Comparison of Percutaneous Kyphoplasty and Pedicle Screw Fixation for Treatment of Thoracolumbar Severe Osteoporotic Vertebral Compression Fracture with Kyphosis

Wen, Zhenxing; Mo, Xiaoyi; Zhao, Shengli; Lin, Wei; Chen, Zhipeng; Huang, Zifang; Cheung, Wing-Hoi; Fu, Dan; Chen, Bailing

doi:10.1016/j.wneu.2021.06.030

Cited by 22 publications

(15 citation statements)

References 28 publications

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“…Coincidentally, the average age in this group was the highest (Figure 2), since this technique was not used in younger patients. Our result regarding postoperative correction correlates with a study by Wen et al (34), where pedicle screw fixation led to higher restoration of vertebral body height in comparison to percutaneous kyphoplasty. However, in the radiological follow-up after 24 weeks, all surgical approaches suffered a loss of correction, and no significant difference could be detected.…”

Section: Discussionsupporting

confidence: 91%

Profit Analysis of Minimal-invasive Approaches for Surgical Treatment of A3 Spinal Burst Fractures

Niemann

Pacha

Clausen

et al. 2022

In Vivo

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Background/Aim: Regarding the surgical treatment of incomplete burst fractures of the spine, no optimal standard procedure has been established. While previous studies have focused on radiological and surgical outcome parameters, the literature has not elucidated economic aspects of various surgical treatment options in detail yet. This study aimed to investigate whether open and minimal-invasive approaches differ in their economic profit gain. Furthermore, we examined whether a single-stage or two-stage approach of anteriorposterior fusion was more profitable. Patients and Methods: By analyzing retrospectively data of 129 patients who underwent surgical procedure due to isolated incomplete burst fractures, we examined the economic profit and radiological parameter of open pedicle screw insertion, minimal-invasive techniques (percutaneous screws, percutaneous screws combined with SpineJack ® , kyphoplasty or SpineJack ® ), and anterior-posterior fusion. Results: Percutaneous screws in combination with SpineJack ® gained significantly higher profit and higher profit per day of hospital length of stay. Profit was similar after single-stage and two-stage approach of vertebral body replacement. No significant difference in radiological outcome after 24 months was detected between the various surgical techniques. Conclusion: From a financial aspect, our finding suggests that application of percutaneous screws in combination with SpineJack ® may generate the highest economic profit gain regarding treatment of incomplete burst fracture.

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Section: Discussionsupporting

confidence: 91%

Profit Analysis of Minimal-invasive Approaches for Surgical Treatment of A3 Spinal Burst Fractures

Niemann

Pacha

Clausen

et al. 2022

In Vivo

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“…Due to the risk of severe cement leakage and the difficulty of surgical techniques, some authors previously considered sOVCF as an absolute or relative contraindication for PVP (12,21,22). However, through the mastery and improvement of surgical techniques, more and more researchers have conducted studies on patients with sOVCF and confirmed that PKP is also effective for these patients (23)(24)(25). In a retrospective study conducted by Wen et al (25), patients with sOVCF reported satisfactory improvements in VAS and ODI scores, LKA, and AVH after PKP compared with the preoperative values (p < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous Kyphoplasty With or Without Posterior Pedicle Screw Fixation on Spinal Sagittal Balance in Elderly Patients With Severe Osteoporotic Vertebral Compression Fracture: A Retrospective Study

