Vertebroplasty versus kyphoplasty in osteoporotic vertebral compression fracture: a meta-analysis of prospective comparative studies

Chang, Xian; Lv, Yang‐Fan; Chen, Bin; Li, Haiyin; Han, Xiaobo; Yang, Kuang Yao; Zhang, Wei; Zhou, Yue; Li, Changqing

doi:10.1007/s00264-014-2525-5

Cited by 67 publications

(54 citation statements)

References 36 publications

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“…Studies by Yan et al (24,14) reported that pain and the kyphotic angle were reduced in their unilateral and bilateral groups, whereas the volume of the injected cement and radiation dose in the unilateral group were lower than those in the bilateral group. Hence, the current study demonstrated that unilateral PKP had a similar curative effect as bilateral PKP, and the radiation dose, operative time and complication rate were all lower than those in the bilateral PKP group, which was consistent with the results of previous studies (13) In the unilateral puncture approach, the inclined angle of the puncture is increased to distribute the bone cement to the opposite side, which increases puncture-associated risks. To address these issues, the balloon must be placed in the anterior one-third of the vertebral body to allow the bone cement to diffuse into the midline and contralateral vertebral body (25).…”

Section: Discussionsupporting

confidence: 90%

“…Frontal and lateral chest X-ray, computed tomography in cases of injured vertebrae and chest magnetic resonance imaging were performed prior to surgery. There were no significant inter-group differences in terms of sex, age, course of disease, lesional segment, bone density T-value, pre-operative visual analog scale (VAS) pain score, Oswestry disability index (ODI), vertebral body height and Cobb angle (13) (Table I).…”

Section: Patientsmentioning

confidence: 99%

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Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Xiong¹,

Sun²,

Song³

et al. 2019

Exp Ther Med

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In the present study, the efficacy of unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty (PKP) for Kummell disease was compared. Between March 2015 and June 2017, 63 patients with Kummell disease were recruited and underwent PKP with two different puncture techniques: A total of 38 patients were treated by unilateral transverse process-pedicle PKP and 25 patients were treated by bilateral PKP. The operative time, intra-operative fluoroscopy time, volume of bone cement injection and bone cement leakage were recorded. Prior to surgery and 1 day post-surgery, the visual analogue scale (VAS) pain score and Oswestry disability index (ODI) were determined, and the vertebral body height and Cobb angle were measured. The results indicated that the incidence of bone cement leakage in the unilateral group was similar with the bilateral group (15.79% vs. 16.00%), with no statistically significant difference between the two groups. None of the patients in the two groups had any obvious damage of the spinal cord. The operative time, intra-operative fluoroscopy time and volume of bone cement injection in the unilateral group were lower than those in the bilateral group. A chest X-ray examination at 1 day post-surgery revealed no pulmonary embolism in the two groups. The VAS score, ODI, vertebral body height and Cobb angle were significantly improved in the unilateral and bilateral groups at 1 day post-surgery and at the last follow-up (12 months post-surgery) as compared with these parameters prior to surgery. In conclusion, the unilateral transverse process-pedicle and bilateral puncture techniques in PKP exhibited good efficacy as a treatment for Kummell disease. The operative time, intra-operative fluoroscopy time and volume of bone cement injection were lower in the unilateral group.

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Section: Discussionsupporting

confidence: 90%

Section: Patientsmentioning

confidence: 99%

Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Xiong¹,

Sun²,

Song³

et al. 2019

Exp Ther Med

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“…In a meta-analysis of prospective comparative studies of vertebroplasty and kyphoplasty, Chang et al 27 included 1429 patients from 20 studies and found that there was no difference in the reduction of pain and disability between the two techniques. Similar findings were reported in another meta-analysis of 845 patients 28.…”

Section: Resultsmentioning

confidence: 99%

Analysis of vertebral augmentation practice patterns: a 2016 update

Hirsch

Chandra

Pampati

et al. 2016

J NeuroIntervent Surg

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ObjectiveTo evaluate procedure utilization patterns for vertebroplasty and kyphoplasty in the US Medicare population from 2004 to 2014.MethodsThe analysis was performed using the Centers for Medicare and Medicaid Services database of specialty utilization files for the fee for service (FFS) Medicare population.ResultsThe FFS Medicare population increased by 28% with an annual increase of 2.5% from 2004 to 2014. Utilization of vertebroplasty procedures decreased by 63% with an average annual decrease of 9.5% from 2004 to 2014 per 100 000 FFS Medicare beneficiaries. During the same time period, kyphoplasty procedures decreased by a total of 10%, with an average annual decrease of 1.3%. For augmentation generally (combined vertebroplasty/kyphoplasty data) there was thus an overall decrease in the rate per 100 000 Medicare population of 32% from 2004 to 2014, with an average annual decrease of 4.8%. The majority of vertebroplasty procedures were performed by radiologists whereas the majority of kyphoplasties were performed by orthopedic surgeons and neurosurgeons.ConclusionsThere has been a significant decline in vertebroplasty and kyphoplasty procedures in the FFS Medicare population between 2004 and 2014.

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“…The emerging increase in kyphoplasty procedures may be the result of a majority of procedures performed by radiologists since 2012 (22). (24).…”

Section: Discussionmentioning

confidence: 99%

Utilization of vertebroplasty and kyphoplasty procedures throughout the United States over a recent decade: an analysis of the Nationwide Inpatient Sample

et al. 2017

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Background: Given the increasing societal focus on health care utilization and value-based care, it is essential to understand the demographic and economic data surrounding percutaneous vertebral augmentation procedures performed in the United States. Double-blinded prospective randomized controlled trials have shown no benefit to the use of vertebroplasty over a sham procedure in the treatment of vertebral fractures. Contrastingly, kyphoplasty may be beneficial when appropriately indicated. Additionally, kyphoplasty and vertebroplasty were more often performed in teaching facilities rather than community hospitals (60% and 67%, respectively).Conclusions: Since the publication of two double-blind, prospective randomized controlled trials showed no benefit of vertebroplasty over a sham procedure, there has been a significant decrease in both kyphoplasty and vertebroplasty procedures.

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Vertebroplasty versus kyphoplasty in osteoporotic vertebral compression fracture: a meta-analysis of prospective comparative studies

Cited by 67 publications

References 36 publications

Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

Analysis of vertebral augmentation practice patterns: a 2016 update

Utilization of vertebroplasty and kyphoplasty procedures throughout the United States over a recent decade: an analysis of the Nationwide Inpatient Sample

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