B Darwono. Could Vesselplasty, Vessel-Lock, And Srha Be The Solution For Osteoporotic Vcfs Problems. The Internet Journal of Minimally Invasive Spinal Technology. 2010 Volume 4 Number 1.
IntroductionThe problems of vertebral compression fractures (VCFs) in the osteoporotic elderly group is very complex, bringing a downward spiral that worsening the quality of life (QoL) and increasing mortality rate to 23 %. Many non-fusion percutaneous techniques are developed to cut the downward spiral and improving the QoL of this group ie. Vertebroplasty and Kyphoplasty. In most Kyphoplasty the tools are withdrawn then inject cement inside the created void like vertebroplasty and have a risk of leakage. The New technique Vesselplasty use a non stretchable PET container and inject cement inside the container then left as an implant body expander. The container prevent the leakage risk of the cement, but the interdigitation of cement mimics a controllable vertebroplasty so it need a proper justification to end the procedure. Vessel-lock is a later development combining cannulated screw and Vessel-X to be used for fusion technique The new SrHA cement is an osteoinductive and osteoconductive materials with less heat production (<65° C) is suitable to be used in this technique.Materials and Methods