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
. 2023 Mar;32(3):934-949.
doi: 10.1007/s00586-023-07537-3. Epub 2023 Jan 30.

Anterior thoracolumbar column reconstruction with the vertebral body stent-safety and efficacy

Katharina A C Oswald  1 , Joel Kälin  2 , Christian Tinner  2 , Moritz C Deml  2 , Sebastian F Bigdon  2 , Sven Hoppe  2   3 , Lorin M Benneker  2   4 , Christoph E Albers  2
Affiliations
Free article

Anterior thoracolumbar column reconstruction with the vertebral body stent-safety and efficacy

Katharina A C Oswald et al. Eur Spine J. 2023 Mar.
Free article

Abstract

Purpose: The aim of this study was to assess safety and efficacy of vertebral body stenting (VBS) by analyzing (1) radiographic outcome, (2) clinical outcome, and (3) perioperative complications in patients with vertebral compression fractures treated with VBS at minimum 6-month follow-up.

Methods: In this retrospective cohort study, 78 patients (61 ± 14 [21-90] years; 67% female) who have received a vertebral body stent due to a traumatic, osteoporotic or metastatic thoracolumbar compression fracture at our hospital between 2012 and 2020 were included. Median follow-up was 0.9 years with a minimum follow-up of 6 months. Radiographic and clinical outcome was analyzed directly, 6 weeks, 12 weeks, 6 months postoperatively, and at last follow-up.

Results: Anterior vertebral body height of all patients improved significantly by mean 6.2 ± 4.8 mm directly postoperatively (p < 0.0001) and remained at 4.3 ± 5.1 mm at last follow-up compared to preoperatively (p < 0.0001). The fracture kyphosis angle of all patients improved significantly by mean 5.8 ± 6.9 degrees directly postoperatively (p < 0.0001) and remained at mean 4.9 ± 6.9 degrees at last follow-up compared to preoperatively (p < 0.0001). The segmental kyphosis angle of all patients improved significantly by mean 7.1 ± 7.6 degrees directly postoperatively (p < 0.0001) and remained at mean 2.8 ± 7.8 degrees at last follow-up compared to preoperatively (p = 0.03). Back pain was ameliorated from a preoperative median Numeric Rating Scale value of 6.5 to 3.0 directly postoperatively and further bettered to 1.0 six months postoperatively (p = 0.0001). Revision surgery was required in one patient after 0.4 years.

Conclusion: Vertebral body stenting is a safe and effective treatment option for osteoporotic, traumatic and metastatic compression fractures.

Keywords: Spine; Thoracolumbar column reconstruction; Thoracolumbar compression fracture; Vertebral body stent.

PubMed Disclaimer

Comment in

References

    1. Kraemer WJ, Schemitsch EH, Lever J, McBroom RJ, McKee MD, Waddell JP (1996) Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 10:541–544 - PubMed
    1. Wood KB, Li W, Lebl DR, Ploumis A (2014) Management of thoracolumbar spine fractures. The Spine Journal: Official Journal of the North American Spine Society 14:145–164 - PubMed
    1. Bigdon SF, Saldarriaga Y, Oswald KAC, Muller M, Deml MC, Benneker LM, EckerAlbers TMCE (2022) Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up. J Orthop Surg Res 17:270 - PubMed - PMC
    1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Min Res Off J Am Soc Bone Miner Res 22:465–475
    1. Cortet B, Blotman F, Debiais F, Huas D, Mercier F, Rousseaux C, Berger V, Gaudin AF, Cotte FE (2011) Management of osteoporosis and associated quality of life in post menopausal women. BMC Musculoskelet Disord 12:7 - PubMed - PMC

Publication types