Pain reduction following vertebroplasty and kyphoplasty

Abstract

Purpose To evaluate the clinical efficacy, especially the pain reduction, of vertebroplasty and balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures (OVCFs). Methods Eighty-six patients with OVCFs were treated with vertebroplasty or balloon kyphoplasty. All patients were followed up for seven-36 months. Visual analog scale (VAS), vertebral height, and local kyphotic angle were evaluated at pre-operation, postoperation, and final follow-up. Results The VAS pain score decreased significantly after surgery in both kyphoplasty and vertebroplasty groups (p<0.001), and the improvement of VAS score had no significant difference between the two groups (p00.826). There was a significant difference in the improvement of vertebral height (p<0.001) and local kyphotic angle (p<0.001) between the two groups.

Treatment of multiple osteoporotic vertebral compression fractures by percutaneous cement augmentation

“…One and two years after surgery the results were only slightly worse; almost 80 % of patients were highly satisfied with the procedure. It is quite difficult to explain why some authors [9,10] have not accomplished any positive results of vertebroplasty in osteoporotic fractures, both in short-and long-term follow-up, while a lot of others have found [2,4,5,14,16,17], similar to us, a significant relief of pain. The first, previously mentioned reason can be a very limited number of patients in both studies [9,10].…”

“…Some randomised trials put into doubt the efficiency of vertebroplasty in osteoporotic fractures [9][10][11], but many more publications show significant relief of pain after performing this procedure [2,4,5,14,16,17]. With multiple fractures some authors suggest an increase in the number of new fractures after performing vertebroplasty [3,17], especially in vertebrae adjacent to the augmented ones [3,17].…”

“…Compression fractures can also be treated by kyphoplasty, in which an inflated balloon increases the height of the broken vertebra, correcting the kyphotic deformation [14][15][16]. Both methods-vertebroplasty and kyphoplasty-show similar clinical results [14][15][16].…”

“…Both methods-vertebroplasty and kyphoplasty-show similar clinical results [14][15][16]. Some authors suggest that an augmentation of one vertebra can increase the probability of new fracture development in adjacent vertebrae [17].…”

Risk Factors of Intracanal Cement Leakage During Percutaneous Vertebroplasty

“…ХХ в. разработано и внедрено в практику минимально-инвазивное оперативное вмешатель-ство -пункционная вертебропластика. Большинство опубликованных дан-ных свидетельствуют о том, что метод эффективен при патологических ком-прессионных переломах, причем часто-та клинически значимого регресса боле-вого синдрома достигает 97-100 % [2,6,13,16,19]. Очевидно, что вертеброплас-тика -относительно безопасный метод: частота клинически значимых ослож-нений всех видов не превышает 1-6 % [3,13].…”