Vertebroplasty with Calcium Composite Bone Graft Combined with Pedicle Screws Fixation in Thoracolumbar Fractures,
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- Category: Vol. 84, March 2016
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Vertebroplasty with Calcium Composite Bone Graft Combined with Pedicle Screws Fixation in Thoracolumbar Fractures, MOHAMMED A. MOUSSA, MOHAMED M. MAROUF, MOHAMED FOUAD, HOSAM S. TAHA, KAMAL S. ABD EL-MAGUID and MOHAMMED A. KADDAH
Abstract
Introduction: Posterior reduction probably reduces only the periphery of the endplate with its strong annular attach-ments while the central area remains depressed allowing for efficient realignment of the spine, direct and indirect decom-pression. With distraction force, restoration of vertebral body height and partial clearance of bone or discal fragments from within the spinal canal by ligamentotaxis can be achieved; the kyphosis gradually recurs in the rehabilitative phase.
Aim of the Work: To evaluate the therapeutic effect of vertebroplasty with calcium composite bone graft (GeneX)R* combined with pedicle screws fixation in thoracolumbar fractures.
Patients and Methods: The study was performed on 29 vertebrae in 24 patients with burst fractures for whom trans-pedicular calcium composite bone graft (GeneX) and posterior spinal fixation was performed.
Results: By using transpedicular calcium composite bone graft (GeneX) and posterior spinal fixation success was detected by immediate and follow-up of cobb's angle.
Conclusion: Transpedicular restoration of endplate integ-rity and anterior column support by calcium composite bone graft (GeneX) and posterior spinal fixation is an effective and safe method to prevent later collapse.