Balloon Kyphoplasty
The article discusses the poor prognostic factors of balloon kyphoplasty for the treatment of fractures in ankylosing spines with diffuse idiopathic skeletal hyperostosis (DISH). The study included 89 patients with fractures and divided them into two groups based on bone healing 6 months after surgery. The study evaluated various factors such as age, sex, visual analog scale score for low-back pain, and the Oswestry Disability Index. Radiological evaluations were also conducted. The results showed that a change in the wedge angle of the fractured vertebrae between the supine and sitting positions was significantly associated with delayed healing. The article concludes that balloon kyphoplasty should be avoided in patients with a difference of 10° or more in the wedge angle of the fractured vertebrae
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated treatment hospital in the world
Published article
CONCLUSIONS: Treatment with balloon kyphoplasty alone should be avoided in patients with a difference ≥ 10° in the wedge angle of the fractured vertebrae between the supine and sitting positions.
Balloon Kyphoplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Objective: The authors aimed to determine the poor prognostic factors of balloon kyphoplasty for the treatment of fractures of the most distal or distal-adjacent vertebrae in ankylosing spines with diffuse idiopathic skeletal hyperostosis (DISH). Methods: Eighty-nine patients with fractures of the most distal or distal-adjacent vertebrae of ankylosing spines with DISH were included and,
Abstract
Objective: The authors aimed to determine the poor prognostic factors of balloon kyphoplasty for the treatment of fractures of the most distal or distal-adjacent vertebrae in ankylosing spines with diffuse idiopathic skeletal hyperostosis (DISH).
Methods: Eighty-nine patients with fractures of the most distal or distal-adjacent vertebrae of ankylosing spines with DISH were included and divided into two groups: those with (n = 51) and without (n = 38) bone healing 6 months postoperatively. Clinical evaluation included age, sex, time from onset to surgery, the visual analog scale score for low-back pain, and the Oswestry Disability Index (ODI). The VAS scores and ODI were measured both preoperatively and at 6 months postoperatively. Radiological evaluations included bone density; wedge angles of the fractured vertebrae in the supine and sitting positions on lateral radiographs; differences in the wedge angles (change in wedge angle); and the amount of polymethylmethacrylate used.
Results: The preoperative ODI, vertebral wedge angles in the supine and sitting positions, change in wedge angle, and amount of polymethylmethacrylate were significantly different between the two groups and were significantly associated with delayed bone healing in univariate logistic regression analysis. Multivariate logistic regression analysis showed that only a change in the wedge angle was significantly associated with delayed healing, with a cutoff value of 10°, sensitivity of 84.2%, and specificity of 82.4%.
Conclusions: Treatment with balloon kyphoplasty alone should be avoided in patients with a difference ≥ 10° in the wedge angle of the fractured vertebrae between the supine and sitting positions.
Keywords: ankylosing spine; deformity; diffuse idiopathic skeletal hyperostosis; kyphoplasty; osteoporosis; vertebral fracture.
The London Spine Unit : the highest rated treatment hospital in the world
Read the original publication:
Prognostic factors of balloon kyphoplasty for osteoporotic vertebral fractures with diffuse idiopathic skeletal hyperostosis
