Analysis of Anesthesia Methods in Percutaneous Kyphoplasty for Treatment of Vertebral Compression Fractures

Abstract

Aim. Percutaneous kyphoplasty (PKP) is a routine operation for the treatment of vertebral compression fracture (VCF). Both local anesthesia and general anesthesia are widely used for PKP. However, which type of anesthesia is better for PKP still remains uncertain. This study aimed to find out whether local anesthesia or general anesthesia is more suitable for PKP. Methods. This is a retrospective clinical trial. A total of 85 single-level VCF patients who received PKP 12 months ago were recruited in this study. 45 patients who received local anesthesia were in group L, and 40 patients with general anesthesia were in group G. Clinical, radiological, and economic data between the two groups were collected. Results. No difference was found on preoperative data between the two groups. The duration of operation time in group L was longer than that in group G. Within 12 months after PKP, more complications happened in group G than those in group L. Results. This study found that there was no difference between group L and group G before the operation in terms of baseline. The operation time in group L was shorter than that in group G and the difference was significant. The VAS pain score in group L was significantly higher than that in group G. Clinical and radiological indicators were all improved after surgery, while no other difference was detected between the two groups. More severe complications happened in group G within 12 months after PKP, and the cost in group L was significantly less than that in group G. Conclusion. Both local anesthesia and general anesthesia were reliable for PKP. However, local anesthesia was more efficient and safer with less expense and more bearable pain when compared with general anesthesia.

Analysis of percutaneous kyphoplasty under different types of anesthesia for the treatment of multiple osteoporotic vertebral fractures

“…To minimize the effect on the general situation of elderly patients, PKP under local anesthesia is an effective method for treating OVFs [14][15][16][17][18]. Liu et al reported that local anesthesia for single vertebra PKP surgery can effectively relieve pain.…”

“…Local anesthesia can provide the same clinical efficacy and spinal deformity correction as that of general anesthesia. Moreover, PKP surgery under local anesthesia can effectively reduce anesthesia-related complications such as cardiopulmonary system, allowing patients to get out of bed early and reduce hospitalization time and medical expenses [17]. Fang et al indicated that the type of anesthesia administered does not affect the clinical efficacy of PKP [18].…”

“…However, when patients with m-OVFs receive local anesthesia, fluoroscopy time often has to be increased, the operative time has to be extended, or the operation has to be terminated because of body posture-related discomfort, excessive local anesthetic drugs, the toxic reaction of bone cement, and abrupt fluctuation of vital signs. The literature shows that the type of anesthesia does not affect the efficacy of PKP for a single-level OVF, and general anesthesia increases the incidence of complications and medical costs [14,17,18]. To the best of our knowledge, no studies have been reported on the choice of the type of anesthesia to administer to patients undergoing PKP for m-OVFs.…”

Analysis of Percutaneous Kyphoplasty under Different Types of Anesthesia for the Treatment of Multiple Osteoporotic Vertebral Fractures

“…Local anesthesia can provide the same clinical e cacy and spinal deformity correction as that of general anesthesia. Moreover, PKP surgery under local anesthesia can effectively reduce anesthesia-related complications such as cardiopulmonary system, allowing patients to get out of bed early and reduce hospitalization time and medical expenses [13]. Fang et al indicated that the type of anesthesia administered does not affect the clinical e cacy of PKP [14].…”

“…However, when patients with m-OVFs receive local anesthesia, uoroscopy time often has to be increased, the operative time has to be extended, or the operation has to be terminated because of body posture-related discomfort, excessive local anesthetic drugs, the toxic reaction of bone cement, and abrupt uctuation of vital signs. The literature shows that the type of anesthesia method does not affect the e cacy of PKP for a single OVF, and general anesthesia increases the incidence of complications and medical costs [10,[13][14]. No relevant study has thus far been conducted on the choice of the type of anesthesia to administer to patients undergoing PKP for m-OVFs.…”