{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:21:38Z","timestamp":1793830898437,"version":"4.6.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To evaluate the feasibility of spondyloplasty with SpineJack\n                      <jats:sup>\u00ae<\/jats:sup>\n                      implants in patients with thin vertebral pedicles, outside the manufacturer\u2019s recommendation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      In this retrospective bicentric study, all patients treated with spondyloplasty using SpineJack\n                      <jats:sup>\u00ae<\/jats:sup>\n                      implants for traumatic, porotic or malignant vertebral compression fractures were enrolled. Pedicle diameter was assessed to classify patients into the \u201cThin Pedicle\u201d (TP) group, outside the manufacturer\u2019s recommendation (&lt;\u20095\u2009mm and\/or safety margin &lt;\u20090.8\u2009mm between implant and pedicle), or into the \u201cAdvised Pedicle Size\u201c (APS) group. The primary outcome was correct implant positioning on postoperative imaging. Secondary outcomes included restoration of vertebral height, procedure duration, radiation dose, hospital stay, and complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 148 patients (mean age 49\u2009\u00b1\u200937 years ; 55% of male) underwent 151 spondyloplasties: 51 in the TP group and 100 in the APS group. Correct implant positioning was achieved in all procedures in both groups (100%). There was no significant difference in vertebral height restoration (81% vs. 71%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.058). Radiation exposure was significantly lower in the TP group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), while procedure duration and hospital stay were comparable, with 55% of procedures performed on an outpatient basis. Complication rates did not differ significantly, consisting mostly of cement leakages (20% vs. 19%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.93).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Spondyloplasty with SpineJack\n                      <jats:sup>\u00ae<\/jats:sup>\n                      implants under radiological guidance appears feasible and safe in patients with thin pedicles, even when the pedicle size is below the manufacturer\u2019s suggested threshold.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Question<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>Does pedicle size below recommended thresholds affect procedural feasibility, safety, and clinical outcomes when performing SpineJack\u00ae implantation under radiological guidance?<\/jats:italic>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Findings<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>SpineJack\u00ae implantation achieved 100% correct positioning in thin pedicles, with complication rates, procedure duration, and hospital stay comparable to standard pedicle sizes<\/jats:italic>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Clinical relevance<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>These findings support expanding SpineJack\u00ae indications to patients with narrow pedicles, increasing access to safe and efficient minimally invasive vertebral fracture treatment for a broader patient population<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00330-026-12719-w","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:43:07Z","timestamp":1783604587000},"page":"8043-8051","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of spondyloplasty with SpineJack\u00ae implants in patients with thin vertebral pedicles"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7049-2485","authenticated-orcid":false,"given":"Marion","family":"Bouchet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Baptiste","family":"Pialat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastien","family":"Chalamet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Boulade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Mayard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Kastler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Grange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Stacoffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"12719_CR1","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1016\/j.amjmed.2022.02.035","volume":"135","author":"D Alsoof","year":"2022","unstructured":"Alsoof D, Anderson G, McDonald CL, Basques B, Kuris E, Daniels AH (2022) Diagnosis and management of vertebral compression fracture. 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