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68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
7. Joint Meeting mit der Britischen Gesellschaft für Neurochirurgie (SBNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

14. - 17. Mai 2017, Magdeburg

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Double balloon kyphoplasty (DBK) – a new technique for vertebral fracture treatment

Meeting Abstract

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  • Frank Hertel - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Hans Böcher-Schwarz - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Jan Koy - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Harald Standhardt - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Maxime Raket - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Nitish Gunness - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Christoph Berthold - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg
  • Lynn Schröder - Nationalabteilung für Neurochirurgie , Centre Hospitalier, Luxemburg, Luxembourg

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMO.26.08

doi: 10.3205/17dgnc162, urn:nbn:de:0183-17dgnc1623

Veröffentlicht: 9. Juni 2017

© 2017 Hertel et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: Balloon Kyphoplasty (BKP) has become an etsablished therapy of vertebral fractures (especially of type A ) within the last 2 decades. The goal of BKP is to remodel and to stabilize the fracture. Especially in higher grade fractures or in those with a loss of more than 70 % ofthe anterior vertebral body height, conventional BKP is not possible.

Methods: In double balloon kyphoplasty (DBKP), 2 balloons are mounted on each cathter and a separate inflation oft each one is possible.The available system is CE marked and therefore applicalble. Within the recent years, we applied this technique in a series of patients with different types of fractures. We report retrospectively our experience in 57 patients treated with DBKP within the last 3,5 years.

Results: 57 patients with a mean age of 59,8 y (18 – 89) were treated with DBKP. 37 with osteoporotic (OF) and 20 with traumatic (TF) fractures of types A 1-3 and B. DBKP was used in 40 patients a s stand alone and in 17 patients in combination with posterior transpedicilar fixation. There were no problems due tot he doble balloon technique. Some patients were treatable with DBKP, which had probably not been manageable by conventional BKP. Due tot he alternating inflation technique, remodelling with DBKP seems tob e more effective as in conventional BKP.

Conclusion: DBKP is a new techqique for kyphoplasyty. DBKP is safe. Vertebral body remodelling seems to be more effective, as in conventional BKP. DBKP opens up more possibilities fort he catheter placement in low garde (type A1) fractures. Even fractures with a high loss of anterior height may be treatable by DBKP. In combination with posterior fixation / decompression, it opens new treatment possibilities for augmentative minimal invasive techniques.