Is it Helpful to Reuse the Balloon in Percutaneous Kyphoplasty for the Remedy of Non-Neoplastic Vertebral Compression Fractures?
Med Sci Monit. 2017 Dec 13;23:5907-5915
Authors: Jing Z, Solar Q, Dong J, Meng F, Track Y, Xia T, Luo J, Li Y, Nan F
BACKGROUND Percutaneous kyphoplasty (PKP) has been broadly used to deal with vertebral compression fractures (VCFs). Bilateral percutaneous punctures are all the time carried out to entry the fractured vertebrae. Nevertheless, the process has costly scientific prices, particularly the fee for the system, which creates a heavy monetary burden for sufferers. MATERIAL AND METHODS Knowledge from 49 sufferers who’ve single-level non-neoplastic vertebral compression fracture (VCF) have been collected for 12 months after handled by PKP, together with 21 circumstances that used bilateral puncture with single balloon (S group) and 28 circumstances that used bilateral puncture with double balloon (D group). We assessed the scientific (visible analogue scale, VAS) and radiological (vertebral top and kyphotic angle, KA) outcomes. Value information (gross medical value, value for the system and value for medication) have been obtained from the medical invoice of every affected person. RESULTS Baseline affected person variables have been comparable between the 2 teams besides the compensation (S group <D group). No extreme cement leakage and just one adjacent-level fracture have been noticed through the follow-ups. Every group confirmed vital enhancements within the VAS, anterior top (AH) of vertebral physique and KA after PKP, whereas no vital variations have been noticed when the VAS, vertebral top, and KA on the identical time have been in contrast between the S group and the D group. Prices within the S group have been considerably decrease than these within the D group. CONCLUSIONS Each single balloon and double balloon bilateral puncture PKP are comparatively secure and environment friendly in non-neoplastic VCFs. Nevertheless, reuse of the balloon in PKP can lower the prices.
PMID: 29236682 [PubMed – in process]