Balloon kyphoplasty and percutaneous fixation of lumbar fractures in pediatric patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-11-20

AUTHORS

Georg Singer, Helmut Wegmann, Tanja Kraus, Rainer Gumpert, Holger Till, Robert Eberl

ABSTRACT

PurposeType A fractures of the spine requiring operative stabilization are rare injuries in the pediatric population. Current reports have demonstrated the safety of the combination of balloon kyphoplasty and minimal invasive management of thoraco-lumbar fractures in adults. There is no information about the efficacy of this approach in managing pediatric vertebral fractures.MethodsThe aim of the present study was to report the outcome of a small series of children with A fractures of the lumbar spine treated with the combination of the abovementioned techniques.ResultsThree male patients without neurological deficits aged 11, 12 and 14 years were treated with fractures located at L1, L1/L2 and L2/L3, respectively. In total, six kyphoplasties were performed (monolateral in 4 vertebrae, bilateral in one vertebra). Neither cases of cement leakage nor intra- or postoperative complications were noted. Minimally invasive kyphoplasty and stabilization led to a significant improvement of the sagittal index of all five treated vertebrae which could be maintained at follow-up (14, 19 and 20 months postoperatively).ConclusionThis study is the first one to present an excellent outcome of children with type A fractures treated with a combination of balloon kyphoplasty and percutaneous stabilization. More... »

PAGES

651-656

References to SciGraph publications

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  • 2009-08-11. Thoracolumbar burst fractures without neurological deficit: the role for conservative treatment in EUROPEAN SPINE JOURNAL
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  • 2009-04-28. Minimally invasive percutaneous fixation in the treatment of thoracic and lumbar spine fractures in EUROPEAN SPINE JOURNAL
  • 2011-11-18. Frakturen der Brust- und Lendenwirbelsäule im Wachstumsalter in DER UNFALLCHIRURG
  • 2009-03-08. Operative Behandlung traumatischer Frakturen der Brust- und Lendenwirbelsäule in DER UNFALLCHIRURG
  • 2004-11-05. Functional outcome of burst fractures of the first lumbar vertebra managed surgically and conservatively in INTERNATIONAL ORTHOPAEDICS
  • 1985-08. A new device for internal fixation of thoracolumbar and lumbar spine fractures: the ‘fixateur interne’ in SPINAL CORD
  • 2010-03. Early surgery-related complications after anteroposterior stabilization of vertebral body fractures in the thoracolumbar region in JOURNAL OF ORTHOPAEDIC SCIENCE
  • 1999-04. Comparison of two Types of Surgery for Thoraco-Lumbar Burst Fractures: Combined Anterior and Posterior Stabilisation vs. Posterior Instrumentation Only in ACTA NEUROCHIRURGICA
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00586-014-3686-z

    DOI

    http://dx.doi.org/10.1007/s00586-014-3686-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1025311759

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25410162


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