Single-Balloon Kyphoplasty in Osteoporotic Vertebral Compression Fractures : Far-Lateral Extrapedicular Approach

Ryu, Kyeong‐Sik; Huh, Han-Yong; Jun, Sung-Chul; Park, Chun Kun

doi:10.3340/jkns.2009.45.2.122

Cited by 14 publications

(33 citation statements)

References 16 publications

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“…However, a relative increase was consistently reported at the late phase when the injected volume was noted to exceed volume of the cavity created with the balloon tamps [10,11]. In contrast, Ryu et al suggests that the etiology of cement leakage is multifactorial and not only related to increasing intravertebral pressure [12]. Although restoration of vertebral height and the creation of a potential space in balloon kyphoplasty decreases the needed pressure to inject cement, leakage may occur once the intravertebral pressures approach the endpoints achieved by the end of the procedure.…”

Section: Discussionmentioning

confidence: 91%

A Case Report for a Mortality Following Kyphoplasty: Suggested Method of Prevention

Oddo¹,

Lee²,

Lehner³

2017

Surgery Curr Res

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Study design: A case report and review of literature.Objective: To discuss the implementation of a bilateral cannula venting technique to prevent perioperative mortality and morbidity related to kyphoplasty.Summary of background data: Several authors have suggested various recommendations for techniques to lower complications related to kyphoplasty, such as specific cement types, consistencies, volumes, and intravertebral pressures. However, there are few commentaries regarding venting during kyphoplasty as a method to reduce complications, such as embolism. Methods:A 69-year-old male suffered acute cardiac decompensation and arrest during a kyphoplasty procedure, ultimately resulting in his death.Results: Autopsy report from the coroner's office revealed the cause of death as a pulmonary fat and bone marrow embolism. In response to this event, the attending physician and his partners began venting during the kyphoplasty procedure, using a bilateral cannula technique. Conclusion:The bilateral venting modification has been adopted as the standard of practice with the senior author and his local colleagues. Since implementing this technique, the group of surgeons has successfully performed over 1000 kyphoplasty surgeries without any resulting in perioperative mortality or morbidity.

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Section: Discussionmentioning

confidence: 91%

A Case Report for a Mortality Following Kyphoplasty: Suggested Method of Prevention

Oddo¹,

Lee²,

Lehner³

2017

Surgery Curr Res

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“…But recently a unipedicular approach has been advocated, reducing the operating time, radiation exposure, and complications, and increasing the cost-effectiveness of the procedure (11,12). An increasing number of studies have been conducted to apply unilateral balloon kyphoplasty in the treatment of OVCFs (13)(14)(15)(16)(17)(18)(19). Scholars have compared the clinical and radiological results of unilateral and bilateral kyphoplasty approach (20)(21)(22)(23)(24)(25)(26)(27)(28).…”

Section: Meta-analysismentioning

confidence: 99%

“…The search strategy ( Fig. 1) yielded 16 studies on the use of unipedicular balloon kyphoplasty in the treatment of patients with OVCFs, including 6 randomized controlled trials, 3 retrospective comparative studies, and 7 case series (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28). Characteristics of each article were given in Table 1 and Table 2.…”

Section: Literature Searchmentioning

confidence: 99%

“…The patient mean age range was 60.3-74 years, and 292 patients were women. The surgical techniques including unilateral transpedicular approach (13,14), unilateral extrapedicular approach (15)(16)(17)(18)(19). The mean operative time was 25-37.4 minutes (14,15,17).…”

Section: Patients Undergoing Unilateral Percutaneous Kyphoplastymentioning

confidence: 99%

“…The mean cement www.painphysicianjournal.com volume was 3.1-5.12 mL (14-18). The mean postoperative VAS score was from 1.74 to 4.77 (14)(15)(16)(17)(18)(19), and the mean postoperative kyphotic angle was from 5.9º to Unilateral Balloon Kyphoplasty for Treatment of Patients with OVCFS Table 3. Main characteristics of the identified studies pooled in the meta-analysis.…”

Section: Patients Undergoing Unilateral Percutaneous Kyphoplastymentioning

confidence: 99%

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The Role of Unilateral Balloon Kyphoplasty for the Treatment of Patients with OVCFS: A Systematic Review and Meta-Analysis

et al. 2018

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Background: An increasing number of studies have been conducted to apply unilateral balloon kyphoplasty in the treatment of ostroporotic vertebral compression fractures (OVCFs). However, the efficacy and safety of unilateral kyphoplasty and whether a unilateral or a bilateral approach is superior is controversial. Objectives: The purpose of this study was to evaluate the role of unilateral balloon kyphoplasty and use meta-analysis to compare the efficacy and safety of unilateral and bilateral kyphoplasty in patients with OVCFs. Study Design: A systematic literature search was conducted from 1970 to April 2017 using Medline database and the Cochrane Central Register of Controlled Trials. Articles were limited to those published in English. Randomized controlled trials and nonrandomized comparative studies were also included. Setting: The following search terms were used: “osteoporotic vertebral compression fractures,” or “OVCF,” and “unilateral kyphoplasty,” or “unipedicular approach,” or “single balloon kyphoplasty,” or “one balloon kyphoplasty.” A comprehensive search of reference lists of retrieved articles and previous published reviews was also performed to ensure inclusion of all possible studies. Methods: All potential articles were independently reviewed by 2 investigators for inclusion into the final analysis. MINORS score was used for nonrandomized studies, and Detsky quality index was applied for prospective randomized controlled trials. Systematic review and meta-analysis was performed for the included studies. Results: After unilateral balloon kyphoplasty the mean postoperative visual analog score (VAS) was from 1.74 to 4.77, mean postoperative kyphotic angle was from 5.9º to 11.22º, and complications involving cement leaks was from 6.8 to 21.9% or adjacent level fractures was from 0 to 5.6%). Unilateral kyphoplasty had significantly lower operative time, and less bone cement volume; however, the postoperative VAS, Oswestry Disability Index (ODI), vertebral height restoration rate, and cement leakage and adjacent vertebral fracture rate, were similar to bilateral kyphoplasty. Limitations: Only 6 randomized controlled trials and 3 retrospective comparative studies were selected for analysis. Heterogeneity was detected among the studies when we pooled the outcomes. Conclusions: Based on the available evidence, the clinical and radiological results of unilateral balloon kyphoplasty were as good as those of bilateral balloon kyphoplasty for the treatment of OVCFs. And unilateral kyphoplasty had advantages in terms of operation time, radiation exposure, and cost. Key words: Unilateral balloon kyphoplasty, bilateral balloon kyphoplasty, osteoporotic vertebral compression fractures, complications of balloon kyphoplasty, meta-analysis

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The puncture methods of extrapedicular PVP (PKP): A narrative review

Hong

Zhao²,

Luo

et al. 2021

Interdisciplinary Neurosurgery

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Single-Balloon Kyphoplasty in Osteoporotic Vertebral Compression Fractures : Far-Lateral Extrapedicular Approach

Cited by 14 publications

References 16 publications

A Case Report for a Mortality Following Kyphoplasty: Suggested Method of Prevention

A Case Report for a Mortality Following Kyphoplasty: Suggested Method of Prevention

The Role of Unilateral Balloon Kyphoplasty for the Treatment of Patients with OVCFS: A Systematic Review and Meta-Analysis

The puncture methods of extrapedicular PVP (PKP): A narrative review

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