Single balloon kyphoplasty using far-lateral extrapedicular approach: technical note and preliminary results

J Spinal Disord Tech. 2007 Jul;20(5):392-8. doi: 10.1097/BSD.0b013e31802da846.

Abstract

Objectives: The authors have performed a single-balloon kyphoplasty using far-lateral extrapedicular approach in the treatment of osteoporotic vertebral compression fractures. The authors introduce its surgical technique and early clinical results.

Methods: Clinical outcomes were determined by comparison of preoperative and postoperative visual analog scale score. Radiographic assessment included vertebral height restoration rate (%) and correction of kyphosis.

Results: Thirty-one consecutive patients with 37 vertebrae were treated during a 5-month period and followed up for more than 6 months. Twenty-nine of 31 patients (95%) improved the visual analog scale pain score postoperatively (P<0.001). The average anterior body height was 60.85 +/- 14.27% of estimated height before procedure and 81.86 +/- 12.78% of estimated height after procedure (P<0.007). The average middle body height was 63.14 +/- 14.42% of estimated height before procedure and 80.94 +/- 18.44% of estimated height after procedure (P<0.001). The mean height restoration ratio was 31.72 +/- 20.98%. The kyphotic deformity was corrected from 16.06 +/- 5.24 degree to 8.84 +/- 3.89 degree (P<0.001). There was no surgery and device-related complications.

Conclusions: Single-balloon kyphoplasty using far-lateral extrapedicular approach is less invasive procedure that produces comparable therapeutic effects with the conventional 2-balloon technique.

Publication types

  • Clinical Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Catheterization / instrumentation
  • Catheterization / methods*
  • Female
  • Follow-Up Studies
  • Fractures, Compression / etiology*
  • Fractures, Compression / physiopathology
  • Fractures, Compression / therapy*
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / complications*
  • Osteoporosis / diagnostic imaging
  • Osteoporosis / pathology
  • Pilot Projects
  • Radiography
  • Reconstructive Surgical Procedures / instrumentation*
  • Reconstructive Surgical Procedures / methods*
  • Spine / diagnostic imaging
  • Spine / pathology*
  • Spine / physiopathology
  • Treatment Outcome