ArticleJournal of orthopaedic surgery and research2026
Clinical outcomes of short-segment cement-augmented pedicle screw fixation combined with vertebroplasty in patients with stage III Kummell's disease.
Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Percutaneous pedicle screw combined with percutaneous kyphoplasty for osteoporotic vertebral compression fractures with endplate depression: A randomized controlled trial.The Journal of international medical research · 2026Trial
- Preoperative Cobb angle-guided surgical decision-making between percutaneous kyphoplasty and short-segment fixation with vertebroplasty in stage III Kümmell disease without neurological deficits: a two-center retrospective study.Frontiers in endocrinology · 2026Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study evaluated the clinical utility of short-segment cement-augmented pedicle screw (SCAPS) fixation combined with vertebroplasty in patients with stage III Kummell's disease (KD).
methodsA retrospective analysis was conducted on 42 patients with stage III KD treated between January 2018 and December 2023. Frankel grades included C (n = 7), D (n = 15), and E (n = 20). All patients underwent SCAPS fixation with vertebroplasty. Perioperative variables, including operative duration and intraoperative blood loss, were recorded. Visual Analog Scale (VAS) pain scores, Oswestry Disability Index (ODI), anterior vertebral height (AVH), posterior vertebral height (PVH), Cobb angle, and Frankel grade were assessed preoperatively, one week postoperatively, and at the final follow-up. Complications were also documented.
resultsAll patients completed follow-up for 18 to 30 months (mean 24.52 ± 3.20 months). At one week postoperatively and at final follow-up, VAS, ODI, AVH, PVH, and Cobb angle demonstrated significant improvement relative to preoperative measurements (p < 0.05). At final follow-up, neurological function improved to Frankel grade E in 40 patients (95.2%). Asymptomatic cement leakage occurred in seven cases. Two adjacent vertebral fractures related to trauma were managed successfully with percutaneous kyphoplasty. No complications related to internal fixation were identified.
conclusionsSCAPS fixation combined with vertebroplasty appears to be a safe and effective surgical approach for stage III KD, with significant correction of spinal kyphosis, restoration of vertebral height, improvement in neurological function, and maintenance of long-term spinal stability.
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