Percutaneous balloon kyphoplasty for the vertebral compression osteoporotic and pathological fracture: one-year retrospective study of 112 patients

Khan, Shahid A.; Aziz, Farooq; Hekal, Waleed; Vats, Atul

doi:10.1080/02688697.2020.1817857

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…38 In the evaluation of postoperative improvement of patient disability, pain, and quality of life by means of the Oswestry Index, KP proved to be able to achieve positive results. 39 In the comparison between KP and VP, Ding et al 40 reported better disability improvement results in the group submitted to KP, just as in our study. However, in the literature, comparative studies of the two techniques are limited and the results inconclusive as regards improvement of disability.…”

Section: Discussionsupporting

confidence: 81%

Osteoporotic Spine Fractures Treated With Kyphoplasty or Vertebroplasty: A Meta-Analysis

Vieira,

Santana,

Almeida

et al. 2022

Coluna/Columna

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Kyphoplasty (KP) and vertebroplasty (VP) are both widely adopted treatments for patients with osteoporotic vertebral fractures (OVF), however, which of these techniques is more effective has not yet been established. We performed a systematic review of articles, followed by meta-analysis, in an attempt to establish the differences between KP and VP. Initially, 187 articles were obtained, 20 of which were systematically reviewed and submitted to meta-analysis. Thus, 2,226 patients comprised the universe of the present article, 1202 of whom underwent KP and 1024 of whom underwent VP. The statistically significant results observed included lower mean bone cement leakage (ml) in the group submitted to kyphoplasty, with OR: 1.50 [CI95%: 1.16 - 1.95], p <0.05; shorter mean surgical time (minutes), 0.45 [CI90% 0.08 - 0.82], p <0.1, for the group submitted to VP as compared to the KP group; and a lower mean postoperative Oswestry Disability Index score in the KP group, OR: −0.14 [CI95%: −0.28 - 0.01], p <0.05. KP was more effective in improving physical function and had a lower frequency of cement leakage when compared to VP, although it requires longer surgical time. Level of evidence III; Systematic review of level III studies.

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Section: Discussionsupporting

confidence: 81%

Osteoporotic Spine Fractures Treated With Kyphoplasty or Vertebroplasty: A Meta-Analysis

Vieira,

Santana,

Almeida

et al. 2022

Coluna/Columna

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“…On the other hand, the heat released during the solidification of bone cement damages the nerve endings of pain sensation and blocks the conduction of pain sensation. Moreover, the monomer toxic effect of bone cement can also injure the pain-sensitive nerve endings, relieve pain, and effectively relieve the pressure in the vertebral body, increasing the strength of bone and the stability of the vertebral body, so as to effectively maintain the normal function of patients [ 23 – 26 ]. The results of this study showed that the total effective rate of the observation group was higher than that of the control group.…”

Section: Discussionmentioning

confidence: 99%

Analysis on the Effect of Different Surgical Methods on the Treatment of Senile Osteoporotic Spinal Compression Fractures and the Influencing Factors of Complications

Liu

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Osteoporotic fractures are a common type of fractures in the elderly, among which spinal compression fractures are more common. After the occurrence of fractures, due to the compression and burst of the vertebral body, this will lead to local kyphosis deformity and even affect the balance of the sagittal spine. In the past, conservative treatments were used for osteoporotic spinal compression fractures. Although it can relieve pain symptoms, it can easily lead to complications such as aggravation of osteoporosis and deep vein thrombosis of the lower extremities. At present, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are the main clinical surgical treatments, both of which are minimally invasive surgery, short operation time, effective pain relief, and rapid postoperative recovery. Although both of them are effective, there is still controversy over the efficacy of both in the treatment of osteoporotic spinal compression fractures. The purpose of this study was to investigate the efficacy of PVP and PKP in the treatment of elderly osteoporotic spinal compression fractures and to analyze the related factors that affect the occurrence of postoperative complications. The results show that both PVP and PKP can effectively improve the pain and dysfunction of elderly patients with osteoporotic spinal compression fracture, restoration of vertebral height, and correct kyphosis, but PKP has better effect and higher safety and is worth promoting. Postoperative complications of patients are related to their age, bone mineral density, use of hormones, and antiosteoporosis treatment.

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Unilateral Percutaneous Kyphoplasty In Patients With Painful Osteoporotic Vertebral Compression Fractures; Single Center Experience

EGE,

AKBAS

2023

Bozok Tıp Dergisi

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ABSTRACT Aim The objective of this study is to evaluate the outcomes of unilateral percutaneous kyphoplasty (PKP) performed in treatment-resistant patients with osteoporotic vertebral fractures. Material and Methods The study sample consisted of eight patients with painful osteoporotic compression fractures who did not respond to conservative treatment methods. However, the respective clinical results were evaluated based on radiological findings pertaining to 18 operated vertebrae of the said eight patients. The Oswestry Disability Index (ODI) scores and Visual Analogue Scale (VAS) scores were recorded before the procedure and at the 1st-month and 6th-month follow-up visits. Vertebral angle (VA), and anterior height (AH), central height (CH) and posterior height (PH) of the superior and inferior endplates of the vertebrae were measured before the procedure and at the 6th-month follow-up using direct radiography. Results Mean VAS and ODI scores decreased 66.87% and 65.13%, respectively, over a 6-month period. The mean vertebral height increased after kyphoplasty, as reflected by a 4.70% increase in AH, 26.84% increase in CH and 1.63% increase in PH. Additionally, VA was found to have increased by 14.1%. Conclusion The results of this study featuring a small patient population indicated that unilateral balloon PKP can be used safely and effectively to achieve earlier mobilization with faster pain relief and fewer complications.

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Percutaneous balloon kyphoplasty for the vertebral compression osteoporotic and pathological fracture: one-year retrospective study of 112 patients

Cited by 3 publications

References 14 publications

Osteoporotic Spine Fractures Treated With Kyphoplasty or Vertebroplasty: A Meta-Analysis

Osteoporotic Spine Fractures Treated With Kyphoplasty or Vertebroplasty: A Meta-Analysis

Analysis on the Effect of Different Surgical Methods on the Treatment of Senile Osteoporotic Spinal Compression Fractures and the Influencing Factors of Complications

Unilateral Percutaneous Kyphoplasty In Patients With Painful Osteoporotic Vertebral Compression Fractures; Single Center Experience

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