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Review

Minimally Invasive Non-Fusion Vertebral Body Stabilization in Severe Benign and Malignant Fractures. Stent-Screw Assisted Internal Fixation: The SAIF Technique

by
Alessandro Cianfoni
1,2,
Daniela Distefano
1,
Joshua Hirsch
3,
Giuseppe Bonaldi
4,
Michael Reinert
1,5 and
Maurizio Isalberti
1,*
1
Department of Neuroradiology, Neurocenter of Southern Switzerland, Ospedale Regionale di Lugano, via Tesserete 46, 6900 Lugano, Switzerland
2
Department of Interventional and Diagnostic Neuroradiology, Inselspital University Hospital of Bern, 3010 Bern, Switzerland
3
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115, USA
4
Department of Neurosurgery, Igea Clinic, via Marcona, 20129 Milan, Italy
5
Department of Neurosurgery, Inselspital University Hospital of Bern, Freiburgstrasse, 3010 Bern, Switzerland
*
Author to whom correspondence should be addressed.
Clin. Transl. Neurosci. 2019, 3(1), 9; https://doi.org/10.1177/2514183x19852920
Submission received: 27 March 2019 / Accepted: 6 May 2019 / Published: 13 June 2019

Abstract

This short review focuses on clinical and therapeutic issues posed by severe osteoporotic and neoplastic insufficiency vertebral fractures and on the potential use of a new technique to obtain minimally invasive vertebral body reconstruction, augmentation, and stabilization in such severe fractures, combining two preexisting procedures. The implant of vertebral body stents is followed by insertion of percutaneous, fenestrated, cement-augmented pedicular screws that act as anchors to the posterior elements for the cement–stent complex. This procedure results in a 360° nonfusion form of vertebral internal fixation that may empower vertebral augmentation and potentially avoid corpectomy in challenging osteoporotic and neoplastic fractures.
Keywords: vertebral augmentation; stent; kyphoplasty; screw vertebral augmentation; stent; kyphoplasty; screw

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MDPI and ACS Style

Cianfoni, A.; Distefano, D.; Hirsch, J.; Bonaldi, G.; Reinert, M.; Isalberti, M. Minimally Invasive Non-Fusion Vertebral Body Stabilization in Severe Benign and Malignant Fractures. Stent-Screw Assisted Internal Fixation: The SAIF Technique. Clin. Transl. Neurosci. 2019, 3, 9. https://doi.org/10.1177/2514183x19852920

AMA Style

Cianfoni A, Distefano D, Hirsch J, Bonaldi G, Reinert M, Isalberti M. Minimally Invasive Non-Fusion Vertebral Body Stabilization in Severe Benign and Malignant Fractures. Stent-Screw Assisted Internal Fixation: The SAIF Technique. Clinical and Translational Neuroscience. 2019; 3(1):9. https://doi.org/10.1177/2514183x19852920

Chicago/Turabian Style

Cianfoni, Alessandro, Daniela Distefano, Joshua Hirsch, Giuseppe Bonaldi, Michael Reinert, and Maurizio Isalberti. 2019. "Minimally Invasive Non-Fusion Vertebral Body Stabilization in Severe Benign and Malignant Fractures. Stent-Screw Assisted Internal Fixation: The SAIF Technique" Clinical and Translational Neuroscience 3, no. 1: 9. https://doi.org/10.1177/2514183x19852920

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