Vertebral body reconstruction with injectable hydroxyapatite cement for the management of unstable thoracolumbar burst fractures: a preliminary report

dc.contributor.authorChristodoulou, A.en
dc.contributor.authorPloumis, A.en
dc.contributor.authorTerzidis, I.en
dc.contributor.authorPournaras, I.en
dc.date.accessioned2015-11-24T18:49:51Z
dc.date.available2015-11-24T18:49:51Z
dc.identifier.issn0001-6462-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18010
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectBiocompatible Materialsen
dc.subject*Bone Cementsen
dc.subjectBone Screwsen
dc.subjectDurapatiteen
dc.subjectFemaleen
dc.subjectFracture Fixation/*methodsen
dc.subjectHumansen
dc.subjectKyphosisen
dc.subjectLumbar Vertebrae/injuriesen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectSpinal Fractures/*surgeryen
dc.subjectThoracic Vertebrae/injuriesen
dc.subjectTreatment Outcomeen
dc.titleVertebral body reconstruction with injectable hydroxyapatite cement for the management of unstable thoracolumbar burst fractures: a preliminary reporten
heal.abstractThe aim of this prospective study was to evaluate the efficacy of an injectable hydroxyapatite cement in combination with long posterior transpedicular instrumentation, without fusion, for the treatment of unstable thoracolumbar burst fractures. Ten patients with this type of fracture were treated in the period 1999-2000 with bisegmental posterior transpedicular stabilisation above and below the fracture site, indirect reduction of the fracture, and transpedicular injection of hydroxyapatite cement into the fractured vertebral body. Postoperatively the mean Cobb kyphotic deformity angle (CKDA) and vertebral compression index (VCI) were statistically improved (p < 0.001). Both variables deteriorated slightly between surgery and follow-up after +/- 39 months; this was statistically not significant for the CKDA (p > 0.05), but significant for the VCI (p < 0.001). These data suggest that hydroxyapatite cement can be a reliable way to reinforce the fractured vertebral body in the thoracolumbar region.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16305086-
heal.journalNameActa Orthop Belgen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2005-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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