Is Unilateral Kyphoplasty as Effective and Safe as Bilateral Kyphoplasties for Osteoporotic Vertebral Compression Fractures? A Meta-analysis

Huang, Zhaobo; Wan, Shuanglin; Ning, Lei; Han, Shiliang

doi:10.1007/s11999-014-3745-0

Cited by 38 publications

(39 citation statements)

References 35 publications

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“…Another important controversy is the comparison between the use of 1 or 2 portals in vertebral augmentation treatments. 5,16,19 Although this controversy is mainly focused on kyphoplasty, in our study we did not find any significant differences between the use of 1 or 2 portals in either vertebroplasty or kyphoplasty, which coincides with multiple previously conducted studies. 5,16,19 Therefore, from our point of view, a decision will depend on the surgeon's experience, as well as on the situation and the quantity of fractures to be treated.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Kyphoplasty and Vertebroplasty in the Treatment of Osteoporotic Vertebral Fractures

García¹,

Ángel²,

Amado³

et al. 2018

Coluna/Columna

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Objective: To compare these procedures in the treatment of osteoporotic vertebral compression fractures. Methods: Patients who underwent vertebral augmentation procedures between March 2010 and October 2016 were selected for the study. Kyphosis, anterior vertebral height, Oswestry Disability Index (ODI), Visual Analog Scale (VAS), number of portals, cement volume, and complications were recorded. The results were analyzed by difference of the means. Results: Sixty-eight patients were selected, accounting for 105 procedures. A statistically significant improvement was observed in VAS and ODI with both procedures (p<0.001) without statistically significant difference between them, regardless of the number of portals or cement applied. There was a high correlation between kyphosis correction and ODI improvement (p=0.012). Conclusions: Both vertebroplasty and kyphoplasty are effective procedures for the treatment of vertebral compression fractures. We found no significant difference between both procedures. The high correlation between improvement of kyphosis and ODI suggests that these procedures are better than conservative treatment to improve the quality of life of patients, however more studies are required to reach a final conclusion.

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Section: Discussionsupporting

confidence: 91%

“…6,13,15,16,18 Another controversy revolves around comparing the effectiveness of and complications resulting from the use of one versus two portals. 5,6,16,19 For this reason, the objective of this study is to compare the results obtained and the incidence of complications from these two procedures in patients treated in our facility.…”

Section: Introductionmentioning

confidence: 99%

Kyphoplasty and Vertebroplasty in the Treatment of Osteoporotic Vertebral Fractures

García¹,

Ángel²,

Amado³

et al. 2018

Coluna/Columna

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“…The bilateral approach, which is relatively safe and effective, is considered the mainstay of PKP for Kummell disease (8,9). Certain studies have proposed that, as compared with bilateral PKP, unilateral PKP may offer a number of benefits, including a shorter operative time, lower complication rate and less radiation exposure (10,11). A comparison of bilateral and unilateral approaches may provide evidence for surgeons in the selection of PKP.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Xiong¹,

Sun²,

Song³

et al. 2019

Exp Ther Med

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In the present study, the efficacy of unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty (PKP) for Kummell disease was compared. Between March 2015 and June 2017, 63 patients with Kummell disease were recruited and underwent PKP with two different puncture techniques: A total of 38 patients were treated by unilateral transverse process-pedicle PKP and 25 patients were treated by bilateral PKP. The operative time, intra-operative fluoroscopy time, volume of bone cement injection and bone cement leakage were recorded. Prior to surgery and 1 day post-surgery, the visual analogue scale (VAS) pain score and Oswestry disability index (ODI) were determined, and the vertebral body height and Cobb angle were measured. The results indicated that the incidence of bone cement leakage in the unilateral group was similar with the bilateral group (15.79% vs. 16.00%), with no statistically significant difference between the two groups. None of the patients in the two groups had any obvious damage of the spinal cord. The operative time, intra-operative fluoroscopy time and volume of bone cement injection in the unilateral group were lower than those in the bilateral group. A chest X-ray examination at 1 day post-surgery revealed no pulmonary embolism in the two groups. The VAS score, ODI, vertebral body height and Cobb angle were significantly improved in the unilateral and bilateral groups at 1 day post-surgery and at the last follow-up (12 months post-surgery) as compared with these parameters prior to surgery. In conclusion, the unilateral transverse process-pedicle and bilateral puncture techniques in PKP exhibited good efficacy as a treatment for Kummell disease. The operative time, intra-operative fluoroscopy time and volume of bone cement injection were lower in the unilateral group.

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“…Operation time and volume of cement were significantly lower in the unipedicular kyphoplasty group. 58 More recently, Huang et al 59 published a meta-analysis of 5 low quality RCT. The authors also found no differences between the two approaches, in regard to clinical outcomes, complications such as cement leakage and adjacent vertebral fractures, kyphosis angle reduction, or anterior vertebral height restoration.…”

Section: Bilateral Versus Unilateral Approachmentioning

confidence: 99%

Controversies on Vertebroplasty and Kyphoplasty for Vertebral Compression Fractures

Teles

Mattei²,

Righesso

et al. 2015

Coluna/Columna

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Vertebroplasty and kyphoplasty are widely used for osteoporotic and cancer-related vertebral compression fractures refractory to medical treatment. Many aspects of these procedures have been extensively discussed in the literature during the last few years. In this article, we perform a critical appraisal of current evidence on effectiveness and ongoing controversies regarding surgical technique, indications and contraindications, clinical outcomes and potential complications of these procedures.

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Is Unilateral Kyphoplasty as Effective and Safe as Bilateral Kyphoplasties for Osteoporotic Vertebral Compression Fractures? A Meta-analysis

Cited by 38 publications

References 35 publications

Kyphoplasty and Vertebroplasty in the Treatment of Osteoporotic Vertebral Fractures

Kyphoplasty and Vertebroplasty in the Treatment of Osteoporotic Vertebral Fractures

Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Controversies on Vertebroplasty and Kyphoplasty for Vertebral Compression Fractures

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