[Vertebral Body Height after Balloon Kyphoplasty vs. Radiofrequency Kyphoplasty].
Z Orthop Unfall. 2018 Jan 25;:
Authors: Palm HG, Steinbach M, Lang P, Hackenbroch C, Friemert B, Riesner HJ
BACKGROUND: Kyphoplasty is used to alleviate ache and to revive the preliminary top of osteoporotic vertebral fractures (OVF). One of the crucial latest procedures is radiofrequency-targeted vertebral augmentation (RFTVA). We investigated whether or not restoration with this methodology is comparable and as sufficient as with the established process of balloon kyphoplasty (BKP), as assessed by the anatomical top of the vertebral physique. The purpose of our examine was to match the intravertebral angles (base-endplate) post- and preoperatively with these two procedures.
PATIENTS AND METHODS: The bottom and endplate angles have been measured on 142 vertebral our bodies handled by kyphoplasty (67 BKP and 75 RFTVA), on the premise of pre- and postoperative X-rays within the upright place in 87 volunteers (46 BKP and 41 RFTVA). The principle object was to detect the diploma of correction (?post-preop) with BKP in comparison with RFTVA. Moreover, the sagittal alignment of the adjoining heathy ranges have been measured.
RESULTS: Important correction was detected with each BKP (BKPpre: 11.5?±?6.zero°, BKPpost: 6.2?±?four.6°, p?<?zero.001) and RFTVA (RFTVApre: 9.9?±?6.2°, RFTVApost: 6.three?±?four.four°, p?<?zero.001). Potential correction was higher with BKP than with RFTVA (?post-pre BKP: -?5.three?±?four.four°, ?post-pre RFK: -?three.6?±?four.four°, p?=?zero.03). Neither procedures gave a big change within the sagittal angle within the adjoining phase (phase BKPpre: 13.eight?±?eight.zero°, Section BKPpost: 12.5?±?9,2°, p?=?zero.638; Section RFTVApre: 18,eight?±?14,three°, Section RFTVApost: 15.zero?±?13.2°, p?=?zero.330).
CONCLUSION: BKP gave considerably higher correction, although each strategies have been capable of restore important enchancment within the kyphotic angle. Within the adjoining ranges, correction of the sagittal angle was not important, though the affect of the intervention on alignment tended to be much less.
PMID: 29370586 [PubMed – as supplied by publisher]