This is a retrospective, single-centre, single-arm post-market observational study evaluating the safety and clinical performance of the SPHEREPLAST medical device used in balloon kyphoplasty procedures for the treatment of traumatic and osteoporotic vertebral compression fractures (VCFs). SPHEREPLAST is a titanium alloy (Ti6Al4V-ELI) trabecular sphere system designed to stabilise the vertebral body structure after balloon kyphoplasty, providing immediate mechanical stability and promoting bone ingrowth. The study includes 40 adult patients who have been treated with SPHEREPLAST for thoracolumbar VCFs (A1, A3, OF2, OF3). Data will be collected retrospectively from medical records at four timepoints: pre-operative (baseline), within five days after surgery, at one month, and at one year post-surgery. The primary endpoints are the changes in pain intensity (Numerical Rating Scale, NRS) and disability (Oswestry Disability Index, ODI) between baseline and 1-year follow-up. Secondary endpoints include radiographic outcomes (kyphotic angle, wedge angle, vertebral body height) and the incidence of adverse events related to the device or the procedure. The aim of the study is to assess the real-world clinical efficacy and safety of SPHEREPLAST as an alternative to bone cement in kyphoplasty, with specific attention to pain control, functional recovery, and vertebral stability.
Study Type
OBSERVATIONAL
Enrollment
37
G. Rodolico - San Marco University Hospital, Via S. Sofia, 78
Catania, Connecticut, Italy
NRS (Numerical Rating Scale)
Time frame: between baseline (pre-operative) and 1-year follow-up
ODI (Oswestry Disability Index)
Time frame: between baseline (pre-operative) and 1-year follow-up
adverse events (AEs), serious adverse events (SAEs) and adverse device events (ADEs)
Time frame: postoperatively, at 1 month and at 1 year
NRS (Numerical Rating Scale)
Time frame: baseline (pre-operative) and immediate post-operative and 1-month follow-ups
Kyphotic Angle (KA)
Time frame: post-operative and 1-year follow-up
Wedge Angle (WA)
Time frame: post-operative and 1-year follow-up
vertebral body height (VBH)
vertebral body height (VBH) in the anterior, middle and posterior projections
Time frame: baseline, immediate post-operative and 1-year follow-up
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