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2026, Number 2

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Cir Columna 2026; 4 (2)

Kyphoplasty: restoration of vertebral height and biomechanics and impact on early recovery in patients with thoracolumbar fractures

Campos CJM, Valencia MG, Magdaleno EE, Granados AI, Blanco BP

Language: Spanish
References: 37
Page: 91-101
PDF size: 744.57 Kb.


ABSTRACT

Introduction: vertebral fractures are primarily found in the thoracolumbar spine. Vertebral augmentation through kyphoplasty is a minimally invasive technique. As a sole management option or as a support or complement to instrumentation, it offers the possibility of restoring vertebral body height and associated kyphosis, providing anterior biomechanical support, and providing effective pain management and improved function. The objective of this study was to evaluate the restoration of vertebral body structural anatomy, pain control, and functional impact in patients with thoracolumbar vertebral fractures treated with kyphoplasty. Material and methods: study sample: 20 patients aged 50 to 99 years, diagnosed with vertebral fractures with vertebral body height loss of more than 40%. Materials: balloon kyphoplasty equipment, pre- and post-surgical radiographic measurements (vertebral height, vertebral body angle, and Beck index), visual analog pain scale (VAS), and Oswestry disability assessment (ODI). Results: vertebral height: 46.8%, 72.2%, 69.54%, vertebral body angle: 33.91°, 36.99°, 35.57°, beck index: 50.77%, 70.80%, 71.02%, VAS: 9.35, 5.3, 1.8, ODI: 76, 44.2, 25.7. Conclusion: vertebral augmentation using the kyphoplasty technique demonstrated significant recovery of vertebral height and local kyphosis over the fractured vertebra, improving spinal balance. This significantly and rapidly impacts the functional capacity of patients with vertebral body fractures. Four cases with cement leakage were presented.


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