi. Bulgular: Çalışmaya toplamda 19 hasta (9 erkek ve 10 kadın) ve 28 işlem yapılan vertebra dâhil edildi. Hastaların yaş ortalaması 58.42 ± 18.79 (23-86) yıl olarak hesaplandı. Operasyon süresi 40,18 ± 15,01 dk (17-99) idi. İşlem sırasında kullanılan sement miktarı 3,68 ± 1,13 mL (1,5-7) idi. Postoperatif sement kaçağı 12 (%42,9) seviyede görüldü. Anterior ve median vertebra yükseklikleri ile kifoz açısı operasyon öncesine göre anlamlı ölçüde iyileşme gösterdi (p<0.001). Hastanede kalış süresi 4,42 ± 0,69 saat (4-6) olarak hesaplandı. Sonuç: Balon kifoplasti yöntemi orta torakal vertebra seviyelerinde sement kaçağı riski fazla olmasına rağmen, vertebra yüksekliğinin restorasyonu ve kifoz açısını azaltması yönünden güvenilir bir tedavi yöntemidir.

Anahtar Kelimeler

Percutaneous balloon kyphoplasty experience in mid-thoracic vertebra fractures

Abstract

Aim: Balloon kyphoplasty is a popular minimally invasive technique for vertebral fractures. Although vertebral fractures occur mostly in the thoracolumbar region, compression fractures can be seen in the entire vertebral column. The mid-thoracic levels are difficult areas in terms of complications in minimally invasive procedures. Our study aimed to examine the effect of balloon kyphoplasty on vertebral height, kyphosis angle, and cement leaks as a complication in mid-thoracic vertebral fractures. Materials and Methods: Radiological images, patient files, and pathology results of patients who underwent kyphoplasty due to a single or multiple mid-thoracic vertebral fractures between 2017 and 2020 were retrospectively analyzed. Results: A total of 19 patients (9 males and 10 females) and 28 operated vertebrae were included in the study. The mean age of the patients was 58.42±18.79 (23-86) years, and the mean operation time was 40.18±15.01 minutes (17-99). The amount of cement used during the procedures was 3.68±1.13 mL (1.5-7), and postoperative cement leakage was observed in 12 levels (42.9%). Anterior and median vertebral heights and kyphosis angle improved significantly compared to preoperative values (p<0.001). The duration of hospital stay was found to be 4.42±0.69 hours (4-6). Conclusion: The balloon kyphoplasty method is reliable in restoring the vertebra and reducing the angle of kyphosis, although there is a high risk of cement leakage at mid-thoracic vertebrae levels.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Gokhan Gurkan ^*
0000-0003-1839-1014
Türkiye

Ismail Kaya
0000-0002-5117-8066
Türkiye

Murat Atar
0000-0001-6047-2956
Türkiye

Inan Uzunoglu
0000-0001-5859-0443
Türkiye

Ilker Deniz Cingoz
0000-0002-0452-7606
Türkiye

Baran Taskala
0000-0002-3398-3846
Türkiye

Nurullah Yuceer
0000-0003-3509-9939
Türkiye

Publication Date

September 12, 2022

Submission Date

December 8, 2021

Acceptance Date

March 31, 2022

Published in Issue

Year 2022 Volume: 61 Number: 3

DOI

https://doi.org/10.19161/etd.1168170

IZ

https://izlik.org/JA43WH43RD

Cite

RIS / Bibtex

Vancouver

1.Gokhan Gurkan, Ismail Kaya, Murat Atar, Inan Uzunoglu, Ilker Deniz Cingoz, Baran Taskala, Nurullah Yuceer. Percutaneous balloon kyphoplasty experience in mid-thoracic vertebra fractures. EJM. 2022 Sep. 1;61(3):411-6. doi:10.19161/etd.1168170