Percutaneous balloon kyphoplasty in the treatment of vertebral compression fractures: a single-center analysis of pain and quality of life outcomes

Nikoobakht, Mehdi; Gerszten, Peter C.; Shojaei, Seyedeh Fahimeh; Shojaei, Hamidreza

doi:10.1080/02688697.2020.1777254

Cited by 10 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 16 ] Since the beginning of this century, PKP has been one of the most commonly used minimally invasive procedures for the treatment of osteoporotic vertebral compression fractures due to its advantages of minimal trauma and rapid improvement of symptoms. [ 17 ] Therefore, all patients in our medical institution are treated with PKP.…”

Section: Discussionmentioning

confidence: 99%

Is the incidence of sandwich vertebral fracture higher than that of ordinary adjacent vertebral fracture after PKP?

Yang

Zhao²,

Zhao³

2022

Medicine

View full text Add to dashboard Cite

Objective: To compare the incidence of fracture between sandwich vertebra and ordinary adjacent vertebra after percutaneous kyphoplasty (PKP). Method: We analyzed 225 consecutive patients with osteoporotic vertebral compression fractures who underwent PKP between January 2016 and December 2020 at our medical institution. The sandwich vertebrae was located between 2 cement-augmented vertebra and was followed for at least 12 months. The clinical data of patients with sandwich vertebra and ordinary adjacent vertebra were recorded, and the incidence of postoperative fracture between sandwich vertebra and ordinary adjacent vertebra was compared. Results: The mean continuous follow-up time was 31.30 ± 18.04 months in patients with sandwich vertebra and 25.85 ± 7.96 months in patients with ordinary adjacent vertebra. It should be noted that the incidence of sandwich vertebral fractures was 10.00%, which was not statistically higher than 3.26% for ordinary adjacent vertebral fractures. However, a significant difference was observed in the cement volume of single vertebral body, procedure time, and bleeding. Conclusion: Although the volume of cement in a single vertebral body is less and the procedure time and bleeding are more, the incidence of sandwich vertebral fracture is not higher than that of ordinary adjacent vertebral body.

show abstract

Section: Discussionmentioning

confidence: 99%

Is the incidence of sandwich vertebral fracture higher than that of ordinary adjacent vertebral fracture after PKP?

Yang

Zhao²,

Zhao³

2022

Medicine

View full text Add to dashboard Cite

show abstract

“…The PKP is an analogous technique to PVP, but it has an additional step of expanding balloons via bilateral transpedicular approach in the vertebrae to create cavities before injection of cement [ 20 ]. Some researchers have indicated that PKP is more effective and safer to restore the vertebral height than that of PVP [ 21 ]. However, we found that further recompression of cement vertebrae with significant vertebral height loss and aggravated local kyphotic deformity occurred more frequently in the patients after PKP during the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Association between bone turnover markers, BMD and height loss of cemented vertebrae after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures

et al. 2022

View full text Add to dashboard Cite

Introduction Percutaneous vertebroplasty (PVP) was recently performed for treating patients with osteoporotic vertebral compression fractures (OVCF). However, recompression of cemented vertebra with significant vertebral height loss occurred in the patients after PVP was observed during the follow-up period. The purpose is to explore the risk factors among several potential predictors for the height loss of treated vertebral bodies after PVP in patients with OVCF. Methods A study of 93 patients who had undergone PVP between May 1, 2016, and March 1, 2019, at the Spine Center of Huadong Hospital Affiliated to Fudan University was conducted. The fractured vertebral height loss ratio ≥ 15% at final follow-up were defined as cemented vertebra recompression. The following variables were measured and collected: age, gender, body mass index (BMI), bone mineral density (BMD), volume of bone cement injected, bone cement leakage, fractured vertebra segment, contact between bone cement and endplates, serum of calcium and phosphorus, and six kinds of bone turnover markers. Results Mann–Whitney U test and Univariate Logistic regression analysis showed that the cemented vertebra recompression was correlated with BMD, contact between bone cement and endplates, parathyroid hormone (PTH), and 25-hydroxy vitamin D3 (25-OH-D3). Following multivariate modeling, multiple factors logistic regression elucidated that high BMD (P < 0.001, OR = 0.089) and high level of serum 25-OH-D3 (P = 0.012, OR = 0.877) were negatively correlated with the cemented vertebra recompression after PVP. Conclusion Decreased BMD and lower level of serum 25-OH-D3 might be two critical and significant risk factors for the height loss of cemented vertebrae after PVP.

show abstract

“…As this surgical method is a relatively new method, there is little literature tracking the decisions and results of different surgical methods. During bipedicular decompressed PBK, the acrylic bone cement is injected with a simultaneous application of continuous negative suction pressure on the contralateral side and this negative pressure creates a pulling force that attracts the bone cement by laminating the flow pattern deposition within the vertebral body [ 17 , 18 ] ( Figure 5 ).…”

Section: Discussionmentioning

confidence: 99%

Application of Machine Learning in Developing Decision-Making Support Models for Decompressed Vertebroplasty

2022

View full text Add to dashboard Cite

Background: The common treatment methods for vertebral compression fractures with osteoporosis are vertebroplasty and kyphoplasty, and the result of the operation may be related to the value of various measurement data during the operation. Material and Method: This study mainly uses machine learning algorithms, including Bayesian networks, neural networks, and discriminant analysis, to predict the effects of different decompression vertebroplasty methods on preoperative symptoms and changes in vital signs and oxygen saturation in intraoperative measurement data. Result: The neural network shows better analysis results, and the area under the curve is >0.7. In general, important determinants of surgery include numbness and immobility of the lower limbs before surgery. Conclusion: In the future, this association model can be used to assist in decision making regarding surgical methods. The results show that different surgical methods are related to abnormal vital signs and may affect the length of hospital stay.

show abstract

Percutaneous balloon kyphoplasty in the treatment of vertebral compression fractures: a single-center analysis of pain and quality of life outcomes

Cited by 10 publications

References 20 publications

Is the incidence of sandwich vertebral fracture higher than that of ordinary adjacent vertebral fracture after PKP?

Is the incidence of sandwich vertebral fracture higher than that of ordinary adjacent vertebral fracture after PKP?

Association between bone turnover markers, BMD and height loss of cemented vertebrae after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures

Application of Machine Learning in Developing Decision-Making Support Models for Decompressed Vertebroplasty

Contact Info

Product

Resources

About