Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Mar;2(1):13-20.
doi: 10.21037/jss.2016.02.01.

Third-generation percutaneous vertebral augmentation systems

Daniele Vanni  1 , Renato Galzio  2 , Anna Kazakova  3 , Andrea Pantalone  1 , Giovanni Grillea  4 , Marcello Bartolo  4 , Vincenzo Salini  1 , Vincenzo Magliani  3
Affiliations
Review

Third-generation percutaneous vertebral augmentation systems

Daniele Vanni et al. J Spine Surg. 2016 Mar.

Abstract

Currently, there is no general consensus about the management of osteoporotic vertebral fractures (OVF). In the past, conservative treatment for at least one month was deemed appropriate for the majority of vertebral fractures. When pain persisted after conservative treatment, it was necessary to consider surgical interventions including: vertebroplasty for vertebral fractures with less than 30% loss of height of the affected vertebral body and kyphoplasty for vertebral fractures with greater than 30% loss of height. Currently, this type of treatment is not feasible. Herein we review the characteristics and methods of operation of three of the most common percutaneous vertebral augmentation systems (PVAS) for the treatment of OVF: Vertebral Body Stenting(®) (VBS), OsseoFix(®) and Spine Jack(®). VBS is a titanium device accompanied by a hydraulic (as opposed to mechanical) working system which allows a partial and not immediate possibility to control the opening of the device. On the other hand, OsseoFix(®) and Spine Jack(®) are accompanied by a mechanical working system which allows a progressive and controlled reduction of the vertebral fracture. Another important aspect to consider is the vertebral body height recovery. OsseoFix(®) has an indirect mechanism of action: the compaction of the trabecular bone causes an increase in the vertebral body height. Unlike the Vertebral Body Stenting(®) and Spine Jack(®), the OsseoFix(®) has no direct lift mechanism. Therefore, for these characteristics and for the force that this device is able to provide. In our opinion, Spine Jack(®) is the only device also suitable for the treatment OVF, traumatic fracture (recent, old or inveterate) and primary or secondary bone tumors.

Keywords: OsseoFix; Osteoporotic vertebral fractures (OVF); Spine Jack; Vertebral Body Stenting; primary or secondary vertebral tumors; traumatic vertebral fractures.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Vertebral Body Stenting®.
Figure 2
Figure 2
Osteoporotic vertebral fractures: pre-operative image.
Figure 3
Figure 3
Osteoporotic vertebral fractures: Vertebral Body Stenting® post-operative image.
Figure 4
Figure 4
Osteoporotic vertebral fractures: Vertebral Body Stenting® post-operative image.
Figure 5
Figure 5
Spine Jack®.
Figure 6
Figure 6
Osteoporotic vertebral fractures: pre-operative image.
Figure 7
Figure 7
Osteoporotic vertebral fractures: Spine Jack® post-operative image.
Figure 8
Figure 8
Osteoporotic vertebral fractures: Spine Jack® post-operative image.
Figure 9
Figure 9
OsseoFix®.
Figure 10
Figure 10
Osteoporotic vertebral fractures: intra-operative image.
Figure 11
Figure 11
Osteoporotic vertebral fractures: OsseoFix® post-operative image.
See this image and copyright information in PMC

References

    1. Cortet B, Blotman F, Debiais F, et al. Management of osteoporosis and associated quality of life in post menopausal women. BMC Musculoskelet Disord 2011;12:7. 10.1186/1471-2474-12-7 - DOI - PMC - PubMed
    1. Rao RD, Singrakhia MD. Painful osteoporotic vertebral fracture. Pathogenesis, evaluation, and roles of vertebroplasty and kyphoplasty in its management. J Bone Joint Surg Am 2003;85-A:2010-22. - PubMed
    1. Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987;33:166-8. - PubMed
    1. McGirt MJ, Parker SL, Wolinsky JP, et al. Vertebroplasty and kyphoplasty for the treatment of vertebral compression fractures: an evidenced-based review of the literature. Spine J 2009;9:501-8. 10.1016/j.spinee.2009.01.003 - DOI - PubMed
    1. Luo J, Adams MA, Dolan P. Vertebroplasty and Kyphoplasty Can Restore Normal Spine Mechanics following Osteoporotic Vertebral Fracture. J Osteoporos 2010;2010:729257. - PMC - PubMed

LinkOut - more resources