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The Effectiveness Of Vertebral Height Restoration Based On The Vertebroplasty Procedure Used To Treat Osteoporotic Vertebral Fractures – Balloon Kyphoplasty

Balloon Kyphoplasty

The study compared the effectiveness of percutaneous vertebroplasty (PVP), balloon kyphoplasty (BKP), and vertebral body stenting (VBS) in correcting collapsed vertebrae in patients with painful vertebral fractures. The research found that there were no significant differences in the restoration of vertebral height or local kyphosis angle among the three treatment groups. However, BKP and VBS were noted to reduce the risk of extravertebral leakage of injected bone cement compared to PVP. Despite the use of a balloon or metal stent, BKP and VBS were not found to be more effective than PVP in restoring collapsed vertebrae

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

BKP and VBS have the advantage of reducing the risk of extravertebral leakage of injected bone cement, but they have a disadvantage in that they are no more effective than PVP in restoring collapsed vertebrae despite the use of a balloon or metal stent.

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Abstract Objective: Whether the use of a balloon or stent in vertebroplasty for vertebral fractures, such as balloon kyphoplasty (BKP) or vertebral body stenting (VBS), actually contributes to the restoration of postoperative vertebral height is unclear. The aim of the current study was to compare the effectiveness of percutaneous vertebroplasty (PVP), BKP, and VBS in,

Abstract

Objective: Whether the use of a balloon or stent in vertebroplasty for vertebral fractures, such as balloon kyphoplasty (BKP) or vertebral body stenting (VBS), actually contributes to the restoration of postoperative vertebral height is unclear. The aim of the current study was to compare the effectiveness of percutaneous vertebroplasty (PVP), BKP, and VBS in the correction of collapsed vertebrae in patients with painful vertebral fractures.

Methods: The cases studied involved 34 vertebrae in 28 patients treated with PVP, 43 vertebrae in 38 patients treated with BKP, and 20 vertebrae in 20 patients treated with VBS at Izinkai Takeda General Hospital. Changes in the vertebral height and local kyphosis angle were measured based on standing lumbar radiographs before and after surgery and were compared among the treatment groups.

Results: There were no differences in changes in the height of the anterior wall, middle body, or posterior wall of the treated vertebrae among the 3 treatment groups. The same was true for changes in the local kyphosis angle. The effectiveness of vertebral height restoration depended heavily upon preoperative vertebral instability in all the treatment groups. Correction loss due to balloon deflation effect or balloon sinking was noted with VBS or BKP.

BKP and VBS have the advantage of reducing the risk of extravertebral leakage of injected bone cement, but they have a disadvantage in that they are no more effective than PVP in restoring collapsed vertebrae despite the use of a balloon or metal stent.

Keywords: Balloon kyphoplasty; Percutaneous vertebroplasty; Vertebral body stenting; Vertebral height restoration.

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The Effectiveness of Vertebral Height Restoration Based on the Vertebroplasty Procedure Used to Treat Osteoporotic Vertebral Fractures

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Abstract Objective: Whether the use of a balloon or stent in vertebroplasty for vertebral fractures, such as balloon kyphoplasty (BKP) or vertebral body stenting (VBS), actually contributes to the restoration of postoperative vertebral height is unclear. The aim of the current study was to compare the effectiveness of percutaneous vertebroplasty (PVP), BKP, and VBS in

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