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Implants for Vertebral Body Replacement - Which Systems are Available and Have Become Established
Adnan Kasapovic1, Rahel Bornemann1, Robert Pflugmacher1
1Department of Orthopaedics and Trauma Surgery, University Hospital Bonn.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|November 1, 2019
Summary
This review compares vertebral body replacement implants used in spinal surgery, detailing the evolution from bone grafts to modern PMMA and titanium devices. It evaluates current expandable and non-expandable options, highlighting their pros and cons.
Area of Science:
- Spinal Surgery
- Biomedical Engineering
- Orthopedic Implants
Background:
- Vertebral body replacement (VBR) has evolved significantly over 50 years.
- Initially relying on bone grafts, VBR now utilizes advanced prosthetic materials.
- Corpectomy with VBR is a standard spinal reconstructive procedure.
Purpose of the Study:
- To review and compare available vertebral body replacement implant systems.
- To analyze the advantages and disadvantages of various VBR implant types.
- To provide an overview of current VBR methods in spinal surgery.
Main Methods:
- Literature review of vertebral body replacement techniques and implants.
- Comparative analysis of different implant materials and designs (e.g., PMMA, titanium).
- Evaluation of expandable versus non-expandable implant systems.
Main Results:
- Evolution from bone grafts to PMMA and titanium implants.
- Availability of diverse expandable and non-expandable VBR options.
- Continued justification for numerous implant designs in clinical practice.
Conclusions:
- A wide array of VBR implants are currently available and clinically relevant.
- Understanding the specific advantages and disadvantages of each implant type is crucial.
- The selection of VBR implants depends on surgical goals and patient factors.

