Is vertebral body stenting in combination with CaP cement superior to kyphoplasty?

Schützenberger, Sebastian; Schwarz, Sebastian; Greiner, Lucas; Holub, Ondrej; Grabner, S; Huf, Wolfgang; Sailler, Andreas; Fialka, Christian

doi:10.1007/s00586-018-5717-7

Cited by 13 publications

(22 citation statements)

References 34 publications

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“…Schützenberger et al, in a retrospective study of 49 patients with osteoporotic compression fractures, compared the application of VBS® with kyphoplasty, both filled with calcium phosphate biological cement, and identified a significantly lower loss of vertebral height in the VBS® group throughout the mean follow-up period of 3.75 years (local kyphosis angle loss of 7.5⁰ ±4.8 in VBS® vs 10⁰ ±5.3 in kyphoplasty and Cobb angle loss of 6.5⁰ ±8 in VBS® vs 15.4⁰ ±11 in kyphoplasty) [ 53 ]. However, there were no differences in the capacity of initial vertebral reduction, in terms of clinical (VAS 2.0 ±2.3 vs 2.2 ±2.5) and functional (Oswestry 16.6 ±17.6 vs 16.7 ±19.7) parameters and in cement leakage rates (44% vs 23%) [ 53 ]. Garnon et al, in a retrospective case series of traumatic non-osteoporotic fractures treated with VBS®, found mean vertebral height gain, vertebral kyphosis angle correction, and Beck Index improvement of 3.8 mm, 4.3°, and 0.07, respectively [ 54 ].…”

Section: Reviewmentioning

confidence: 99%

Expandable Intravertebral Implants: A Narrative Review on the Concept, Biomechanics, and Outcomes in Traumatology

Moura¹,

Gabriel²

2021

Cureus

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Expandable intravertebral implants are self-expanding devices applied percutaneously by the posterior transpedicular approach. These devices introduce the concept of anatomical restoration of vertebral body endplates and direct anatomical reduction performed from the interior of the vertebral body with a compression fracture. This paper aims to provide a narrative review on the concept, indications, biomechanical characteristics, as well as functional and radiographic outcomes of the main expandable intravertebral implants currently available, in terms of their application to thoracolumbar spine traumatology. To this end, we performed a search in July 2021 on the MEDLINE/PubMed platform with the words "expandable intravertebral implant", "armed kyphoplasty", "Vertebral Body Stenting" or "stentoplasty" and "SpineJack". The search yielded 144 papers, and of those, we included 15 in this review. We concluded that percutaneous transpedicular posterior access, the ability to reduce vertebral body fractures, particularly of the vertebral endplates and to maintain the vertebral body height, makes the application of expandable intravertebral implants an attractive option in the treatment of thoracolumbar vertebral compression fractures. However, more prospective, randomized, and large-scale blinded studies are still warranted, especially comparative studies between treatments and about the preferential use of an expansive implant over others, in order to gain definitive insights into the effectiveness and indications of each of these devices.

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Section: Reviewmentioning

confidence: 99%

Expandable Intravertebral Implants: A Narrative Review on the Concept, Biomechanics, and Outcomes in Traumatology

Moura¹,

Gabriel²

2021

Cureus

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“…VBS can effectively restore and maintain the vertebral height, and has been widely used in the treatment of vertebral fractures. 22 , 27 Restoration of the vertebral body height can reduce the stresses on the adjacent endplates and decrease the risk of refracture. 28 In our study, postoperative vertebral height and Cobb angle were obviously improved.…”

Section: Discussionmentioning

confidence: 99%

“… 21 Schutzenberger et al performed stentoplasty with CPCs to treat vertebral fracture which showed excellent clinical results, but height loss still existed. 22 The major disadvantage of CPCs is longer osteogenesis time and resulting weaker stiffness. In order to improve mechanical strength, two different methods are proposed: one is to improve primary stabilization through adding fiber reinforcements; and the other is to build secondary stabilization with callous tissue of new bone rapid formation.…”

Section: Introductionmentioning

confidence: 99%

Stentoplasty with Resorbable Calcium Salt Bone Void Fillers for the Treatment of Vertebral Compression Fracture: Evaluation After 3 Years

