Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures

Abstract

To compare percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) for their effectiveness and safety in the treatment of newly onset osteoporotic vertebral compression fractures (VCF).Patients with confirmed diagnosis of newly onset osteoporotic VCF and treated in our center between January 2008 and December 2016 were retrospectively included in the study. Patients were divided into 2 groups according the surgical treatment they have received. They were followed for 12 months after surgery by outpatient visits and phone interviews. Changes in VAS and ODI scores, quantity of injected bone cement, cost of treatment, changes in the height of the vertebra, incidence of complications such as bone cement leakage, adjacent level vertebral fracture during follow up and total were compared between the 2 groups.A total of 338 patients were included in the final analysis. Demographic characteristics were similar in 2 groups. There were no significant differences between the 2 groups concerning VAS and ODI scores after the surgery and at last follow up (P > .05). However, total cost of treatment, quantity of injected bone cement, incidence of adjacent level fracture, restored vertebral height and the loss of vertebral body height at the last follow up were significantly higher in the BKP group than the VP group (P < .05).Considering the similar key outcome parameters such as VAS and ODI scores and significantly more cost of BKP, VP can be prioritized over BKP in the treatment of patients with newly onset osteoporotic VCF.

Midterm Outcome after Posterior Stabilization of Unstable Midthoracic Spine Fractures in the Elderly

“…Generally, the clinical outcome parameters are in the range of the results seen at the thoracolumbar spine of the elderly. Cheng et al [2] reported mean ODI scores of 30.1% two years after kyphoplasty. Spiegl et al [6] reported mean ODI scores of 29.9% four years after hybrid stabilization in elderly patients with comparable age.…”

Eficacia y seguridad a largo plazo del polimetilmetacrilato (PMMA) en pacientes osteoporóticos tratados mediante vertebroplastia percutánea

“…Faced with an OVF with symptoms that cannot be managed by conservative treatment, PVP presents an effective option in the improvement of the patient's pain, functional status and quality of life, even in elderly cases [19][20][21][22] .…”

<p>Comparison Between Hyperextension and Neutral Positions for Vertebroplasty and Kyphoplasty: Which is Best for Osteoporotic Vertebral Compression Fractures?</p>

“…1 OVCF may result in acute or chronic pain, impaired mobility, height loss, spinal deformity, reduced pulmonary function, depression, osteoporosis progression, and even mortality. [2][3][4] Although patients with mild symptoms can be treated with bed rest and analgesia, most patients cannot tolerate non-surgical treatment due to the additional complications related to immobilization. 2 Minimally invasive surgery, including percutaneous vertebroplasty (VP) and kyphoplasty (KP), has been demonstrated to be safe and efficacious.…”

“…[2][3][4] Although patients with mild symptoms can be treated with bed rest and analgesia, most patients cannot tolerate non-surgical treatment due to the additional complications related to immobilization. 2 Minimally invasive surgery, including percutaneous vertebroplasty (VP) and kyphoplasty (KP), has been demonstrated to be safe and efficacious. [5][6][7][8] Most importantly, it has also been proven effective in reducing the risk of mortality.…”

“…9 Thus, in recent decades, it has become the firstline treatment for OVCF. 2,10,11 One of the main disadvantages of both KP and VP is that satisfactory restoration may not be obtained. Thus, surgeons have opted for various improved surgical techniques.…”