Does Percutaneous Kyphoplasty Have Better Functional Outcome Than Vertebroplasty in Single Level Osteoporotic Compression Fractures? A Comparative Prospective Study

Abstract

Purpose. To evaluate the relative differences in surgical outcome of kyphoplasty (KP) versus vertebroplasty (VP) in the patients with single level refractory osteoporotic compression fractures (OCFs). Method. From August 2008 to May 2012, we intermittently treated 57 patients with single level OCF by PV and KP (Groups A and B, resp.). We used visual analogue scale (VAS) and short form 36 (SF36) questionnaire to measure functional recovery and followed them for six months. Independent samples t- and Kendall's tau-b tests were for statistics. Results. In terms of age, number, and bone mineral density of the patients, there were no significant differences between the two groups. In both groups, VAS and SF-36 scores improved significantly and remained relatively stable throughout the follow-up period. We had 9 and 6 asymptomatic cement extravasations and 5 and 8 new vertebral fractures in Group A and B, respectively. In comparing the two groups, the results indicated that KP almost failed to show any significant higher effect relative to VP during this period. Conclusions. In considering the high cost of KP relative to VP in the developing countries like Iran, there is no logical reason to use KP in a single level refractory OCF in these regions.

Comparison of the Efficacy Between Two Micro‐Operative Therapies of Old Patients With Osteoporotic Vertebral Compression Fracture: A Network Meta‐Analysis

“…After literature identified and examined, all the data in this network meta-analysis were extracted from 32 trials with 2,852 subjects [Grohs et al, 2005;Pflugmacher et al, 2005;De et al, 2007;Voormolen et al, 2007;Al-Qazaz and Elshafey, 2012;Zhou et al, 2008;Buchbinder et al, 2009;R€ ollinghoff et al, 2009;Schofer et al, 2009;Bae et al, 2010;Kasperk et al, 2010;Klazen et al, 2010;Kumar et al, 2010;Movrin et al, 2010;Rousing et al, 2010;Farrokhi et al, 2011;Folman and Shabat, 2011;Blasco et al, 2012;Kallmes, 2012;Movrin, 2012;Endres and Badura, 2012;Li et al, 2012;Omidikashani et al, 2012;Van Meirhaeghe et al, 2013;Chen et al, 2014;Du et al, 2014;Kroon et al, 2014;Liu et al, 2015;Wang et al, 2015Wang et al, , 2016Clark et al, 2016;Yang et al, 2016], compared the efficacy of PKP, PVP and CT in the aspects of VAS, ODI, KA, and the occurrence of fracture, the primary traits were listed in the Table I, indicating that the average age of the patients are above 60 and large portion of them are female. Among these 32 trials, VAS was the most frequent outcome, reported by all the trials except one.…”

Controversial Issues in Kyphoplasty and Vertebroplasty in Osteoporotic Vertebral Fractures

“…When comparing VP with KP, it seems that both procedures offer a 4-5 point average reduction from baseline (in a 10-point scale), so most authors believe that the threshold for performing the procedure is a preoperative Visual Analogue Scale (VAS) pain score of at least 4 or 5 [29–40]. Few studies report better pain relief from KP up to 1-2 years postoperatively [41, 42].…”

Bony Healing of Unstable Thoracolumbar Burst Fractures in the Elderly Using Percutaneously Applied Titanium Mesh Cages and a Transpedicular Fixation System with Expandable Screws

“…Cement-based treatment algorithms play the major role in this age group regardless of the fracture severity. Fractures that involve the dorsal wall are at risk for cement-associated problems like leakage into the disc space or even into the epidural space besides physical cement-associated problems like exothermic reactions during the polymerization progress that might injure adjunct neuro-vascular structures [ 11 , 13 , 16 , 17 ]. Internal fixation devices turn to break out or displace in patients with reduced bone quality [ 18 ].…”