Chen¹,

Wang²,

Jia³

et al. 2021

CIA

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The aim of the study is to investigate the clinical and radiological outcomes of vertebral compression fractures treated by stentoplasty with resorbable calcium salt bone void fillers compared with balloon kyphoplasty (BKP). Methods: This prospective study included patients with fresh mono-thoracolumbar vertebral compression fractures. Patients enrolled were randomly divided into three groups. The patients in group A underwent stentoplasty with calcium sulfate/calcium phosphate (CSCP) composite filler and patients in group B with hydroxyapatite/collagen (HAP/COL) composite filler, while patients in group C underwent BKP with polymethylmethacrylate (PMMA). The clinical outcome was evaluated with visual analogue pain scale (VAS) and Oswestry disability score (ODI). The radiological results were evaluated with anterior height (AH) and Cobb angle of vertebral body. Computed tomography (CT) was used to assess osteogenesis effect. Results: Each group included 14 patients. The VAS, ODI, Cobb angle and AH were statistically improved compared with preoperative and there was no significant difference between the three groups. However, the AH in group A and group B at 1-year follow-up presented slight loss compared with 1 day after surgery. CT results suggested both group A and group B presented obvious bone trabecula formation and variations of CT value. Conclusion:The stentoplasty with resorbable calcium salt bone void fillers demonstrated clinical outcomes similar to traditional BKP for vertebral compression fractures. Both HAP/ COL and CSCP performed certain osteogenesis. However, stentoplasty with studied fillers showed slight loss of AH within 1 year after surgery.

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“…The in vivo studies included 5 RCTs [ 14 , 20 , 23 , 25 , 26 ] and 6 retrospective cohort studies [ 18 , 19 , 24 , 32 – 34 ] involving 1035 patients with 1320 segments of diseased vertebral bodies. Among them, four trials [ 14 , 26 , 33 , 34 ] compared SpineJack with PVP or PKP, while four [ 18 – 20 , 32 ] compared VBS with PVP or PKP, and three [ 23 – 25 ] compared KIVA versus PKP.…”

Section: Methodsmentioning

confidence: 99%

Therapeutic Efficacy of Third-Generation Percutaneous Vertebral Augmentation System (PVAS) in Osteoporotic Vertebral Compression Fractures (OVCFs): A Systematic Review and Meta-analysis

Dong

Zhu

Zhou

et al. 2022

BioMed Research International

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Purpose. This study aimed to assess whether the third-generation PVAS was superior to percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) in treating patients with OVCFs. Methods. Databases, including Pubmed, Embase, and Cochrane library, were searched to identify relevant interventional and observational articles in vivo or in vitro comparing the third-generation PVAS to PVP/PKP in OVCFs patients. A meta-analysis was performed under the guidelines of the Cochrane Reviewer’s Handbook. Results. 11 in vivo articles involving 1035 patients with 1320 segments of diseased vertebral bodies and 8 in vitro studies enrolling 40 specimens with 202 vertebral bodies were identified. The vivo studies indicated no significant differences were found in visual analog scale (VAS), Oswestry Disability Index (ODI), operation time, or injected cement volume ( P > 0.05 ). The third-generation PVAS was associated with significant improvement in vertebral height and Cobb angle ( P < 0.05 ) and also with a significantly lower risk of cement leakages and new fractures ( P < 0.05 ). The vitro studies suggest that the third-generation PVAS was associated with better anterior vertebral height (AVH) and kyphotic angle (KA) after deflation and cement. No significant differences were found in stiffness or failure load after cement between the two groups ( P > 0.05 ). Conclusion. Based on current evidence, although providing similar improvement in VAS and ODI, the third-generation PVAS may be superior to PVP/PKP in local kyphosis correction, vertebral height maintenance, and adverse events reduction. Further high-quality randomized studies are required to confirm these results.

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Is vertebral body stenting in combination with CaP cement superior to kyphoplasty?

Cited by 13 publications

References 34 publications

Expandable Intravertebral Implants: A Narrative Review on the Concept, Biomechanics, and Outcomes in Traumatology

Expandable Intravertebral Implants: A Narrative Review on the Concept, Biomechanics, and Outcomes in Traumatology

Stentoplasty with Resorbable Calcium Salt Bone Void Fillers for the Treatment of Vertebral Compression Fracture: Evaluation After 3 Years

Therapeutic Efficacy of Third-Generation Percutaneous Vertebral Augmentation System (PVAS) in Osteoporotic Vertebral Compression Fractures (OVCFs): A Systematic Review and Meta-analysis

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