Efficacy and safety of robot-assisted versus fluoroscopy-assisted PKP or PVP for osteoporotic vertebral compression fractures: a systematic review and meta-analysis

Wang, Xu; Zhu, Yu-hang; Zhu, Qing-san

doi:10.1007/s11701-023-01700-0

Cited by 2 publications

(2 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PKP is a modified surgical plan of PVP, which is completed through balloon expansion, and can achieve ideal therapeutic effects. However, the operation time is long with high treatment cost [14,15] .…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Percutaneous Kyphoplasty and Hyperextension Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Thoracolumbar Compression Fractures in the Elderly

Wei

2023

BAS

View full text Add to dashboard Cite

Objective: This paper aims to explore the clinical effects of percutaneous kyphoplasty (PKP) and hyperextension reduction combined with percutaneous vertebroplasty (PVP) in elderly patients with osteoporotic thoracolumbar compression fractures (OVCF). Methods: A sample of 62 elderly OVCF patients was selected. The admission time was from June 2022 to June 2023. They were randomly divided into a study group (n = 31) and a control group (n = 31) using computer software lottery method. Patients in the control group were treated with PKP, while patients in the study group were treated with hyperextension reduction combined with PVP. The operation time, hospitalization time, the number of fluoroscopy, treatment costs, visual analog pain score (VAS), vertebral body height, and Cobb angle of the injured vertebra were compared between the two groups. Results: The operation time, hospitalization time, number of fluoroscopy, and treatment costs of the patients in the study group were all lower than those in the control group (P < 0.05). The VAS scores of the two groups after surgery were lower than those before surgery, and there was no significant difference between the groups (P > 0.05). After surgery, the vertebral body heights in both groups were more significant than before surgery, and the Cobb angle of the injured vertebra was smaller than before surgery. There was no significant difference between the groups (P > 0.05). Conclusion: PKP and hyperextension reduction combined with PVP treatment in elderly patients with OVCF can relieve pain and restore vertebral body height and Cobb angle. However, hyperextension reduction combined with PVP treatment can shorten the operation time and hospitalization time, with low treatment cost, which has the potential value to be widely applied.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparative Study of Percutaneous Kyphoplasty and Hyperextension Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Thoracolumbar Compression Fractures in the Elderly

Wei

2023

BAS

View full text Add to dashboard Cite

show abstract

“…It surpasses traditional fluoroscopy-assisted (FA) techniques, significantly enhancing precision and patient outcomes [59]. A systematic review encompassing 10 articles with 1094 patients highlighted that RAS significantly reduces the rate of cement leakage, a common complication in osteoporotic surgeries, with an odds ratio of 0.27 (95% CI, 0.17-0.42; P < 0.00001) and decreases the number of fluoroscopic exposures by an average of 13.88 times per procedure (95% CI, -18.47 to -9.30; P < 0.00001) [60]. Moreover, patients undergoing robotic-assisted procedures experienced a 77-hour shorter hospital stay (p < 0.001) and reported more substantial early postoperative pain relief, with a decrease in VAS scores of 0.19 points within the first three days (p < 0.001) [59].…”

Section: Robotic-assisted Surgerymentioning

confidence: 99%

An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures

Hakami

2024

Cureus

View full text Add to dashboard Cite

Efficacy and safety of robot-assisted versus fluoroscopy-assisted PKP or PVP for osteoporotic vertebral compression fractures: a systematic review and meta-analysis

Cited by 2 publications

References 42 publications

Comparative Study of Percutaneous Kyphoplasty and Hyperextension Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Thoracolumbar Compression Fractures in the Elderly

Comparative Study of Percutaneous Kyphoplasty and Hyperextension Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Thoracolumbar Compression Fractures in the Elderly

An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures

Contact Info

Product

Resources

About