Extrapendicular Approach of Unilateral Percutaneous Vesselplasty for the Treatment of Kummell Disease

Int J Spine Surg. 2019 Apr 30;13(2):199-204. doi: 10.14444/6027. eCollection 2019 Apr.

Abstract

Background: Our purpose was to evaluate the efficacy of the extrapendicular approach for unilateral percutaneous vesselplasty in dealing with Kummell disease patients.

Methods: Twenty-seven patients undergoing vesselplasty at our institution were enrolled in the study. Vesselplasty was performed using percutaneous extrapendicular technique. Pain, restoration of vertebral body height, and cement leakage were evaluated in the process.

Results: Substantial pain relief was attained in all the patients. The visual analogue scale improved significantly from pre- to postoperation (P < .05), and remained unchanged at every follow-up. The anterior vertebral body heights were significantly corrected after operation (P < .05). No cement leakage was found.

Conclusion: This new technique of vesselplasty offers statistically significant benefits in Kummell disease patients. It also makes vesselplasty feasible, safe, and effective.

Keywords: Kummell disease; extrapendicular; percutaneous; percutaneous vesselplasty.