Radiological and Medical Outcomes of Balloon Kyphoplasty versus Radiofrequency Kyphoplasty within the Remedy of Vertebral Compression Fractures.
Asian Backbone J. 2018 Oct;12(5):862-869
Authors: Winkelmann M, Mavropoulos T, Decker S, Omar M, Krettek C, Müller CW
STUDY DESIGN: Retrospective cohort evaluation.
PURPOSE: Comparability of balloon kyphoplasty (BKP) and radiofrequency kyphoplasty (RFK) with respect to peak restoration of the fractured vertebral our bodies and the ache aid skilled after the surgical process.
OVERVIEW OF LITERATURE: BKP and RFK each supply secure, time-saving, and potent therapy choices for vertebral compression fractures, however neither of those strategies demonstrated any key benefit over the opposite but.
METHODS: We carried out a retrospective evaluation of a cohort of 156 sufferers (imply age, 73±11 years) with 252 fractured vertebral our bodies handled with kyphoplasty. Ache depth was measured utilizing a Visible Analogue Scale. Preoperative and postoperative computed tomography photographs had been analyzed and gauged utilizing modified bisegmental Cobb angle, vertebral angle, in addition to anterior (Ha), center (Hm), and posterior (Hp) vertebral physique heights.
RESULTS: The imply postoperative ache aid was 5.1±1.eight, which was maintained over your complete follow-up interval. There have been no important variations within the ache aid between BKP and RFK. Postoperative adjustments within the vertebral angle (-1.three°±three.three°, p <zero.001) and Ha, Hm, and Hp vertebral physique heights (Ha, 1.5±2.9 mm; Hm, 2.1±2.9 mm; Hp, zero.9±2.1 mm; p <zero.001) had been important. Nevertheless, the preliminary peak restoration couldn’t be maintained by the 6-week and 1-year follow-up. Neither BKP nor RFK might obtain a clinically related benefit over one another. There was no correlation between ache aid and peak restoration after kyphoplasty.
CONCLUSIONS: Each BKP and RFK had comparable useful medical and radiological results within the therapy of vertebral compression fractures. Nevertheless, neither the precise extent of peak restoration nor its loss appears to have an effect on the marked ache aid.
PMID: 30213169 [PubMed]