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

Lee, Su Keon; Lee, Seung Hwan; Yoon, Sang Pil; Lee, Young Tae; Jang, Geun Young; Lim, Sang Youn; Lee, Hwan Mo; Moon, Seong Hwan; Song, Kyeong Seop

doi:10.4184/asj.2014.8.6.799

Cited by 19 publications

(9 citation statements)

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“…Osteoporosis (osteoporosis, OP) is a metabolic bone disease characterized by a decrease in bone tissue mass, bone microstructure destruction, and a decline in bone density and bone quality caused by a variety of factors. The morbidity rate is relatively high in the elderly, which is mainly manifested by chronic pain, restricted activities in some patients, and kyphosis in severe cases, which may even increase the mortality of patients [ 1 , 2 ]. At present, the number of OP patients in China has exceeded 80 million, and its prevalence is about 6.6% of the total population, ranking first in the world, and most of the patients are elderly women over 60 years old [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Analysis of risk factors related to the re-fracture of adjacent vertebral body after PKP

et al. 2021

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Background This study aims to investigate the risk factors of vertebral re-fracture after percutaneous kyphoplasty (PKP) for osteoporosis vertebral compression fracture (OVCF), and to provide reference for clinical prevention. Material and methods A retrospective analysis was performed on 228 OVCF patients admitted on November 6, 2013, solstice, December 14, 2018, which met the inclusion criteria. There were 35 males and 193 females, with a male-to-female ratio of 3:20, and an age of 61–89 years. All patients were treated with PKP surgery with complete clinical data, and the rate of re-fracture was calculated according to whether re-fracture occurred after surgery, divided into the re-fracture group (24 cases) and the non-refracture group (204 cases). May be associated with subsequent fracture factors (gender, age, number of surgical segment vertebral body, whether with degenerative scoliosis, whether to fight osteoporosis) into a single-factor research, then the single-factor analysis was statistically significant risk factors for multiple logistic regression analysis, further defined after PKP holds the vertebral body fracture independent risk factors. Survival analysis was performed using the time of vertebral re-fracture after PKP as the end time of follow-up, the occurrence of re-fracture after PKP as the endpoint event, and the presence or absence of degenerative lateral curvature as a variable factor. Results All 228 vertebroplasty patients were followed up for a period of 1.8 to 63.6 months. The mean follow-up time was (28.8 ± 15.6) months, and the re-fracture rate was 10.5%. There were statistically significant differences between the re-fracture group and the non-refracture group in age, number of operative vertebral bodies, whether there was a combination of degenerative scoliosis and whether there was anti-osteoporosis treatment (P < 0.05). The results of univariate logistic regression analysis after excluding the mutual influence of various factors showed that the number of vertebral bodies and the group with lateral curvature might be the risk factors for PKP re-fracture after surgery. The above possible risk factors were included in multiple logistic regression analysis to show whether there were independent risk factors for scoliosis and vertebral re-fracture. Survival analysis showed that the mean survival time was 42.1 months, the P value was 0.00, and the mean 95% confidence interval was (34.4–49.7 months), indicating that the combination of degenerative lateral bending might be related to the occurrence of re-fracture. Conclusions Combined scoliosis is an independent risk factor for re-fracture after OVCF laminoplasty and a possible risk factor for re-fracture after surgery.

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Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Analysis of risk factors related to the re-fracture of adjacent vertebral body after PKP

et al. 2021

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“…Osteoporotic vertebral compression fracture (OVCF) is a common disease in the elderly population accompanied by decreased bone mineral density [ 1 ], which can cause acute or chronic back pain, functional limitations of the spine, a thoracolumbar vertebral deformity, vertebral height (VH) loss, and deterioration of quality of life [ 2 , 3 ]. OVCFs occur more frequently than other osteoporotic fractures, such as hip fractures and distal radius fractures [ 4 ], and they have become a more increasingly serious disease and a significant health problem worldwide that will obviously increase economic burden to society and family in the future [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical effects of different vertebral heights after augmentation of osteoporotic vertebral compression fracture: a three-dimensional finite element analysis

