Stellenwert der Kypho- und Vertebroplastie bei der Versorgung thorakolumbaler Frakturen

Abstract

The extension of vertebroplasty to kyphoplasty has reduced the complications often associated with the vertebroplasty procedure. The use of pressured balloons in kyphoplasty has also extended the indications for vertebroplasty. The short operating time, the slight load on the patient, and the high stability achieved in kyphoplasty allow this treatment to be used for fresh fractures of types A1 and A3.1. However, preoperative investigations must be sure to rule out disc lesions and/or fractures of types B and C. The use of vertebroplasty mainly allows pain reduction in osteoporotic fractures of types A1.1 and A1.2 but not reduction of the fracture. Because of this, since 2004 we have preferred kyphoplasty, which allows both pain reduction and fracture reduction, over vertebroplasty. © 2008 Springer Medizin Verlag.