Comparative Analysis of Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Compression Fractures

Asian Spine Journal

卷:8

Can Ates¹  Melih Bozkurt²  Sukru Caglar²  Gokmen Kahilogullari²  Ayhan Attar²  Onur Ozgural²  Mevci Ozdemir³ 

[1] Department of Biostatistics, Ankara University School of Medicine, Ankara, Turkey.;

[2] Department of Neurosurgery, Ankara University School of Medicine, Ankara, Turkey.;

[3] Department of Neurosurgery, Pamukkale University School of Medicine, Denizli, Turkey.;

关键词: Vertebral column;    Spine;    Osteoporosis;    Vertebral compression fractures;    Kyphoplasty;    Vertebroplasty;   

DOI  :  10.4184/asj.2014.8.1.27

来源: DOAJ

【 摘 要 】

Study DesignA retrospective study.PurposeThe aim of this study is to compare the efficacy and outcome of vertebroplasty compared with unipedicular and bipedicular kyphoplasty for the treatment of osteoporotic vertebral compression fractures in terms of pain, functional capacity and height restoration rates.Overview of LiteratureThe vertebroplasty procedure was first performed in 1984 for the treatment of a hemangioma at the C2 vertebra. Kyphoplasty was first performed in 1998 and includes vertebral height restoration in addition to using inflation balloons and high-viscosity cement. Both are efficacious, safe and long-lasting procedures. However, controversy still exists about pain relief, improvement in functional capacity, quality of life and height restoration the superiority of these procedures and assessment of appropriate and specific indications of one over the other remains undefined.MethodsBetween 2004 and 2011, 296 patients suffering from osteoporotic vertebral compression fracture underwent 433 vertebroplasty and kyphoplasty procedures. Visual analogue scale (VAS), the Oswestry Disability Index (ODI) and height restoration rates were used to evaluate the results.ResultsMean height restoration rate was 24.16%±1.27% in the vertebroplasty group, 24.25%±1.28% in the unipedicular kyphoplasty group and 37.05%±1.21% in the bipedicular kyphoplasty group. VAS and ODI scores improved all of the groups.ConclusionsVertebroplasty and kyphoplasty are both effective in providing pain relief and improvement in functional capacity and quality of life after the procedure, but the bipedicular kyphoplasty procedure has a further advantage in terms of height restoration when compared to unipedicular kyphoplasty and vertebroplasty procedures.

【 授权许可】

Unknown