European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Sagittal balance is an independent predictor of outcomes in spinal care and several authors focused their attention on the lumbar lordosis restoration as the key point to prevent secondary sacroiliac joint dysfunction (SIJD) after fusion. On the other hand, lumbar disc arthroplasty allows preservation of motion avoiding increased stress on the spinopelvic junction and preventing iatrogenic sagittal imbalance. ⋯ The low rate of SIJD 10 years after lumbar arthroplasty might be explained by the preservation of the spinopelvic balance.
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The literature concerning the use of balloon kyphoplasty (BKP) for pure traumatic fractures is unclear. We report our experience about the treatment of a specific subgroup of traumatic vertebral fractures (AOSpine type A) with BKP through a retrospective analysis. ⋯ BKP used for traumatic fractures significantly alleviates pain, does not cause notable complications and enables patients to return to their normal lives in a short time.