Gökhan GÜRKAN, İsmail KAYA, Murat ATAR, İnan UZUNOĞLU, İlker Deniz CİNGÖZ, Baran TAŞKALA, Nurullah YÜCEER

Orta seviye torakal vertebra fraktürlerinde perkütan balon kifoplasti deneyimi

Amaç: Vertebra kırıklarında uygulanan perkütan balon kifoplasti yöntemi, popüler minimal invaziv bir tekniktir. Vertebra kırıkları çoğunlukla torakolomber bölgede meydana gelse de tüm vertebral kolonda kompresyon fraktürü görülebilir. Orta torakal seviyeler minimal invaziv işlemlerde komplikasyon açısından riskli bölgelerdendir. Çalışmamızda orta torakal vertebra kırıklarında uygulanan perkütan balon kifoplasti yönteminin vertebra yüksekliğine, kifoz açısına etkisini ve komplikasyonu olan sement kaçaklarını incelemeyi amaçladık. Gereç ve Yöntem: 2017-2020 yılları arasında tek ya da çoklu seviye orta torakal vertebra fraktürü nedeni ile kifoplasti uygulanan hastaların radyolojik görüntüleri, hasta dosyaları ve patoloji sonuçları retrospektif olarak incelendi. Bulgular: Çalışmaya toplamda 19 hasta (9 erkek ve 10 kadın) ve 28 işlem yapılan vertebra dâhil edildi. Hastaların yaş ortalaması 58.42 ± 18.79 (23-86) yıl olarak hesaplandı. Operasyon süresi 40,18 ± 15,01 dk (17-99) idi. İşlem sırasında kullanılan sement miktarı 3,68 ± 1,13 mL (1,5-7) idi. Postoperatif sement kaçağı 12 (%42,9) seviyede görüldü. Anterior ve median vertebra yükseklikleri ile kifoz açısı operasyon öncesine göre anlamlı ölçüde iyileşme gösterdi (p

Percutaneous balloon kyphoplasty experience in mid-thoracic vertebra fractures

Aim: Balloon kyphoplasty is a popular minimally invasive technique for vertebral fractures. Although vertebral fractures occur mostly in the thoracolumbar region, compression fractures can be seen in the entire vertebral column. The mid-thoracic levels are difficult areas in terms of complications in minimally invasive procedures. Our study aimed to examine the effect of balloon kyphoplasty on vertebral height, kyphosis angle, and cement leaks as a complication in mid-thoracic vertebral fractures. Materials and Methods: Radiological images, patient files, and pathology results of patients who underwent kyphoplasty due to a single or multiple mid-thoracic vertebral fractures between 2017 and 2020 were retrospectively analyzed. Results: A total of 19 patients (9 males and 10 females) and 28 operated vertebrae were included in the study. The mean age of the patients was 58.42±18.79 (23-86) years, and the mean operation time was 40.18±15.01 minutes (17-99). The amount of cement used during the procedures was 3.68±1.13 mL (1.5-7), and postoperative cement leakage was observed in 12 levels (42.9%). Anterior and median vertebral heights and kyphosis angle improved significantly compared to preoperative values (p

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