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Technical feasibility and safety of transpedicular thoracic partial corpectomy using biportal endoscopic technique: a novel approach for separation surgery in spinal metastatic disease.
World Neurosurg
December 2024
Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States. Electronic address:
Background: Fractures of thoracolumbar spine in the field of ankylosing diseases such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) can by surgically treated with miniinvasive posterior transpedicular fixation. The exact length of implant is the subject of several studies. In our study, we retrospectively evaluated the treatment of B3 fractures of the ankylosed thoracolumbar spine with use a shorter versus longer implant, always with 8 screws.
View Article and Find Full Text PDF[Study on the effect of the distribution of bone cement of residual back pain after percutaneous vertebra plasty].
Zhongguo Gu Shang
November 2024
Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China.
Article Synopsis
- The study aimed to evaluate how the distribution of bone cement during percutaneous vertebroplasty (PVP) affects patients' residual back pain after surgery.
- A total of 65 patients with osteoporotic vertebral fractures underwent PVP, split into two groups based on the distribution of cement: 20 had it biased to one side (partial group) and 45 had it filling the vertebral body midline (bilateral group).
- Results showed that while both groups experienced pain relief post-surgery, the bilateral group had significantly lower pain levels at 1 day, 1 month, and 3 months after the procedure, highlighting that proper cement distribution is crucial in reducing residual back pain.
[Clinical study of percutaneous endoscopic thoracic spine surgery via trench technique for thoracic spinal cord ventral decompression].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
November 2024
Department of Spine Surgery Center, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, P. R. China.
Article Synopsis
- The study aimed to assess the feasibility, safety, and early effectiveness of a minimally invasive surgical technique called the trench technique for treating central calcified thoracic disc herniation (CCTDH) and thoracic ossification of the posterior longitudinal ligament (T-OPLL).
- Seven patients were analyzed retrospectively, all of whom underwent successful surgery with an average age of 51.7 years; the outcomes were measured using various clinical scores, including pain (VAS) and functional recovery (JOA).
- Results showed all surgeries were completed without complications, with a reasonable average operation time of about 80 minutes, minimal blood loss, and short postoperative hospital stays, suggesting the procedure is both effective and safe.
Vertebral augmentation: How we do it.
Tech Vasc Interv Radiol
September 2024
Division of Interventional Radiology, Olean General Hospital, Upper Allegheny Health System. Olean, NY.
Vertebral augmentation consists of minimally invasive techniques indicated in the treatment of vertebral compression fractures (VCFs). These compression fractures cause vertebral body height loss and consequent significant pain and are most frequently the result of osteoporosis, cancer metastasis, or trauma. The deleterious effects of VCFs often compound, as greater load-bearing stress is transferred to the remaining healthy vertebrae.
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