Use of kyphoplasty versus 360-degree fusion for unstable thoracolumbar burst fractures: Using minimally invasive techniques in trauma

Much controversy surrounds the treatment of unstable thoracolumbar burst fractures with treatment options consisting of anterior, posterior, or combined anterior and posterior surgery. Traditionally, anterior column reconstruction has been performed through an anterior approach with vertebrectomy and reconstruction with a cage or structural graft. This is typically supplemented with posterior pedicle screw fixation. There has been increased interest in pursuing minimally invasive options to decrease patient morbidity. The article discusses the use of vertebroplasty to support the anterior column and discusses the risks, benefits, biomechanics, and outcomes of such a procedure in the treatment of thoracolumbar burst fractures.