gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

Article

Send article

Radiofrequency-Kyphoplasty: Indication, technique and results in a consecutive series of 97 patients

Meeting Abstract

Search Medline for

  • Steffen Reissberg - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg
  • Lina Luedeke - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg
  • Muhammed Makki - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg
  • Carmen Wonke - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg
  • Sabine Balschat - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg
  • Michael J. Fritsch - Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocMO.20.05

doi: 10.3205/13dgnc177, urn:nbn:de:0183-13dgnc1770

Published: May 21, 2013

© 2013 Reissberg et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective: Ballon kyphoplasty is an established method to treat thoracic and lumbar spine fractures. We present clinical results of a new alternative method: radiofrequency kyphoplasty. In our experience this method has significant advantages, because it is almost non- destructive on the bone, safe to apply and causing almost immediate pain relief.

Method: Within the time period from March 2011 to August 2012 we treated 97 consecutive patients with a total amount of 125 treated vertebral levels (63 thoracic spine, 62 lumbar spine). The minimum follow-up is 3 months, the average follow-up is 12 months. The first 45 patients were treated in general anesthesia, the remaining 52 patients in local anesthesia. All patients received an X-ray after mobilisation and were evaluated using the VAS pain score. The mean age on all patients was 72 years. The duration in general anesthesia was 75 minutes on average and in local anesthesia 38 minutes on average.

Results: No complication occurred. In 9 treted levels we had extrusion of cement without neurologic consequences and without venous emboli. All patients were mobilized the day after kyphoplasty. Pain improved from 7,6 pre-treatment to 2,3 post-treatment. In follow-up we saw 3 adjacent level new fractures.

Conclusions: Radiofrequency kyphoplasty is a reliabe safe and fast technique leding to clinically excellent results.