The Clinical and Radiological Availability of Percutaneous Balloon Kyphoplasty as a Treatment for Osteoporotic Burst Fractures

Abstract

Study DesignWe retrospectively assessed the results of percutaneous balloon kyphoplasty (KP) by clinical and radiological methods.PurposeTo evaluate the outcome of KP as a treatment for osteoporotic burst fractures.Overview of LiteratureMany surgeons are concerned about the possibility of neurological complications after percutaneous kyphoplasty for osteoporotic burst fractures, secondary to intra-canal cement leakage.MethodsWe performed KP as a treatment for osteoporotic burst fractures. We studied 12 patients/13 vertebrae. The two control groups consisted of patients who only underwent conservative treatment and those who underwent posterior instrumentation and fusion. We measured each preoperative/postoperative vertebral kyphotic deformity angle (KDA) using simple lateral spine images and checked for leakage of cement, as well. The preoperative/postoperative visual analog scale (VAS) scores for back pain, degree of daily activity, and postoperative complications were evaluated.ResultsThe mean improvement in KDA after KP was 9.7±2.2°. The mean preoperative and postoperative VAS scores for back pain were 8.3±0.4 and 3.1±0.17, respectively. Regarding the control group, the mean postoperative VAS score for the conservative group and the posterior surgery group decreased by 4.5±0.17 and 3.2±0.19, respectively. There was no statistically significant difference between the KP and posterior surgery groups (p=0.125). However, there was a statistically significant difference between the KP and conservative treatment groups (p=0.012).ConclusionsKP is safe and useful for treating osteoporotic burst fractures.

Postoperative Clinical Outcomes of Balloon Kyphoplasty Treatment: Would Adherence to Indications and Contraindications Prevent Complications?

“…Contraindications to BKP include pedicle fracture, fracture of a flat vertebra, fracture of the posterior wall of the vertebral body diagnosed on computed tomography, and cases in which a spinal reconstruction with internal fixation is not applicable. However, BKP used to treat osteoporotic burst fractures has been reported to yield clinically satisfactory results [19]. In addition, because there is no standard definition of "acute phase" and "adequate period of conservative treatment, " the treatment period is determined largely by the individual surgeon.…”

Bone cement distribution is a potential predictor to the reconstructive effects of unilateral percutaneous kyphoplasty in OVCFs: a retrospective study

“…As an eligible solution to OVCFs, the percutaneous kyphoplasty (PKP) has demonstrated great efficiency in pain relief and functional improvement [ 5 – 8 ]. Notably, it is common that the intravertebral bone cement distribution after unilateral PKP procedure varies among different vertebral bodies during the clinical practice.…”

Efficacy and safety of unilateral and bilateral percutaneous balloon kyphoplasty for AOspineA3/A4 osteoporotic thoracolumbar burst fractures

“…All test indicators were collected using previously reported indicators. [ 8 – 13 ] Visual analog scale (VAS) was used to assess pain scores before and 3 days after surgery. The Oswestry Dysfunction Index (ODI) was used to assess the degree of dysfunction in patients before, 1 and 6 months after surgery.…”

“…[ 7 ] But, in recent years, some experienced spine surgeons have used PKP to treat mild to moderate osteoporosis thoracolumbar burst fractures, and achieved good results. [ 8 , 9 ] PKP surgical approach is divided into bilateral and unilateral. The efficacy and safety of unilateral and bilateral PKP surgery for mild to moderate osteoporosis thoracolumbar burst fractures are rarely reported.…”