case_images: PMC11380892_01
case_images: MRI images showing a vertebral compression fracture at thoracic 12 (black arrow) in sagittal (left) and axial (right) views. MRI: Magnetic resonance imaging.
case_images: SNI-15-311-g001.jpg
case_images: PMC11380892_01_SNI-15-311-g001.jpg
case_images: F1
case_images: Th12 OVCF [Figure 1]. The bone mineral density examination confirmed a low osteoporotic bone (i.e., T-score of -3.0).
case_images: Intraoperative procedure. (a) Trocar insertion site is located approximately 4 cm to the right of the midline. (b and c) Balloon inflation to approximately 4 cc, as shown in the C-arm images in (b) anteroposterior (AP) and (c) lateral views. (d and e) C-Arm images (d) immediately and (e) after PMMA injection.
case_images: SNI-15-311-g002.jpg
case_images: PMC11380892_01_SNI-15-311-g002.jpg
case_images: F2
case_images: Under general anesthesia, a unilateral PBK was performed with the patient prone [Figure 2a]. An inflatable balloon was positioned in the center of the fractured vertebral body and gradually inflated to a pressure of 150 psi, which successfully reduced the patient's kyphotic angle [Figures 2b and c]. After deflation and removal of the balloon, the residual intravertebral cavity was filled with polymethyl methacrylate (PMMA) cement [Figure 2d and e].
case_images: Postoperative thoracolumbar X-ray in AP (left) and lateral (right) views showing polymethyl methacrylate within the thoracic 12 vertebrae.
case_images: SNI-15-311-g003.jpg
case_images: PMC11380892_01_SNI-15-311-g003.jpg
case_images: F3
case_images: X-rays showed restoration of both the vertebral height and alignment [Figure 3].