{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:24:02Z","timestamp":1794324242077,"version":"4.9.0"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Vertebroplasty and balloon kyphoplasty are effective treatment options for osteoporotic vertebral compression fractures but are limited in correction of kyphotic deformity. Lordoplasty has been reported as an alternative, cost-effective, minimally invasive, percutaneous cement augmentation technique with good restoration of vertebral body height and alignment. The authors report on its clinical and radiological midterm results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective review was conducted of patients treated with lordoplasty from 2002 to 2014. Inclusion criteria were clinical and radiological follow-up evaluations longer than 24 months. Radiographs were accessed regarding initial correction and progressive loss of reduction. Complications and reoperations were recorded. Actual pain level, pain relief immediately after surgery, autonomy, and subjective impression of improvement of posture were assessed by questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Sixty-five patients (46 women, 19 men, age range 38.9\u201386.2 years old) were treated with lordoplasty for 69 vertebral compression and insufficiency fractures. A significant correction of the vertebral kyphotic angle (mean 13\u00b0) and segmental kyphotic angle (mean 11\u00b0) over a mean follow-up of 33 months (range 24\u2013108 months) was achieved (p &lt; 0.001). On average, pain was relieved to 90% of the initial pain level. In 24% of the 65 patients a second spinal intervention was necessary: 16 distant (24.6%) and 7 adjacent (10.8%) new osteoporotic fractures, 4 instrumented stabilizations (6.2%), 1 new adjacent traumatic fracture (1.5%), and 1 distant microsurgical decompression (1.5%). Cement leakage occurred in 10.4% but was only symptomatic in 1 case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Lordoplasty appeared safe and effective in midterm pain alleviation and restoration of kyphotic deformity in osteoporotic compression and insufficiency fractures. The outcomes of lordoplasty are consistent with other augmentation techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2015.10.spine151016","type":"journal-article","created":{"date-parts":[[2016,2,19]],"date-time":"2016-02-19T10:01:49Z","timestamp":1455876109000},"page":"922-927","source":"Crossref","is-referenced-by-count":5,"title":["Lordoplasty: midterm outcome of an alternative augmentation technique for vertebral fractures"],"prefix":"10.3171","volume":"24","author":[{"given":"Sven","family":"Hoppe","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Inselspital, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Budmiger","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inselspital, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Bissig","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inselspital, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emin","family":"Aghayev","sequence":"additional","affiliation":[{"name":"Institute for Evaluative Research in Medicine, University of Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorin M.","family":"Benneker","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inselspital, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1097\/00007632-200004150-00005","article-title":"Percutaneous vertebroplasty for pain relief and spinal stabilization","volume":"25","author":"Barr","year":"2000"},{"key":"b2-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1097\/BRS.0b013e31819481b1","article-title":"Prophylactic vertebroplasty may reduce the risk of adjacent intact vertebra from fatigue injury: an ex vivo biomechanical study","volume":"34","author":"Chiang","year":"2009"},{"issue":"Suppl 6","key":"b3-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"S792","DOI":"10.1007\/s00586-011-1989-x","article-title":"Safety, effectiveness and predictors for early reoperation in therapeutic and prophylactic vertebroplasty: short-term results of a prospective case series of patients with osteoporotic vertebral fractures","volume":"21","author":"Diel","year":"2012"},{"key":"b4-spine151016","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1016\/j.spinee.2007.04.004","article-title":"Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta-analysis of the literature","volume":"8","author":"Eck","year":"2008"},{"key":"b5-spine151016","series-title":"Clin Orthop Surg","doi-asserted-by":"publisher","first-page":"203","DOI":"10.4055\/cios.2010.2.4.203","article-title":"Revision surgery after vertebroplasty or kyphoplasty","volume":"2","author":"Ha","year":"2010"},{"key":"b6-spine151016","series-title":"Injury","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.injury.2010.03.025","article-title":"Kyphoplasty as an alternative treatment of traumatic thoracolumbar burst fractures Magerl type A3","volume":"43","author":"Hartmann","year":"2012"},{"issue":"Suppl 2","key":"b7-spine151016","series-title":"Osteoporos Int","doi-asserted-by":"publisher","first-page":"S85","DOI":"10.1007\/s00198-004-1723-1","article-title":"The current treatment\u2014a survey of osteoporotic fracture treatment. Osteoporotic spine fractures: the spine surgeon's perspective","volume":"16","author":"Heini","year":"2005"},{"key":"b8-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1007\/s005860000204","article-title":"Augmentation of mechanical properties in osteoporotic vertebral bones\u2014a biomechanical investigation of vertebroplasty efficacy with different bone cements","volume":"10","author":"Heini","year":"2001"},{"key":"b9-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1007\/s00586-003-0654-4","article-title":"Kyphoplasty for treatment of osteoporotic vertebral fractures","volume":"13","author":"Heini","year":"2004"},{"key":"b10-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1007\/s005860000182","article-title":"Percutaneous transpedicular vertebroplasty with PMMA: operative technique and early results. A prospective study for the treatment of osteoporotic compression