Percutaneous acrylic cement
vertebroplasty is known for its
pain-relieving effect in spinal
tumors and recently in osteoporotic vertebral collapse. To our knowledge no study has been published reporting the treatment of acute high energy post-traumatic fracture (mainly single burst fracture) by
vertebroplasty. Our purpose was to evaluate the technical feasibility of the cement injection at this acute phase, assess its the impact on the
pain and monitor spinal stability, by quantifying potential
kyphosis modification. Twelve patients with relative
contraindication of the orthopaedic treatment were treated by early injection after the
trauma for an A type fracture of the Magerl classification, without neurological sign. Patients surveys revealed a significant
pain reduction within the first day. Half of them reduced the
kyphosis angle, and the anterior height vertebral body significantly improved after the
vertebroplasty. The mean reduction in the
kyphosis angle was 8. No complication occurred except one extravertebral asymptomatic leak, with secondary increase of the
kyphosis.
Vertebroplasty performed in reduction position may allow a complete stabilization without
pain and furthermore can reduce the
kyphosis angle.