Comparison of vertebroplasty and kyphoplasty in the treatment of osteoporotic vertebral compression fractures with intravertebral clefts

Kong, Lingde; Wang, Pan; Wang, Linfeng; Shen, Yong; Shang, Zikun; Meng, Ling-Chen

doi:10.1007/s00590-013-1374-z

Cited by 37 publications

(48 citation statements)

References 25 publications

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“…A desired method for the treatment of VCF should offer pain relief and a deformity correction fast and safely [14][15][16]. Percutaneous vertebroplasty (PVP) and PKP have been widely used recently, which can meet the needs of patients who want to relief the pain and correct the deformity [17,18].…”

Section: Discussionmentioning

confidence: 99%

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

Liu

Wang

CHAI

et al. 2020

Journal of Healthcare Engineering

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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.

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Section: Discussionmentioning

confidence: 99%

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

Liu

Wang

CHAI

et al. 2020

Journal of Healthcare Engineering

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“…Cement leakage is a frequent event during the augmentation of a fractured vertebral body and impairs the safety of the procedure. Cement leakage during kyphoplasty is reported to occur less often than during vertebroplasty . The low leakage rate with BK is hypothesized to be the result of a low‐pressure injection of cement into a created cavity surrounded by compacted cancellous bone .…”

Section: Discussionmentioning

confidence: 99%

Radiological evaluation of kyphoplasty with an intravertebral expander after osteoporotic vertebral fracture

Arabmotlagh

Nikoleiski

Schmidt

et al. 2018

Journal Orthopaedic Research

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Spinal deformities due to osteoporotic vertebral compression fractures can be reduced by balloon kyphoplasty, but the correction may be partly lost when the balloon is deflated. The present study aimed to evaluate an intravertebral expander developed to reduce and maintain vertebral body height while cement is injected to correct spinal deformities due to osteoporotic vertebral fractures. The study included 31 osteoporotic vertebral body fractures in 31 patients, classified as A1 according to the AO classification, who underwent kyphoplasty using an intravertebral expander. The kyphosis angle was significantly corrected from 13.4 degrees prior to kyphoplasty to 10.8 degrees (p < 0.01) after surgery, but this correction was lost at 12 months (13.3 degrees). The correction of the kyphosis angle best correlated with the pre-operative mobility of the fracture (r ¼ 0.59, p < 0.01), and the loss of the kyphosis improvement correlated with the amount of correction (r ¼ 0.49, p ¼ 0.01). All patients, except for six with adjacent vertebral fractures, experienced significant pain reduction (VAS 8.7 pre-operatively and 2.0 at 12 months; p < 0.01), and the pain was not affected by the correction of the spinal deformity or the loss of correction in the follow-up period. These results suggest that the mobility of the fracture mainly determines the extent of deformity correction rather the device used for reduction, and greater corrections are at increased risk for losing the improvement. ß

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“…There are many literatures that compared the effectiveness and complications of the two procedures [ 8 , 9 , 10 , 11 , 12 ]. Comparison studies demonstrated similar results in terms of pain and functional status improved by VP or KP [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of Life Comparison between Vertebroplasty and Kyphoplasty in Patients with Osteoporotic Vertebral Fractures

Lee

Yoon

et al. 2014

Asian Spine J

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Study DesignRetrospective evaluation.PurposeTo compare quality of life in postmenopausal women with osteoporotic vertebral fractures (OVFs) who underwent vertebroplasty (VP) or kyphoplasty (KP).Overview of LiteraturePatient with OVFs who do not respond to conservative treatment can be treated with VP or ballon KP for faster pain relief. There are controversies on which procedure is more effective.MethodsFive hundred twenty-eight postmenopausal women in nationwide hospitals with age of 50 years or older who underwent VP of KP for OVFs were enrolled in this study. Health related quality of life was measured using the European Quality of Life 5 Domains (EQ-5D) and visual analogue scale (VAS).ResultsIn the VP group, average EQ-5D dimension was 1.95 in mobility, 1.86 in self care, 2.02 in usual activity, 2.19 in pain, 1.69 in anxiety or depression. In the KP group, average EQ-5D dimension was 1.83 in mobility, 1.78 in self care, 1.98 in usual activity, 2.03 in pain, 1.55 in anxiety or depression. Quality of life of KP group was significantly better than that of the VP group in mobility (p=0.016), pain (p=0.001), and anxiety or depression (p=0.008). Average EQ-5D index of the VP and the KP group was 0.353 (±0.472) and 0.485 (±0.357), respectively. The EQ-5D index of the KP group was significantly (p<0.001) higher than that of the KP group. The difference of VAS between VP and KP group was not statistically significant (p=0.580).ConclusionsQuality of life in patient with OVFs who underwent KP was significantly better than that of patients who underwent VP.

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Comparison of vertebroplasty and kyphoplasty in the treatment of osteoporotic vertebral compression fractures with intravertebral clefts

Cited by 37 publications

References 25 publications

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

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

Radiological evaluation of kyphoplasty with an intravertebral expander after osteoporotic vertebral fracture

Quality of Life Comparison between Vertebroplasty and Kyphoplasty in Patients with Osteoporotic Vertebral Fractures

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