fractures","volume":"9","author":"Heini","year":"2000"},{"key":"b11-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1540","DOI":"10.1097\/01.BRS.0000076822.61468.7D","article-title":"Biomechanical effects of unipedicular vertebroplasty on intact vertebrae","volume":"28","author":"Higgins","year":"2003"},{"key":"b12-spine151016","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"2063","DOI":"10.1016\/j.spinee.2013.12.019","article-title":"Real-life results of balloon kyphoplasty for vertebral compression fractures from the SWISSspine registry","volume":"14","author":"H\u00fcbschle","year":"2014"},{"key":"b13-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1983","DOI":"10.1097\/01.brs.0000229254.89952.6b","article-title":"Vertebroplasty and kyphoplasty: a systematic review of 69 clinical studies","volume":"31","author":"Hulme","year":"2006"},{"key":"b14-spine151016","series-title":"Clin Orthop Surg","doi-asserted-by":"publisher","first-page":"161","DOI":"10.4055\/cios.2011.3.2.161","article-title":"Lordoplasty: an alternative technique for the treatment of osteoporotic compression fracture","volume":"3","author":"Jeon","year":"2011"},{"key":"b15-spine151016","series-title":"Asian Spine J","doi-asserted-by":"publisher","first-page":"102","DOI":"10.4184\/asj.2010.4.2.102","article-title":"Comparison of kyphoplasty and lordoplasty in the treatment of osteoporotic vertebral compression fracture","volume":"4","author":"Kim","year":"2010"},{"key":"b16-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"920","DOI":"10.1007\/s00586-011-2119-5","article-title":"The effect of standard and low-modulus cement augmentation on the stiffness, strength, and endplate pressure distribution in vertebroplasty","volume":"21","author":"Kinzl","year":"2012"},{"key":"b17-spine151016","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1016\/S0140-6736(10)60954-3","article-title":"Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial","volume":"376","author":"Klazen","year":"2010"},{"key":"b18-spine151016","series-title":"Injury","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.1016\/j.injury.2011.04.006","article-title":"Early results after vertebral body stenting for fractures of the anterior column of the thoracolumbar spine","volume":"42","author":"Klezl","year":"2011"},{"key":"b19-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1097\/00007632-200101010-00012","article-title":"Measurement of thoracic and lumbar fracture kyphosis: evaluation of intraobserver, interobserver, and technique variability","volume":"26","author":"Kuklo","year":"2001"},{"key":"b20-spine151016","series-title":"J Vasc Interv Radiol","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.jvir.2007.09.008","article-title":"New vertebral osteoporotic compression fractures after percutaneous vertebroplasty: retrospective analysis of risk factors","volume":"19","author":"Lin","year":"2008"},{"key":"b21-spine151016","series-title":"Osteoporos Int","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s00198-004-1646-x","article-title":"One year outcomes and costs following a vertebral fracture","volume":"16","author":"Lindsay","year":"2005"},{"key":"b22-spine151016","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1001\/jama.285.3.320","article-title":"Risk of new vertebral fracture in the year following a fracture","volume":"285","author":"Lindsay","year":"2001"},{"key":"b23-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1007\/BF02221591","article-title":"A comprehensive classification of thoracic and lumbar injuries","volume":"3","author":"Magerl","year":"1994"},{"key":"b24-spine151016","series-title":"J Bone Miner Res","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1359\/jbmr.2003.18.1.24","article-title":"The dynamic mobility of vertebral compression fractures","volume":"18","author":"McKiernan","year":"2003"},{"key":"b25-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1007\/s00586-006-0108-x","article-title":"Lordoplasty: report on early results with a new technique for the treatment of vertebral compression fractures to restore the lordosis","volume":"15","author":"Orler","year":"2006"},{"key":"b26-spine151016","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1007\/s00234-002-0856-1","article-title":"Percutaneous vertebroplasty: long-term clinical and radiological outcome","volume":"44","author":"P\u00e9rez-Higueras","year":"2002"},{"key":"b27-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1749","DOI":"10.1007\/s00586-006-0159-z","article-title":"Percutaneous vertebroplasty as a treatment for osteoporotic vertebral compression fractures: a systematic review","volume":"15","author":"Ploeg","year":"2006"},{"key":"b28-spine151016","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1332","DOI":"10.1007\/s00586-013-3052-6","article-title":"Incidence and risk factors for early adjacent vertebral fractures after balloon kyphoplasty for osteoporotic fractures: analysis of the SWISSspine registry","volume":"23","author":"Spross","year":"2014"},{"key":"b29-spine151016","series-title":"Clin Imaging","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S0899-7071(01)00350-3","article-title":"Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures","volume":"26","author":"Theodorou","year":"2002"},{"key":"b30-spine151016","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2806","DOI":"10.1097\/01.brs.0000190885.85675.a0","article-title":"Balloon kyphoplasty is effective in deformity correction of osteoporotic vertebral compression fractures","volume":"30","author":"Voggenreiter","year":"2005"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/6\/article-p922.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/6\/article-p922.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/6\/article-p922.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T17:56:49Z","timestamp":1681581409000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/6\/article-p922.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":30,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2015.10.spine151016","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}