Is percutaneous kyphoplasty the higher selection for minimally invasive remedy of neurologically intact osteoporotic Kümmell’s illness? A comparability of two minimally invasive procedures.
Int Orthop. 2018 Feb 14;:
Authors: Zhang J, Fan Y, He X, Meng Y, Huang Y, Jia S, Du J, Wu Q, Hao D
PURPOSE: The aim of this examine was to match and consider the protection and efficacy of percutaneous vertebroplasty at a hyperextension place (PVPHP) and percutaneous kyphoplasty at a hyperextension place (PKPHP) for the remedy of osteoporotic Kümmell’s illness.
METHODS: This examine was a retrospective, single-centre examine. There have been 35 sufferers with osteoporotic Kümmell’s illness who had been analyzed. Twenty-two of them underwent PVPHP and the opposite 13 sufferers underwent PKPHP from January 2013 to January 2015. The quantity of bone cement injection and operation prices had been in contrast. We in contrast the visible analogue rating (VAS) and vertebral Cobb’s angle at pre-operation, the second day after operation, and the ultimate follow-up. We in contrast the Oswestry incapacity index (ODI) rating on the pre-operation and the ultimate follow-up.
RESULTS: There have been no vital variations in gender, age, course of illness, bone mineral density (BMD), and imply follow-up time between the 2 teams (P?>?zero.05). Relating to the prices of the operation, the PKPHP group was considerably larger than the PVPHP group (P?<?zero.05). In contrast with the pre-operation (P?<?zero.05), the post-operative ODI rating, VAS, and Cobb’s angle of the 2 teams had been improved considerably. Despite the fact that the correction of Cobb’s angle within the PKPHP group was barely higher than the PVPHP place group, there have been no vital variations between two teams (P?>?zero.05). On the closing follow-up, the Cobb’s angle was elevated in each teams, however there was no vital distinction (P?>?zero.05). There was no vital distinction within the bone cement leakage charge between the 2 teams (P?>?zero.05).
CONCLUSION: For the remedy of Kümmell’s illness, PVPHP and PKPHP are each secure and efficient, however PVPHP is extra economical and might be thought-about a most popular technique of remedy.
PMID: 29445960 [PubMed – as supplied by publisher]