Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 23;14(1):29069.
doi: 10.1038/s41598-024-80890-5.

A novel treatment option for Kummell's disease using percutaneous kyphoplasty with a mesh-hold bone filling container

Bingyan Mao  1 , Wencong Wang  2 , Qiang Wang  2 , Lei Li  2
Affiliations
Free article

A novel treatment option for Kummell's disease using percutaneous kyphoplasty with a mesh-hold bone filling container

Bingyan Mao et al. Sci Rep. .
Free article

Abstract

Percutaneous kyphoplasty (PKP) is an effective, minimally invasive treatment for Kummell's disease, but challenges like cement leakage, fracture, and displacement remain. This study explores the use of PKP with a mesh-hold bone filling container for this disease.A retrospective analysis was conducted on nine Kummell's disease cases treated with this technique at a spinal surgery department from June 2016 to May 2022. Pre- and postoperative evaluations included X-rays, CT scans, and 3D reconstructions. Parameters like vertebral heights, kyphotic angle, operation time, blood loss, and bone cement issues were measured. Efficacy was assessed using ODI and VAS scores.Statistical analysis showed no significant difference in posterior vertebral height before and after treatment. All other indexes improved significantly postoperatively and at follow-up. No cement leakage or displacement occurred.PKP with a mesh-hold bone filling container is a promising treatment for Kummell's disease. It enhances reduction quality, ensures adequate bone cement filling, and reduces issues related to cement leakage, fracture, and displacement.

Keywords: Cement displacement; Cement fracture; Cement leakage; Kummell’s disease; Percutaneous kyphoplasty (PKP); Polymethyl methacrylate.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics approval and consent to participate: This work has been carried out in accordance with the Declaration of Helsinki (2000) of the World Medical Association. This work was approved by the Ethics Committee of Shimen County People’s Hospital (K2024002). Informed consent was obtained from all patients. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

References

    1. Li, H., Liang, C. Z. & Chen, Q. X. Kümmell’s disease, an uncommon and complicated spinal disorder: A review. J. Int. Med. Res. 40, 406–414 (2012). - DOI - PubMed
    1. Kim, Y. C., Kim, Y. H. & Ha, K. Y. Pathomechanism of intravertebral clefts in osteoporotic compression fractures of the spine. Spine J. 14, 659–666 (2014). - DOI - PubMed
    1. Pappou, I. P., Papadopoulos, E. C., Swanson, A. N., Cammisa, F. P. Jr. & Girardi F. P. Osteoporotic vertebral fractures and collapse with intravertebral vacuum sign (Kümmel’s disease). Orthopedics 31, 61–66 (2008). - DOI - PubMed
    1. Fabbriciani, G. et al. Osteoanabolic therapy: A non-surgical option of treatment for Kümmell’s disease? Rheumatol. Int. 32, 1371–1374 (2012). - DOI - PubMed
    1. K., H. Die rarefizierende Ostitisder Wirbelkorper. Deutsch Med. 21, 180–181 (1895).

LinkOut - more resources