Abstract:

In the United States, there is a high incidence of motor vehicle and sports injuries among the active population causing symptomatic post-traumatic vertebral compression fracture. At our institution, 28 cases of painful post-traumatic vertebral compression fractures (PPT-VCFs) were successfully treated with percutaneous vertebral augmentation (VA) for stabilization and reconstruction with intravertebral polyethylene mesh sac (OptiMesh®, Spineology, Inc., Stillwater, MN) and biological morcelized bone graft. The surgical approach provides an efficacious and controlled minimally invasive delivery mechanism to stabilize and reconstruct VCFs, as well as avoiding serious complications from Polymethylmethacrylate (PMMA) of vertebroplasty and kyphoplasty. The construct for biological bone graft/vertebral augmentation is osteoconductive and osteoinductive, and is used to create biologic vertebral stabilization and reconstruction. The adjacent vertebra integrity is protected by the construct with similar elasticity and physical characteristics of the biologic morcelized bone, more matched to that of adjacent bone than PMMA. The surgical techniques are described herein.

Authors:

John C. Chiu, MD, DSc, FRCS, Director, Department Neurospine Surgery, California Center for Minimally Invasive Spine Surgery, California Spine Institute Medical Center, Newbury Park, California, Ali M. Maziad, MD, MChOrth, Orthopedic Surgery Specialist, Spine Surgery and Surgical Informatics Fellow, California Spine Institute - IPILAB, University of Southern California, Los Angeles, California

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