본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Balloon Kyphoplasty through Extrapedicular Approach in the Treatment of Middle Thoracic Osteoporotic Compression Fracture : T5-T8 Level

Kim, Hyeun-Sung    (Department of Neurosurgery Mokpo Hankook Hospital   ); Kim, Seok-Won    (Department of Neurosurgery Chosun University College of Medicine   ); Ju, Chang-Il    (Department of Neurosurgery Chosun University College of Medicine  );
  • 초록

    Objective : Kyphoplasty performed in the middle thoracic spine presents technical challenges that differ from those in the lower thoracic or lumbar region due to small pedicle size and angular severity for thoracic kyphosis. The purpose of this study was to evaluate the efficacy of balloon kyphoplasty through extrapedicular approach for the treatment of intractable osteoporotic compression fractures in the middle thoracic spine. Methods : The patients who were performed with one level balloon kyphoplasty through extrapedicular approach due to painful osteoporotic compression fractures at T5-T8 from June 2003 to July 2005 were retrospectively analyzed. Imaging and clinical features were analyzed including involved vertebrae level, vertebral height, Injected cement volume, clinical outcome and complications. Results : Eighteen female patients (age ranged from 60 to 77 years old) were included in this study. The average amount of the implanted cement was $4.2{\pm}1.5\;cc$ . The mean cobb angle and compression rate were improved from $12.1{\pm}6.5^{\circ}$ to $8.5{\pm}7.2^{\circ}$ and from 30% to 15%, respectively. The mean pain score (visual analogue scale) prior to kyphoplasty was 7.9 and it decreased to 3.0 after the procedure. Cement leakage to the adjacent disc (2 cases) and paravertebral soft tissues (1 case) were seen but there were no major complications such as pneumothorax, segmental arte 이 Injury, pulmonary embolism, or epidural leakage. Conclusion : Balloon kyphoplasty through extrapedicular approach is considered as a safe and effective in treating the middle thoracic regions with low complication rate.


  • 주제어

    Balloon kyphoplasty .   Extrapedicular approach .   Middle thoracic region .   Osteoporotic compression fracture.  

  • 참고문헌 (9)

    1. Garfin SR, Yuan HA, Reiley MA : New technologies in spine: ?kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine 26 : 1511-1515, 2001 
    2. Hiwatashi A, Moritani T, Numaguchi Y, Westesson PL : Increase in vertebral body height after vertebroplasty. AJNR Am J N euroradiol 24: 185-189, 2003 
    3. Theodorou DJ, Theodorou SJ, Duncan TD, Garfin SR, Wong WH: Percutaneous balloon kyphoplasty for rhe correction of spinal deformity in painful vertebral body compression fractures. Clin Imaging 26 : 1-5, 2002 
    4. Berlemann U, Franz T, Orler R, Heini PF : Kyphoplasty for treatment of osteoporotic vertebral fractures: a prospective non-randomized study. Eur Spine J 13 : 496-501, 2004 
    5. Amar AP, Larsen DW, Esnaashari N, Albuquerque FC, Lavine SD, Teitelbaum GP : Percutaneous transpedicular polymethylmethacrylate vertebroplasty for the treatment of spinal compression fractures. Neurosurgery 49 : 1105-1114, 2001 
    6. Bostrom MP, Lane JM : Future directions. Augmentation of osteoporotic vertebral bodies. Spine 122 (Suppl 24) : 38S-42S, 1997 
    7. Yoon WK, Roh SW, Rhim SC, Lee CS, Kwon SC, Kim JH : Postoperative results of kyphoplasty for osteoporotic vertebral compression fractures. J Korean Neurosurg Soc 37: 253-257, 2005     
    8. Phillips FM, Todd Wetzel F, Lieberman I, Campbell-Hupp M: An in vivo comparison of the potential for extravertebral cement leak after vertebroplasty and kyphoplasty. Spine 27 : 2173-2178, 2002 
    9. Deramond H, Depriester C, Galibert P, Le Gars D : Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications, and results. Radiol Clin North Am 36 : 533-546, 1998 

 저자의 다른 논문

  • Kim, Seok-Won (107)

    1. 2005 "Vertebroplasty for the Treatment of Compression Fractures in the Upper and Middle Thoracic Spine" 大韓痛症學會誌 = Korean journal of pain 18 (2): 142~145    
    2. 2005 "Radiofrequency Facet Denervation for Low Back Pain after Microscopic Discectomy" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (6): 442~444    
    3. 2005 "Preoperative Gadolinium-enhanced Magnetic Resonance Images on Infectious Spondylitis" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (5): 355~358    
    4. 2005 "Acute Cerebral Infarction after Head Injury" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (5): 393~395    
    5. 2005 "Clinical Analysis of Post-traumatic Hydrocephalus" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (3): 211~214    
    6. 2005 "Surgical Results of en Bloc Open-door Laminoplasty" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (2): 102~106    
    7. 2005 "Simultaneous Paraspinal and Midline Approach for Upper Lumbar Disc Herniation : Technique to Prevent Lamina Fracture" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (2): 111~115    
    8. 2005 "Effectiveness of Early Surgery in Children with Traumatic Subdural Hygroma" Journal of Korean Neurosurgical Society = 대한신경외과학회지 37 (6): 432~435    
    9. 2005 "경막하복강단락술을 이용한 외상성 경막하 수종치료의 수술적 결과" Journal of Korean Neurosurgical Society = 대한신경외과학회지 37 (6): 436~442    
    10. 2005 "Effect of the Third and Fourth Chain Sympathicotomy in Axillary Hyperhidrosis Accompanying Osmidrosis" Journal of Korean Neurosurgical Society = 대한신경외과학회지 37 (5): 354~356    
  • Ju, Chang-Il (40)

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기