AbstractPercutaneous kyphoplasty (PKP) is an effective, minimally invasive treatment for Kummell’s disease, but challenges like cement leakage, fracture, and displacement remain. This study explores the use of PKP with a mesh-hold bone filling container for this disease.A retrospective analysis was conducted on nine Kummell’s disease cases treated with this technique at a spinal surgery department from June 2016 to May 2022.

摘要经皮椎体后凸成形术（PKP）是一种有效的微创治疗Kummell病的方法，但水泥渗漏，骨折和移位等挑战仍然存在。这项研究探讨了使用PKP与网状骨填充容器治疗这种疾病。2016年6月至2022年5月，在脊柱外科对9例Kummell病患者进行了回顾性分析。

Pre- and postoperative evaluations included X-rays, CT scans, and 3D reconstructions. Parameters like vertebral heights, kyphotic angle, operation time, blood loss, and bone cement issues were measured. Efficacy was assessed using ODI and VAS scores.Statistical analysis showed no significant difference in posterior vertebral height before and after treatment.

术前和术后评估包括X射线，CT扫描和3D重建。测量椎体高度，后凸角，手术时间，失血量和骨水泥问题等参数。使用ODI和VAS评分评估疗效。统计分析显示，治疗前后椎体后高度无显着差异。

All other indexes improved significantly postoperatively and at follow-up. No cement leakage or displacement occurred.PKP with a mesh-hold bone filling container is a promising treatment for Kummell’s disease. It enhances reduction quality, ensures adequate bone cement filling, and reduces issues related to cement leakage, fracture, and displacement..

所有其他指标在术后和随访时均显着改善。没有发生水泥泄漏或移位。带有网状骨填充容器的PKP是治疗Kummell病的有前途的方法。它可以提高复位质量，确保足够的骨水泥填充，并减少与水泥渗漏，骨折和移位有关的问题。。

IntroductionKummell’s disease, characterized by delayed collapse and avascular necrosis of a vertebral body resulting from compression fractures in osteoporotic thoracolumbar vertebrae, represents a rare manifestation of osteoporotic vertebral fractures1,2,3,4. First reported by German surgeon Hermann Kummel in 1895, this condition gained increasing attention over years5.

简介Kummell病的特征是骨质疏松性胸腰椎压缩性骨折导致椎体延迟塌陷和缺血性坏死，是骨质疏松性椎体骨折的罕见表现1,2,3,4。1895年，德国外科医生赫尔曼·库梅尔首次报道了这种情况，多年来，这种情况越来越受到关注5。

Despite its historical recognition, the exact pathogenesis of Kummell’s disease remains unclear, with many attributing it to blood supply disorder and biomechanical instability6,7,8.Treatment options for Kummell’s disease predominantly involve conservative treatment and surgery. Conservative treatment, often necessitating prolonged bed rest, is usually associated with complications, some of which can be life threatening, particularly in elderly patients with osteoporosis.

尽管有历史认识，但库梅尔氏病的确切发病机制仍不清楚，许多人将其归因于血液供应障碍和生物力学不稳定6,7,8。库梅尔氏病的治疗选择主要涉及保守治疗和手术。保守治疗通常需要长时间卧床休息，通常会伴有并发症，其中一些可能危及生命，尤其是老年骨质疏松症患者。

Granulation hyperplasia in necrotic bone tissues of the vertebral body, micromotion, blood supply disorders at fracture sites, and reduction in the activity and number of osteoblasts in osteoporosis patients contribute to the challenging nature of fracture healing in Kummell’s disease, leading to limited efficacy of conservative approaches9.

椎体坏死骨组织中的肉芽增生，微动，骨折部位的血液供应障碍以及骨质疏松症患者成骨细胞活性和数量的减少导致Kummell病骨折愈合的挑战性，导致保守方法的疗效有限9。

Open surgery, while effective, poses risks and is less suitable for elderly patients with compromised bone quality and reduced surgical tolerance. Moreover, open surgery carries an increased risk of damaging adjacent vertebral body and complications associated with internal fixation10,11,12,13,14. Therefore, minimally invasive procedures have become a key research topic.In October 2015, we encountered a case of stage III Kummell’s disease in an elderly female patient.

