Efficiency of Vertebroplasty with Calcium Composite Bone Graft (GeneX) Combined With Pedicle Screws Fixation in Thoracolumbar Fractures

Abstract

The goal of Genex is to ‘‘seal out’’ the intervertebral disc by aligning and lifting the fractured end plates to a (near) anatomical position and when we augmented the vertebral body with Genex we achieved central end plate reduction in most of patients preventing anterior column insufficiency with subsequent minimizing disability resulted from the fracture. As we found in our series results kyphotic angles at the final follow up indicates good central body healing and support with minimal collapse of the fractured vertebrae at follow up period. When there is significant disruption of the load-sharing anterior column, the simple one level above and one level below short segment fixation does not ensure adequate stability, resulting in poor reduction in the kyphotic deformity and occurrence of instrument failure, we did short segment fixation plus vertebral augmentation without instrumentation failure at the final follow up