VESSELPLASTY A NEW CONCEPT TO TREAT STABLE VERTEBRAL COMPRESSION FRACTURES

Darwono, A.B. , Dept of Orthopaedic Surgery

The ArmyCentralHospital / RSPAD, JakartaIndonesia.

Abstract

Introduction :

Since Vertebroplasty is indicated for Vertebral compression fractures due to

osteoporosis, non osteoporotic stable compression fractures, and compression

fractures due to malignancy. It can not restore the vertebral body height, but improves the quality of patient’s life during the natural healing of the bone.

Kyphoplasty is indicated to restore the vertebral body height of an osteoporotic vertebral compression fractures. Using bilateral pressured ballon until 200 psi, it can restore the vertebral body height. The ballons are then removed and the void created by ballons is filled with bone cement. Some collapsing void can occur while removing the ballon because the pressure reduces below 200 psi until zero, some leakage of cement through the fracture’s side can occur if certain amount introduced with high pressure, and some cases of rebound phenomen was reported in severe osteoporotic patients.

Vesselplasty is a new technique advancing the kyphoplasty technique due to its controllable void / volume, and controllable leakage. Instead of using ballon this technique use a PET artificial vessel to restore the vertebral body height under pressure of 200 psi. As the pressure is starting to be over 200 psi, the cement start to penetrate 120 u pores, interdigitate the surrounding bone, and the vessel is left as an implant. It can controle the created void in vertebral body, and also the leakage of cement during the procedure as the pore size is controllable.

Result :

Reported of 22 cases vesselplasty since July 2004.

Discussion :

Vesselplasty provides a promising alternative to kyphoplasty as a method of treatment of osteoporotic vertebral compression fractures due to its controllable void and leakage.

Conclusion :

• Vessel plasty is atechnique of Minimally Invasive Treatment for osteoporotic vertebral body fractures.

2.Vesselplasty fulfills the CONCEPT ofMIT:

• Evidence Based Treatment
• Minimum in invasion
• Maximum in result

3.As a preliminary report studythe future result still need a long term study.

(Key words : Minimal invasive, Vertebroplasty, Kyphoplasty, Vesselplasty,

Lumbar disc herniation, Osteoporosis, Compression fractures)

PASMISSTOKYOAugust18 – 20,2005.