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Semin Musculoskelet Radiol 2017; 21(03): 349-356
DOI: 10.1055/s-0037-1602407
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Treatment of Vertebral Fractures

Mario Muto
1   Department of Neuroradiology, Ospedale A. Cardarelli, Naples, Italy
,
Francesco Giurazza
2   Department of Radiology, Università Campus Bio-Medico, Rome, Italy
,
Gianluigi Guarnieri
1   Department of Neuroradiology, Ospedale A. Cardarelli, Naples, Italy
,
Vittorio Miele
3   Department of Radiology, Azienda Ospedaliera Universitaria Careggi, Florence, Italy
,
Stefano Marcia
4   Department of Radiology, Ospedale Santissima Trinità, Cagliari, Italy
,
Salvatore Masala
5   Department of Musculoskeletal Radiology, Università degli Studi Tor Vergata, Rome, Italy
,
Giuseppe Guglielmi
6   Department of Radiology, University of Foggia, Foggia, Italy
7   Department of Radiology, Scientific Institute “Casa Sollievo della Sofferenza” Hospital, Foggia, Italy
› Author Affiliations
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Publication History

Publication Date:
01 June 2017 (online)

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Abstract

The thoracolumbar junction and lumbosacral segment are the portions of the spinal column most prone to acute traumatic fractures. Multiple classifications and injury severity score systems have been published to standardize the management of patients, establishing stable/unstable and surgical/nonsurgical fractures. In the past, patients could be treated only by surgical stabilization or conservative methods. The latter implied bed rest, long immobilization periods, prolonged drugs therapies, and, at worst, the evolution of kyphosis. Percutaneous mini-invasive treatments have been developed to improve the quality of life of patients affected by stable fractures, by rapidly recovering mobility and preventing deformity of the spinal column. These approaches, based on assisted techniques, imply the placement of different types of expandable bone implant systems. We discuss the treatment of vertebral fractures, focusing on percutaneous procedures and analyzing indications, contraindications, and outcomes of patients affected by vertebral nonosteoporotic/nonneoplastic but traumatic fractures.

Keywords

trauma - vertebral fracture - percutaneous - assisted techniques - bone implant systems
 

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