Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature

Vertebral augmentation techniques have advanced significantly, offering improved outcomes in the treatment of vertebral compression fractures. This review explores third-generation devices such as the SpineJack<sup>®</sup>, Vertebral Body Stenting System<sup>®</sup> (VBS), an...

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Main Authors: Eliodoro Faiella, Federica Vaccarino, Domiziana Santucci, Elva Vergantino, Bruno Beomonte Zobel, Rosario Francesco Grasso
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/1/426
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author Eliodoro Faiella
Federica Vaccarino
Domiziana Santucci
Elva Vergantino
Bruno Beomonte Zobel
Rosario Francesco Grasso
author_facet Eliodoro Faiella
Federica Vaccarino
Domiziana Santucci
Elva Vergantino
Bruno Beomonte Zobel
Rosario Francesco Grasso
author_sort Eliodoro Faiella
collection DOAJ
description Vertebral augmentation techniques have advanced significantly, offering improved outcomes in the treatment of vertebral compression fractures. This review explores third-generation devices such as the SpineJack<sup>®</sup>, Vertebral Body Stenting System<sup>®</sup> (VBS), and OsseoFix<sup>®</sup>, which offer enhanced vertebral height restoration, stability, and reduced complications. These devices have been shown to outperform traditional methods like vertebroplasty and balloon kyphoplasty, particularly in reducing the risk of cement leakage and ensuring long-term vertebral stability. Biomechanical studies confirm the efficacy of these systems in promoting spinal recovery. Many of these studies have utilized indirect parameters, such as the Beck Index and kyphotic angles (α and γ) measured by the Cobb method, to evaluate improvements in vertebral deformity. Furthermore, preclinical studies indicate that third-generation devices like SpineJack<sup>®</sup> enhance vertebral height restoration and stability, with performance influenced by bone quality and implant positioning, and have demonstrated superior initial and sustained height maintenance compared to kyphoplasty. While the higher costs of third-generation systems could be justified by reduced revision rates and better patient outcomes, further research is needed to optimize patient selection and assess long-term benefits. Overall, these devices could represent a significant advancement in vertebral fracture treatment, improving clinical outcomes and biomechanical stability.
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spelling doaj-art-be1a640d89824d3f9b2a677d3337d95b2025-01-10T13:15:31ZengMDPI AGApplied Sciences2076-34172025-01-0115142610.3390/app15010426Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the LiteratureEliodoro Faiella0Federica Vaccarino1Domiziana Santucci2Elva Vergantino3Bruno Beomonte Zobel4Rosario Francesco Grasso5Operative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Research Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyVertebral augmentation techniques have advanced significantly, offering improved outcomes in the treatment of vertebral compression fractures. This review explores third-generation devices such as the SpineJack<sup>®</sup>, Vertebral Body Stenting System<sup>®</sup> (VBS), and OsseoFix<sup>®</sup>, which offer enhanced vertebral height restoration, stability, and reduced complications. These devices have been shown to outperform traditional methods like vertebroplasty and balloon kyphoplasty, particularly in reducing the risk of cement leakage and ensuring long-term vertebral stability. Biomechanical studies confirm the efficacy of these systems in promoting spinal recovery. Many of these studies have utilized indirect parameters, such as the Beck Index and kyphotic angles (α and γ) measured by the Cobb method, to evaluate improvements in vertebral deformity. Furthermore, preclinical studies indicate that third-generation devices like SpineJack<sup>®</sup> enhance vertebral height restoration and stability, with performance influenced by bone quality and implant positioning, and have demonstrated superior initial and sustained height maintenance compared to kyphoplasty. While the higher costs of third-generation systems could be justified by reduced revision rates and better patient outcomes, further research is needed to optimize patient selection and assess long-term benefits. Overall, these devices could represent a significant advancement in vertebral fracture treatment, improving clinical outcomes and biomechanical stability.https://www.mdpi.com/2076-3417/15/1/426vertebral augmentation devicesvertebroplastykyphoplastyvertebral compression fracturecement leakagebiomechanical stability
spellingShingle Eliodoro Faiella
Federica Vaccarino
Domiziana Santucci
Elva Vergantino
Bruno Beomonte Zobel
Rosario Francesco Grasso
Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
Applied Sciences
vertebral augmentation devices
vertebroplasty
kyphoplasty
vertebral compression fracture
cement leakage
biomechanical stability
title Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
title_full Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
title_fullStr Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
title_full_unstemmed Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
title_short Biomechanical Impact of Vertebral Augmentation Techniques: Clinical and Radiological Results in the Literature
title_sort biomechanical impact of vertebral augmentation techniques clinical and radiological results in the literature
topic vertebral augmentation devices
vertebroplasty
kyphoplasty
vertebral compression fracture
cement leakage
biomechanical stability
url https://www.mdpi.com/2076-3417/15/1/426
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AT elvavergantino biomechanicalimpactofvertebralaugmentationtechniquesclinicalandradiologicalresultsintheliterature
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