{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T02:06:50Z","timestamp":1769738810945,"version":"3.49.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"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":["Arch Osteoporos"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title><jats:italic>Summary<\/jats:italic>\n<\/jats:title>\n<jats:p>K\u00fcmmell\u2019s disease (eponymous name for osteonecrosis and collapse of a vertebral body due to ischemia and non-union of anterior vertebral body wedge fractures after major trauma) cannot heal spontaneously. Bone-filling mesh container (BFMC) can significantly relieve pain, help the correction of kyphosis, and may prevent cement leakage. This pilot study may provide the basis for the design of future studies.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Purpose<\/jats:title>\n<jats:p>To compare the effectiveness and safety of BFMC and percutaneous kyphoplasty (PKP) for treatment of K\u00fcmmell\u2019s disease.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>From August 2016 to May 2018, 40 patients with K\u00fcmmell\u2019s disease were admitted to Guizhou Provincial People\u2019s Hospital. Among them, 20 patients (20 vertebral bodies) received PKP (PKP group) and the other 20 received BFMC (BFMC group). Operation time, Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Cobb\u2019s angle changes, and related complications were recorded.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>All patients underwent operations successfully. VAS scores and ODI of both groups at each postoperative time point were lower than preoperatively, with statistically significant difference (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Postoperative Cobb\u2019s angle of both groups postoperatively was lower than preoperatively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Cement leakage occurred in eight vertebrae (8\/20) in the PKP group and in one vertebra (1\/20) in the BFMC group. No complications such as pulmonary embolism, paraplegia, or perioperative death occurred during operation in both groups. Adjacent vertebral refractures occurred in five patients (5\/20) in the PKP group and in four patients (4\/20) in the BFMC group, with no significant difference in the incidence rate of refractures in both groups but the material is too small to verify statistically.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Both PKP and BFMC technologies can significantly relieve pain and help the correction of kyphosis while treating K\u00fcmmell\u2019s disease. Moreover, the BMFC may prevent cement leakage.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s11657-019-0656-4","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T21:01:25Z","timestamp":1574110885000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Bone-filling mesh container versus percutaneous kyphoplasty in treating K\u00fcmmell\u2019s disease"],"prefix":"10.1007","volume":"14","author":[{"given":"Z.-K.","family":"Duan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.-F.","family":"Zou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X.-L.","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.-D.","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.-J.","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,11,18]]},"reference":[{"issue":"1","key":"656_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3340\/jkns.2017.0505.010","volume":"61","author":"J Lim","year":"2018","unstructured":"Lim J, Choi SW, Youm JY, Kwon HJ, Kim SH, Koh HS (2018) Posttraumatic delayed vertebral collapse: Kummell\u2019s disease. 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