Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 25981
ROUTINE USE OF BALLOON KYPHOPLASTY IN POSTERIOR FIXATION OF
UNSTABLE TH-L SPINAL FRACTURE
Miodrag VLAOVIC, Radko KOMADINA, Drago BRILEJ
General and Teaching Hospital Celje, Celje (SLOVENIA)
Spinal instability and canal stenosis leading to neurological deficit are indications for
spinal fracture reduction and instrumentation, pain relief is the leading cause for
balloon kyphoplasty in elderly. In some A3 burst fractures minimally invasive balloon
reduction via bilateral transpedicular approach was followed by polymethyl
methacrylate application, intraoperative myelography and endly posterior
transpedicular instrumentation. Cobb angle, clinical pain assessment score, clinical
mobility scale and functional outcome were measured. We recorded significant
deformity correction (body height, angulation), mild disability because of pain and of
mobility, minor cement leak in some patients without clinical relevance.Experience
from more than 150 kyphoplasty gave us the skill to use kyphoplasty as additional
buttressing method in some A3 fractures where posterior instrumentation should be
followed by anterior approach.
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