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Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition—Cadaver Study
Joint Authors
Noriega, David
Krüger, Antonio
Schmuck, Maya
Ruchholtz, Steffen
Baroud, Gamal
Oberkircher, Ludwig
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-02
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Purpose.
The treatment of vertebral burst fractures is still controversial.
The aim of the study is to evaluate the purpose of additional percutaneous intravertebral reduction when combined with dorsal instrumentation.
Methods.
In this biomechanical cadaver study twenty-eight spine segments (T11-L3) were used (male donors, mean age 64.9 ± 6.5 years).
Burst fractures of L1 were generated using a standardised protocol.
After fracture all spines were allocated to four similar groups and randomised according to surgical techniques (posterior instrumentation; posterior instrumentation + intravertebral reduction device + cement augmentation; 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 treated with dorsal instrumentation.
Conclusions.
For height and anatomical restoration, the combination of an intravertebral reduction device with dorsal instrumentation showed significantly better results than sole dorsal instrumentation.
American Psychological Association (APA)
Krüger, Antonio& Schmuck, Maya& Noriega, David& Ruchholtz, Steffen& Baroud, Gamal& Oberkircher, Ludwig. 2015. Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition—Cadaver Study. BioMed Research International،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1055478
Modern Language Association (MLA)
Krüger, Antonio…[et al.]. Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition—Cadaver Study. BioMed Research International No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1055478
American Medical Association (AMA)
Krüger, Antonio& Schmuck, Maya& Noriega, David& Ruchholtz, Steffen& Baroud, Gamal& Oberkircher, Ludwig. Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition—Cadaver Study. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1055478
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055478