开放手术虽然有效，但存在风险，不太适合骨质量受损和手术耐受性降低的老年患者。此外，开放手术会增加损伤邻近椎体的风险以及与内固定相关的并发症10,11,12,13,14。。2015年10月，我们在一名老年女性患者中遇到了一例III期Kummell病。

Her symptoms initiated by a minor sprain, included pain and restricted mobility in the thoracolumbar region, and alleviated when in.

她的症状是由轻微的扭伤引起的，包括胸腰段疼痛和活动受限，并在受伤时得到缓解。

Data availability

数据可用性

All data generated or analysed during this study are included in this published article.

本研究期间生成或分析的所有数据均包含在本文中。

AbbreviationsPKP:

缩写PKP：

Percutaneous kyphoplasty

后凸成形术

ODI:

对外直接投资

Oswestry disability index

奥斯维斯特里残疾指数

VAS:

增值税：

Visual analogue scale

视觉模拟量表

PMMA:

聚甲基丙烯酸甲酯：

Polymethylmethacrylate

聚甲基丙烯酸甲酯

PVP:

PVP公司：

Percutaneous vertebroplasty

经皮椎体成形术

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Download referencesAcknowledgementsNone.FundingNone.Author informationAuthors and AffiliationsDepartment of Orthopaedic Surgery, The People’s Hospital of Shimen County (Shimen Hospital of Changsha Medical University), Changde, Hunan, 415300, ChinaBingyan Mao, Wencong Wang, Qiang Wang & Lei LiAuthorsBingyan MaoView author publicationsYou can also search for this author in.

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PubMed Google ScholarContributionsBingyan Mao and Wencong Wang carried out the studies, participated in collecting data, and drafted the manuscript. Qiang Wang and Lei Li performed the statistical analysis and participated in its design. Bingyan Mao and Lei Li participated in acquisition, analysis, or interpretation of data and draft the manuscript.

PubMed谷歌学术贡献毛冰岩和王文聪进行了研究，参与了数据收集，并起草了手稿。王强和李磊进行了统计分析并参与了设计。毛炳炎和李磊参与了数据的获取，分析或解释，并起草了手稿。

All authors read and approved the final manuscript.Corresponding authorCorrespondence to.

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Bingyan Mao.Ethics declarations

毛冰岩。道德宣言

Ethics approval and consent to participate

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This work has been carried out in accordance with the Declaration of Helsinki (2000) of the World Medical Association. This work was approved by the Ethics Committee of Shimen County People’s Hospital (K2024002). Informed consent was obtained from all patients.

这项工作是根据世界医学协会赫尔辛基宣言（2000）进行的。这项工作得到了石门县人民医院伦理委员会（K2024002）的批准。所有患者均获得知情同意。

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Reprints and permissionsAbout this articleCite this articleMao, B., Wang, W., Wang, Q. et al. A novel treatment option for Kummell’s disease using percutaneous kyphoplasty with a mesh-hold bone filling container.

转载和许可本文引用本文Mao，B.，Wang，W.，Wang，Q。等人。使用带有网状骨填充容器的经皮椎体后凸成形术治疗Kummell病的新型治疗选择。

Sci Rep 14, 29069 (2024). https://doi.org/10.1038/s41598-024-80890-5Download citationReceived: 06 June 2024Accepted: 22 November 2024Published: 23 November 2024DOI: https://doi.org/10.1038/s41598-024-80890-5Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

Sci Rep 1429069（2024）。https://doi.org/10.1038/s41598-024-80890-5Download引文收到日期：2024年6月6日接受日期：2024年11月22日发布日期：2024年11月23日OI：https://doi.org/10.1038/s41598-024-80890-5Share本文与您共享以下链接的任何人都可以阅读此内容：获取可共享链接对不起，本文目前没有可共享的链接。复制到剪贴板。

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KeywordsKummell’s diseasePercutaneous kyphoplasty (PKP)Polymethyl methacrylateCement leakageCement fractureCement displacement

关键词Skummell病经皮椎体后凸成形术（PKP）聚甲基丙烯酸甲酯水泥渗漏水泥断裂水泥置换