ArticleOrthopaedic surgery2020
Different Performance of Intravertebral Vacuum Clefts in Kümmell's Disease and Relevant Treatment Strategies.
Article in Orthopaedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Efficacy and safety of vertebroplasty versus posterior pedicle screw in treating stage III Kummell's disease without neurological deficits: A systematic review and meta-analysis.The Journal of international medical research · 2025Pooled it
- Vertebral augmentation plus short-segment fixation versus vertebral augmentation alone in Kümmell's disease: a systematic review and meta-analysis.Neurosurgical review · 2022Pooled it
- Analysis of two minimally invasive procedures for osteoporotic vertebral compression fractures with intravertebral cleft: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Robot-assisted modified unilateral percutaneous vertebroplasty for lumbar Kümmell's disease: a randomized controlled trial.Journal of robotic surgery · 2026Trial
- Microscopic far lateral transforaminal lumbar/thoracolumbar interbody fusion for patients with kyphotic Kummell's disease - a retrospective comparison study with bone cement enhanced screws plus vertebroplasty.BMC musculoskeletal disorders · 2026Article
- External validation of predictive models for new vertebral fractures following percutaneous vertebroplasty.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- A retrospective comparative study of traditional PVP and bone cement pedicle-anchored PVP techniques for stage I and II Kümmell's disease.BMC musculoskeletal disorders · 2026Article
- Efficacy of Acupuncture in the Treatment of Residual Pain After Osteoporotic Vertebral Compression Fractures Percutaneous Vertebroplasty Among Older Adults: A Study Protocol for a Randomized Controlled Clinical Trial.Journal of pain research · 2026Article
- A Comparative Study of 2 Techniques to Avoid Bone Cement Loosening and Displacement After Percutaneous Vertebroplasty Treating Unstable Kummell Disease.Neurospine · 2024Article
- Efficacy and Safety of High-Viscosity Bone Cement in Percutaneous Vertebroplasty for Kummell's Disease.Indian journal of orthopaedics · 2024Article
- Analysis of factors influencing the intravertebral shell phenomenon after posterior reduction internal fixation of thoracolumbar fracture: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Hollow Screw Placement Combined with Percutaneous Vertebroplasty Serves as a Valuable Three-Column Intensive Treatment for Patients with Kummell's Disease and Pedicle Rupture.Journal of pain research · 2024Article
- Prevention of Bone Cement Displacement in Kümmell Disease without Neurological Deficits through Treatment with a Novel Hollow Pedicle Screw Combined with Kyphoplasty.Orthopaedic surgery · 2023Article
- Evaluation of the clinical efficacy of the bilateral pedicle cement anchoring technique in percutaneous vertebroplasty for Kümmell disease.Experimental and therapeutic medicine · 2023Article
- Magnetic Resonance Imaging Negative Spine Trauma Followed by a Delayed Intravertebral Vacuum Cleft-Kümmell's Disease: A Case Report and Literature Review.Orthopaedic surgery · 2023Review
- Biomechanical evaluation of a novel minimally invasive pedicle bone cement screw applied to the treatment of Kümmel's disease in porcine vertebrae.Frontiers in bioengineering and biotechnology · 2023Article
- Incidence, Risk Factors, and Outcomes of Symptomatic Bone Cement Displacement following Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fracture: A Single Center Study.Journal of clinical medicine · 2022Article
- Analysis of strategy and efficacy clinical treatments of Kümmell disease: a cohort study.Annals of translational medicine · 2022Article
- Consecutive Kummell's Disease Combined with Parkinson's Disease and Experienced Internal Fixation Failure: A Case Report and Literature Review.Orthopaedic surgery · 2022Review
- Percutaneous Kyphoplasty Versus Percutaneous Vertebroplasty for Neurologically Intact Osteoporotic Kümmell's Disease: A Systematic Review and Meta-Analysis.Global spine journal · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThis study aimed to present the different pattern of intravertebral vacuum cleft (IVC) related to high risk of cement complications in minimally invasive treatments for Kümmell's disease (KD) and relevant treatment strategies.
methodsA retrospective study from January 2016 to January 2018 was conducted at Wuhan Fourth Hospital and comprised 35 patients with Kümmell's disease. There were seven males and 28 females, and the mean age of the patients was 70.4 years. The patterns of IVC in KD were analyzed. These patients were divided into three groups based on the treatment method used. The treatment methods included long-segment fixation (LSF), posterior short-segment fixation (SSF), and percutaneous kyphoplasty (PKP). We retrospectively reviewed outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) score, anterior height of affected vertebrae, kyphotic Cobb angle, and complications.
resultsAll patients were followed up for 12-38 months. According to their radiographic appearance we could observe two main patterns of clefts. Pattern I, clefts that were found to be near to the endplate and connected with intervertebral space, the endplate was incomplete. Pattern II, IVC traversed to anterior edge of the vertebral body affected. Both were related to high risk of cement complications in minimal invasive treatments for KD. Good results have been achieved in LSF and SSF groups, the VAS, ODI, anterior height of affected vertebrae and kyphotic Cobb angle showed statistically significant differences between pre- and post-operation and between pre- and final follow-up (P < 0.05). In PKP group, although the VSA and ODI showed statistically significant differences between pre- and post-operation and between pre- and final follow-up (P < 0.05), we could observe that the VSA and ODI rebounded a little at the final follow-up. Cement leakage into intervertebral space occurred in four (44.45%) patients of PKP group.
conclusionsPKP should be chosen carefully if the IVC of the patient presents to be pattern I or II. LSF and SSF are safe and effective, and can achieve satisfactory correction of kyphosis and vertebral height, with pain relief and improvement in patient's daily life, with few complications.
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