Comparative Analysis of Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Compression Fractures

Abstract

Study DesignA retrospective study.PurposeThe aim of this study is to compare the efficacy and outcome of vertebroplasty compared with unipedicular and bipedicular kyphoplasty for the treatment of osteoporotic vertebral compression fractures in terms of pain, functional capacity and height restoration rates.Overview of LiteratureThe vertebroplasty procedure was first performed in 1984 for the treatment of a hemangioma at the C2 vertebra. Kyphoplasty was first performed in 1998 and includes vertebral height restoration in addition to using inflation balloons and high-viscosity cement. Both are efficacious, safe and long-lasting procedures. However, controversy still exists about pain relief, improvement in functional capacity, quality of life and height restoration the superiority of these procedures and assessment of appropriate and specific indications of one over the other remains undefined.MethodsBetween 2004 and 2011, 296 patients suffering from osteoporotic vertebral compression fracture underwent 433 vertebroplasty and kyphoplasty procedures. Visual analogue scale (VAS), the Oswestry Disability Index (ODI) and height restoration rates were used to evaluate the results.ResultsMean height restoration rate was 24.16%±1.27% in the vertebroplasty group, 24.25%±1.28% in the unipedicular kyphoplasty group and 37.05%±1.21% in the bipedicular kyphoplasty group. VAS and ODI scores improved all of the groups.ConclusionsVertebroplasty and kyphoplasty are both effective in providing pain relief and improvement in functional capacity and quality of life after the procedure, but the bipedicular kyphoplasty procedure has a further advantage in terms of height restoration when compared to unipedicular kyphoplasty and vertebroplasty procedures.

The Role of Unilateral Balloon Kyphoplasty for the Treatment of Patients with OVCFS: A Systematic Review and Meta-Analysis

“…An increasing number of studies have been conducted to apply unilateral balloon kyphoplasty in the treatment of OVCFs (13)(14)(15)(16)(17)(18)(19). Scholars have compared the clinical and radiological results of unilateral and bilateral kyphoplasty approach (20)(21)(22)(23)(24)(25)(26)(27)(28). However, the efficacy and safety of unilateral kyphoplasty, or whether a unilateral or a bilateral approach is superior, have been controversial.…”

“…Nine studies reported a total of 451 patients in the unilateral kyphoplasty group and 418 in the bilateral kyphoplasty group (20)(21)(22)(23)(24)(25)(26)(27)(28). The clinical data of included studies was presented in Table 3.…”

PVP and BKP Still the Safest and Effective Method of Treatment of Ocfs for Short and Long Term Management-a Review.

“…On the other hand, BKP helps in long term pain relief, restoration of vertebral height and decreased incidence of cement leakage. [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] Conclusion:-PVP and BKP both are effective in vertebral augmentation and pain-relief in patients with osteoporotic or tumorassociated VCFs in short and long term management. PVP and BKP both give immediate pain relief and improvement in physical function.…”

Therapeutic Effect of Bone-Filling Mesh Container in Treating Vertebral Metastases with Vertebral Body Posterior Marginal Damage

“…At present, minimally invasive surgery has become an important treatment for spinal metastases (3). Percutaneous vertebroplasty (PVP), as an important means of minimally invasive surgery, has been widely used in vertebral compression fractures caused by osteoporosis, vertebral hemangioma, multiple myeloma and vertebral metastases (4,5). Bone cement leakage is the most common complication of PVP, with an incidence of 22% to 82% (6).…”