Delayed Top Loss after Kyphoplasty in Osteoporotic Vertebral Fracture with Extreme Collapse: Comparability with Vertebroplasty.
World Neurosurg. 2018 Aug 01;:
Authors: Kim SI, Ha KY, Cho YS, Kim KW, Oh IS
OBJECTIVE: To check medical and radiographic outcomes, in addition to issues after vertebroplasty (VP) and kyphoplasty (KP) for osteoporotic vertebral fractures (OVFs) with extreme collapse.
METHODS: Sufferers of > 65 years with a single OVF (T10-L2) with extreme collapse (>40%) had been prospectively enrolled and allotted to both KP or VP. The visible analog scale (VAS) and Oswestry Incapacity Index (ODI) had been used for medical evaluation. Vertebral top loss (HL) and segmental kyphotic angle (KA) had been measured radiographically at preoperative, postoperative, and postoperative 1-, Three-, 6-, and 12-month. Process-related and postoperative issues had been recorded.
RESULTS: Forty-six sufferers (27 with VP, 19 with KP) had been enrolled. Between the 2 teams, VAS and ODI scores had been related in any respect time factors. Complication charges weren’t completely different, both. HL and KA had been restored considerably in each teams, and KP confirmed a greater lead to HP (KP group HL 20.5±5.6% vs VP group HL 29.eight±four.6%, P<zero.zero01). Nonetheless, progressive vertebral HL was noticed, and KP sufferers confirmed a better collapse in top. On the 1-year follow-up, there was no vital distinction in vertebral top (KP group HL 29.eight±6.Three% vs VP group HL 33.zero±5.2%, P=zero.075).
CONCLUSIONS: KP and VP confirmed related enhancements in ache and incapacity throughout the remedy for OVFs. Though vertebral top and segmental KA had been restored considerably in each teams, progressive vertebral HL was inevitable, particularly after KP. This seemingly resulted from the distinction of bone-cement interface as a consequence of balloon tamping in KP. Surgeons should take into account the respective options of vertebral augmentations.
PMID: 30077032 [PubMed – as supplied by publisher]