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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Analysis of Related Factors on the Deformity Correction of Balloon Kyphoplasty

C. Xu, H.-X. Liu and H.-Z. Xu
American Journal of Neuroradiology January 2014, 35 (1) 202-206; DOI: https://doi.org/10.3174/ajnr.A3617
C. Xu
aFrom the Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of China.
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H.-X. Liu
aFrom the Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of China.
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H.-Z. Xu
aFrom the Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of China.
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    Fig 1.

    Index vertebra distribution.

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    Fig 2.

    Illustration showing the measurement of anterior (HA), middle (HM), and posterior (HP) portions of fractured vertebral height; kyphotic angle (KA); Cobb angle; and vertebral heights 1 level above (upper) and below (lower) the index vertebra.

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    Fig 3.

    Change of the KA and Cobb angle during balloon kyphoplasty(−x±s). Note: Prone compared with preoperative, P < .05; balloon inflated compared with prone, P > .05; postoperative compared with preoperative, P < .05.

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    Fig 4.

    X-ray films of a typical patient: 69-year-old woman with a T12 vertebral compression fracture (wedge type). A, Preoperative standing lateral, HA, HM, KA, and Cobb were 20.20 mm, 24.57 mm, 17.27°, and 14.55°, respectively; B, intraoperative prone position lateral, HA, HM, KA, and Cobb were 25.33 mm, 25.23 mm, 8°, and 7°, respectively; C, intraoperative IBT inflated, HA, HM, KA, and Cobb were 25.33 mm, 25.23 mm, 8°, and 7°, respectively; D, postoperative standing lateral, HA, HM, KA, and Cobb were 24.82 mm, 24.91 mm, 8.56°, and 7.12°, respectively.

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    Table 1:

    Classifications and data of patients

    ClassificationsData
    Total No. of cases72 (75 fractured vertebrae)
    Average age, y71.47 ± 1.42 (57–86 y)
        <7026 (36.1%)
        ≥7046 (63.9%)
    Sex
        Male20 (27.8%)
        Female52 (72.2%)
    BMD
        >−2.519 (26.4%)
        ≤−2.553 (73.6%)
    BMIa
        <2430 (41.7%)
        ≥2442 (58.3%)
    Type of fracture
        Wedge48 (66.7%)
        Biconcave24 (33.3%)
    Cement injected volume
        <6 mL28 (38.9%)
        ≥6 mL44 (61.1%)
    • ↵a BMI = weight (kg)/height2 (m2).

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    Table 2:

    Imaging parameters during balloon kyphoplasty (x̄ ± s)

    PreoperativeProneBalloon InflatedPostoperative
    HA, mm21.30 ± 5.34a26.37 ± 4.3426.47 ± 4.41b25.61 ± 4.50c
    HM, mm17.88 ± 4.65a21.57 ± 4.2821.76 ± 4.38b21.24 ± 4.24c
    HP, mm27.97 ± 4.6427.96 ± 4.6528.07 ± 4.6827.98 ± 4.65
    • ↵a P < .05 for preoperative versus prone.

    • ↵b P > .05 for balloon inflated versus prone.

    • ↵c P < .05 for postoperative versus preoperative.

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American Journal of Neuroradiology: 35 (1)
American Journal of Neuroradiology
Vol. 35, Issue 1
1 Jan 2014
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Cite this article
C. Xu, H.-X. Liu, H.-Z. Xu
Analysis of Related Factors on the Deformity Correction of Balloon Kyphoplasty
American Journal of Neuroradiology Jan 2014, 35 (1) 202-206; DOI: 10.3174/ajnr.A3617

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Analysis of Related Factors on the Deformity Correction of Balloon Kyphoplasty
C. Xu, H.-X. Liu, H.-Z. Xu
American Journal of Neuroradiology Jan 2014, 35 (1) 202-206; DOI: 10.3174/ajnr.A3617
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