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Kyphoplasty in the Management of Traumatic Vertebral Fractures Secondary to Motor Vehicle Accident 2003

Lin JT, Lane JM
Hospital for Special Surgery
New York, NY

Kyphoplasty is a new minimally invasive procedure of the spine that has been utilized primarily in osteoporotic vertebral compression fractures to minimize pain and to correct kyphotic deformities. Dramatic improvements in both symptoms and function have been reported in patients with osteoporotic vertebral compression fractures. To date, there have been no reports of kyphoplasty use in patients with traumatic high energy vertebral compression fractures. We describe the first reported case of kyphoplasty in a 44 year old male with traumatic compression fractures sustained in a motor vehicle accident. The patient underwent pre-and post-kyphoplasty measurements utilizing plain thoracolumbar radiographs. In addition, pre-and post-kyphoplasty evaluation using Short-Form (SF-36) was obtained. The patient underwent two-level kyphoplasty successsfully, with significant improvements noted in vertebral body height and kyphosis. In addition, he experienced dramatic improvement in his pain symptoms, measured on SF-36, after kyphoplasty. We propose that the indications of kyphoplasty may be expanded to include traumatic etiologies such as motor vehicle accident.
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Presenting author: Julie T. Lin, MD (not an ASSR member)

Has not been previously presented, but accepted for poster presentation at the Association of Academic Physiatrists 2003 Annual Meeting, March 2003.