CHEN Bailing,XIE Denghui,LI Yiqiang.Effects of cross-midline cement distribution on the stiffness of varied sites in compressive fractured vertebrae after unipedicular PKP:a biomechanical study[J].Chinese Journal of Spine and Spinal Cord,2011,(2):118-121.
Effects of cross-midline cement distribution on the stiffness of varied sites in compressive fractured vertebrae after unipedicular PKP:a biomechanical study
Received:August 10, 2010  Revised:October 27, 2010
English Keywords:Biomechanics  Percutaneous kyphoplasty  Bone cement  Lateral compression
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Author NameAffiliation
CHEN Bailing Department of Spine Surgery1st Affiliated Hospital of Sun Yat-sen UniversityGuangzhou510080China 
XIE Denghui  
LI Yiqiang  
庄新明  
杨晓曦  
于滨生  
郑召民  
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English Abstract:
  【Abstract】 Objective:To evaluate the effects of cross-midline cement injection on axial and bilateral vertebral stiffness of varied sites in compressive fractured vertebrae after unipedicular PKP.Method:Vertebral bodies harvested from 3 cadaver spines(T4-L1) were experimentally induced into compressive vertebral fractures models by MTS.Subsequently the specimens were stabilized using transpedicular balloon-assisted PKP(group A,n=9,unipedicular hemivertebral,non cross-midline cement injection,group B,n=8,unipedicular cross-midline cement injection) and the volume of cement filling were 10% of the vertebral body.Then the stablized vertebral bodies were subjected to axial and sided compression loads(0-300N,cycled) by MTS 24 hours later.After that,the stiffness was measured and compared between the two groups.Result:Under axial loading,the stiffness between group A and B showed no significant difference(P>0.05).While under sided compression loading,despite of no difference of stiffness in penetration side between group A and B(P>0.05),the stiffness in non-penetration side in group B increased more than that in group A(P<0.05).Conclusion:When performing unipedicular balloon-assisted kyphoplasty,cross-midline cement distribution or not will impact the side-related stiffness significantly.
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