et al. 2022

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ObjectiveTo compare the effects of percutaneous kyphoplasty (PKP) with or without posterior pedicle screw fixation (PPSF) on spinal sagittal balance in elderly patients with severe osteoporotic vertebral compression fracture (sOVCF).MethodsFrom January 2016 to December 2018, 102 elderly patients with single-level thoracolumbar sOVCF were enrolled. Among them, 78 cases underwent PKP (Group A), and 24 cases underwent PPSF+KP (Group B). Clinical evaluation included perioperative parameters, Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for back pain; Radiographic evaluation included anterior vertebral height (AVH) and rate (AVHr), local kyphotic angle (LKA), and spino-pelvic sagittal balance parameters.ResultsPerioperative parameters including operation time, blood loss, fluoroscopic time and hospital stay in Group A were less than those in Group B (p < 0.05). Compared with the pre-operative results, the ODI and VAS scores of both groups decreased significantly in the three follow-ups after surgery (p < 0.05). The post-operative ODI and VAS scores of Group A were significantly better than those of Group B, but the results were opposite at the final follow-up (p < 0.05). Compared with the pre-operative values, except that there was no significant difference in pelvic incidence (PI) (p > 0.05), other radiographic parameters of both groups were improved significantly in the three follow-ups after surgery (p < 0.05). The AVH, AVHr, LKA and lumbar lordosis (LL) in Group B were better than those in Group A in the three follow-ups after surgery (p < 0.05). At the final follow-up, the sacral slope (SS) and pelvic tilt (PT) differed significantly between the two groups (p < 0.05).ConclusionsBoth PPSF+KP and PKP can achieve favorable clinical outcomes and maintain the spinal sagittal balance. Compared with PPSF+KP, PKP showed more significant advantages in the early post-operative period. However, in the long-term follow-up, PPSF+KP showed better clinical outcomes and may be better than PKP in maintaining spinal sagittal balance.

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“…Therefore, most patients choose surgical treatment to solve their pain as soon as possible. But due to the reduced muscle function and poor physical tolerance of elderly patients, the recovery after surgery has been unsatisfactory, and in more serious cases, surgery may cause more serious spinal complications [ 6 , 7 ]. Therefore, a method that can effectively enhance the postoperative recovery of TVCF patients has also been searched for in the clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Effect of Core Stability Training on Unstable Support Surfaces in Postoperative Rehabilitation of Thoracolumbar Vertebral Compression Fractures in the Elderly

Yin

Cao

Wang

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. Thoracolumbar vertebral compression fractures (TVCF) are caused by anterior flexion or vertical downward violence to the spine (Sezer et al. 2021). This study is aimed at investigating the effect of core stability training (CST) on unstable support surfaces in the postoperative rehabilitation of TVCF in the elderly. Methods. Ninety-eight patients with TVCF who underwent surgical treatment in our hospital from July 2021 to April 2022 were selected as study subjects. Then, they were divided into a research group receiving unstable support surface CST and a control group with conventional rehabilitation training according to the random number table method. Before and after the training, the X-ray machine was positioned and the anterior margin and middle height ratio and the posterior convex Cobb angle of the injured vertebrae were observed, and the balance detector was used to detect patients’ eye opening and closing trajectory length, Romberg rate, and to perform gait test. Patients’ pain, lumbar spine function, and quality of life were subsequently assessed using the Visual Analogue Scale (VAS), Oswestry Dysfunction Index (ODI), Generic Quality of Life Inventory-74 (GQOL-74), and patient satisfaction with rehabilitation was investigated. Results. After rehabilitation training, there was no statistically marked difference in eye-opening trajectory length between both groups ( P > 0.05 ). The research group had higher scores than the control group in all dimensions of the anterior border of the injured vertebra, middle height ratio, and GQOL-74, while the posterior convex Cobb angle, closed-eye trajectory length, Romberg rate, VAS, and ODI were lower than the control group ( P < 0.05 ). The research group also revealed better gait improvement and higher rehabilitation satisfaction than the control group after training ( P < 0.05 ). Conclusion. Unstable support surface CST can effectively improve postoperative vertebral body rehabilitation, balance function, gait, pain conditions, and lumbar spine function in elderly TVCF patients, and enhance their quality of life and rehabilitation satisfaction. This trial is registered with ChiCTR2000014547.

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Comparison of Percutaneous Kyphoplasty and Pedicle Screw Fixation for Treatment of Thoracolumbar Severe Osteoporotic Vertebral Compression Fracture with Kyphosis

Cited by 22 publications

References 28 publications

Profit Analysis of Minimal-invasive Approaches for Surgical Treatment of A3 Spinal Burst Fractures

Profit Analysis of Minimal-invasive Approaches for Surgical Treatment of A3 Spinal Burst Fractures

Comparison of Percutaneous Kyphoplasty With or Without Posterior Pedicle Screw Fixation on Spinal Sagittal Balance in Elderly Patients With Severe Osteoporotic Vertebral Compression Fracture: A Retrospective Study

Effect of Core Stability Training on Unstable Support Surfaces in Postoperative Rehabilitation of Thoracolumbar Vertebral Compression Fractures in the Elderly

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