Mid-Term clinical and radiological outcomes after kyphoplasty in the treatment of thoracolumbar traumatic vertebral compression fractures.

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Mid-Term clinical and radiological outcomes after kyphoplasty in the treatment of thoracolumbar traumatic vertebral compression fractures.

World Neurosurg. 2018 Apr 17;:

Authors: Grelat M, Madkouri R, Comby PO, Fahed E, Lemogne B, Thouant P

Abstract
OBJECTIVE: The management of thoracolumbar post-traumatic compression fractures widely varies among centers, and there is no real consensus. The objective of our retrospective study was to detect the progression of vertebral kyphosis in non-osteoporotic patients treated by balloon kyphoplasty (KPB) who presented recent compression fractures of the thoracolumbar region.
MATERIALS AND METHODS: From 2007 to 2011, we focused in this retrospective study on the vertebral and regional kyphosis evolution in 77 patients treated by KPB for compression vertebral fractures (Magerl A). All treated patients have been included in statistical analysis even those who were lost to follow-up.
RESULTS: 77 patients participated in this study. A 2.4° deterioration of vertebral kyphosis (p=0,0004) and a 4.5° worsening of their regional kyphosis have been observed (p<0,0001) at the end of the follow-up period. No statistical correlation between the kyphosis worsening and the deterioration of long-term pain has been identified. The mean Visual Analog Scale (VAS) was 2.5 associated with a very low disability on functional scores. A3-2 and A3-3 fractures are characterized by a worsening of their vertebral and regional kyphosis.
CONCLUSION: There are just a few studies about post-traumatic vertebral compression fractures in the scientific literature explaining the lack of consensus. Post-operative results with KPB are in favour of vertebral and regional kyphosis stability. KPB remains indicated in this situation except for burst-fractures.

PMID: 29678706 [PubMed - as supplied by publisher]

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