caa a22 4500 445834048 CHVBK 20180317145324.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00586-011-1766-x doi (NATIONALLICENCE)springer-10.1007/s00586-011-1766-x Anterior vertebroplasty of adjacent levels after vertebral body replacement [Elektronische Daten] [Florian Geiger, Konstantinos Kafchitsas, Michael Rauschmann] The aim of this study was to evaluate the feasibility of a new method, which should help to avoid cage subsidence after vertebrectomy in short fusions. After implantation of an extendable vertebral body replacement (VBR) the two adjacent endplates to the fractured or destroyed vertebra were augmented with bone cement using the anterior approach in 20 patients with short circumferential fusion. All patients were followed up for 2years clinically and radiographically. X-rays were reviewed for kyphosis, cage subsidence, presence of a solid fusion mass and instrumentation failure. Changes in every day activities (Oswestry Disability Index-ODI) and visual analogue scale (VAS), pain score, as well as technique-related complications were examined. The mean amount of kyphosis correction was 12.8° (±6.4°) and changed by only 0.3° (±0.4°) until last follow-up. Pain (VAS) and ODI scores were significantly improved and did not change until last follow-up. In all but two cases, the authors observed solid union with incorporation of the cage. No surgery-related complications were recorded. In one case revision was advised because of non-union due to septic loosening. The augmentation of the adjacent vertebras after anterior VBR provides an enhancement of the interface between cage and vertebra in cases with poor bone quality and in revision surgery. The technique is simple and safe, as the needles can be placed under visual control. Cement augmentation of the endplates may reduce interbody device subsidence. Springer-Verlag, 2011 Anterior vertebroplasty nationallicence Extendable cages nationallicence Cement augmentation nationallicence Corporectomy nationallicence Spinal fusion nationallicence Spinal instrumentation nationallicence Geiger Florian Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut Kafchitsas Konstantinos Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut Rauschmann Michael Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut European Spine Journal Springer-Verlag 20/8(2011-08-01), 1385-1392 0940-6719 20:8<1385 2011 20 586 https://doi.org/10.1007/s00586-011-1766-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1766-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Geiger Florian Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut NATIONALLICENCE 700 1- Kafchitsas Konstantinos Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut NATIONALLICENCE 700 1- Rauschmann Michael Department of Spine Surgery, Johann Wolfgang Goethe University, Marienburgstr. 2, 60528, Frankfurt, Germany aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/8(2011-08-01), 1385-1392 0940-6719 20:8<1385 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer