Aims and objectives
Vertebral compression fractures (VCF) resulting from trauma,
osteoporosis and cancer are common and cause of pain with the need of analgesics consumption.
QoL is at high risk and morbidity and mortality rates increasing following a compression fracture (CF).
Spine Jack (SJ) is a new device for percutaneous treatment of vertebral fractures and for spine alignment.
Key features of SJ are the controlled cranio-caudal expansion,
the height restoration maintenance and the preservation of the trabecular structure.
The goals of treating aVCF is the pain relief,
the...
Methods and materials
From Jan 2016 to Jan 2017 15 patients received SpineJack (SJ) procedure.
In all cases bi-portal percutaneous access was carried out with local anestesia and conscious sedation.
A total of 30 SJ implants was achieved.
The concept of the SJ device is to apply a controlled unidirectional cranio-caudal distraction force against the unidirectional cranio-caudal compression force that was the reason of a Vertebral Compression Fracture (VCF).
In all patients PMMA cement was injected after SJ deployment.
Pre-procedural work-up was on MRI or CT examination.
Primary...
Results
Back pain significantly decreased after treatment according to the mean VAS pain score (range 0-20).Mean VAS satisfaction score of all patients was 15.83+/- 4.26 (range 4-20).
Bed rest was not crucial and pain drugs use dropped after treatment in all cases.
Daily living was observed to have a quick improvement
Conclusion
Our initial single center experience shows that Spine Jack treatment is very effective and reliable procedure in the treatment of vertebral fracture due to osteoporosis,
trauma and malignancy.
References
1)Percutaneous extrapedicular vertebroplasty with expandable intravertebral implant in compression vertebral body fracture in pediatric patient-technical note.
Polis B,
Krawczyk J,
Polis L,
Nowosławska E.
Childs Nerv Syst.
2016 Nov;32(11):2225-2231.
Epub 2016 Sep 26.
2)Third-generation percutaneous vertebral augmentation systems.
Vanni D,
Galzio R,
Kazakova A,
Pantalone A,
Grillea G,
Bartolo M,
Salini V,
Magliani V.
JSpineSurg.
2016 Mar;2(1):13-20.
doi: 10.21037/jss.2016.02.01.
3)Evaluation of surgical outcome ofJackvertebral dilator kyphoplasty for osteoporotic vertebral compression fracture-clinical experience of 218 cases.
Fan J,
Shen Y,
Zhang N,
Ren Y,
Cai W,...