et al. 2018

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BackgroundClinical results have shown that different vertebral heights have been restored post-augmentation of osteoporotic vertebral compression fractures (OVCFs) and the treatment results are consistent. However, no significant results regarding biomechanical effects post-augmentation have been found with different types of vertebral deformity or vertebral heights by biomechanical analysis. Therefore, the present study aimed to investigate the biomechanical effects between different vertebral heights of OVCFs before and after augmentation using three-dimensional finite element analysis.MethodsFour patients with OVCFs of T12 underwent computed tomography (CT) of the T11-L1 levels. The CT images were reconstructed as simulated three-dimensional finite-element models of the T11-L1 levels (before and after the T12 vertebra was augmented with cement). Four different kinds of vertebral height models included Genant semi-quantitative grades 0, 1, 2, and 3, which simulated unilateral augmentation. These models were assumed to represent vertical compression and flexion, left flexion, and right flexion loads, and the von Mises stresses of the T12 vertebral body were assessed under different vertebral heights before and after bone cement augmentation.ResultsData showed that the von Mises stresses significantly increased under four loads of OVCFs of the T12 vertebral body before the operation from grade 0 to grade 3 vertebral heights. The maximum stress of grade 3 vertebral height pre-augmentation was produced at approximately 200%, and at more than 200% for grade 0. The von Mises stresses were significantly different between different vertebral heights preoperatively. The von Mises stresses of the T12 vertebral body significantly decreased in four different loads and at different vertebral body heights (grades 0–3) after augmentation. There was no significant difference between the von Mises stresses of grade 0, 1, and 3 vertebral heights postoperatively. The von Mises stress significantly decreased between pre-augmentation and post-augmentation in T12 OVCF models of grade 0–3 vertebral heights.ConclusionVertebral augmentation can sufficiently reduce von Mises stresses at different heights of OVCFs of the vertebral body, although this technique does not completely restore vertebral height to the anatomical criteria.

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“…The outcomes described by the Ontario Health Technology [ 11 ] showed that BK to treat pain associated with VCFs due to osteoporosis was as effective as vertebroplasty at relieving pain, and it restores the height of the affected vertebra and results in lower fracture rates in other vertebrae compared with vertebroplasty and in fewer neurological complications due to cement leakage compared with vertebroplasty. These results were experienced by the retrospective study from Lee et al [ 12 ], which reported a significantly better quality of life in the group treated by kyphoplasty than in the group treated by vertebroplasty, especially regarding mobility, pain, anxiety, and depression.…”

Section: Discussionmentioning

confidence: 89%

A Novel Minimally Invasive Reduction Technique by Balloon and Distractor for Intra-Articular Calcaneal Fractures: A Report of 2 Cases

Prod’homme

Jafar

Zogakis

et al. 2018

Case Reports in Orthopedics

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Treatment of displaced intra-articular fractures of the calcaneus remains a challenge for the orthopaedic surgeon. Conservative therapy is known to produce functional impairment. Surgical approach is plagued by soft-tissue complications and insufficient fracture reduction. We describe a minimally invasive technique that will hopefully improve these issues. We want to present our first experience through two cases. The first was a 46-year-old man who presented with a Sanders type IIBC calcaneal fracture, and the second was a 86-year-old woman with a type IIIBC calcaneal fracture. We introduced 2 Schanz screws in the talus and the calcaneus. After distraction, we introduced an inflatable balloon inside the calcaneus. By inflating the balloon, the articular surface was reduced by lifting it up. Then bone cement was injected in order to maintain the reduction. Additional screw fixation was used in the young patient. Postoperative imaging showed good congruence of the subtalar joint without leakage of cement, for the two cases. After 2 months, the patients had no pain and were without soft-tissue complications. We advocate this technique to perform a minimally invasive reduction and fixation of intra-articular calcaneal fractures because it preserves soft-tissues and provides good clinical results with early weight-bearing.

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

Cited by 19 publications

References 20 publications

RETRACTED ARTICLE: Analysis of risk factors related to the re-fracture of adjacent vertebral body after PKP

RETRACTED ARTICLE: Analysis of risk factors related to the re-fracture of adjacent vertebral body after PKP

Biomechanical effects of different vertebral heights after augmentation of osteoporotic vertebral compression fracture: a three-dimensional finite element analysis

A Novel Minimally Invasive Reduction Technique by Balloon and Distractor for Intra-Articular Calcaneal Fractures: A Report of 2 Cases

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