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Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study
BACKGROUND: Osteoporosis with vertebral compression fractures is increasingly common in the elderly population. Cement augmentation is one of the effective surgical treatments for these patients. Currently, there are several different types of cement augmentation treatments. No studies have compared...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610862/ https://www.ncbi.nlm.nih.gov/pubmed/34877285 http://dx.doi.org/10.12998/wjcc.v9.i31.9509 |
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author | Yeh, Kuei-Lin Wu, Szu-Hsien Liaw, Chen-Kun Hou, Sheng-Mou Wu, Shing-Sheng |
author_facet | Yeh, Kuei-Lin Wu, Szu-Hsien Liaw, Chen-Kun Hou, Sheng-Mou Wu, Shing-Sheng |
author_sort | Yeh, Kuei-Lin |
collection | PubMed |
description | BACKGROUND: Osteoporosis with vertebral compression fractures is increasingly common in the elderly population. Cement augmentation is one of the effective surgical treatments for these patients. Currently, there are several different types of cement augmentation treatments. No studies have compared the safety and efficacy of different cement augmentation types for the treatment of such fractures; thus, we retrospectively compared vertebroplasty, balloon kyphoplasty, and kyphoplasty with SpineJack or an intravertebral expandable pillar. AIM: To compare the postoperative safety and efficacy of each surgical intervention in treating vertebral compression fractures. METHODS: We retrospectively analyzed 354 patients with acute vertebral compression fractures, defined as signal changes in the T1 weighted magnetic resonance imaging, and randomly divided the patients into five groups. Their visual analog scale scores for pain, kyphotic angle, average body height, rate of cement leakage, and occurrence of adjacent vertebral compression fractures were followed for 1 year. One-way analysis of variance, the post hoc Bonferroni test, and Fisher exact probability test were used for statistical analyses. RESULTS: All pain scores significantly improved 12 mo postoperatively; however, there was no significant difference between the groups (P = 0.325). Kyphoplasty with SpineJack significantly reduced the kyphotic angle (P = 0.028) and restored the height of the vertebral body (P = 0.02). The rate of adjacent compression fractures was the highest in the vertebroplasty group, with a statistically significant difference according to the Fisher exact probability test (P = 0.02). The treatment with the lowest cement leakage rate cannot be identified because of the small sample size; however, kyphoplasty with SpineJack, an IVEP, and vesselplasty resulted in lower rates of cement leakage than balloon kyphoplasty and vertebroplasty. CONCLUSION: Kyphoplasty with SpineJack has good outcomes in kyphotic angle reduction and body height restoration. Vertebroplasty has the highest cement leakage rate and adjacent compression fracture occurrence. |
format | Online Article Text |
id | pubmed-8610862 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-86108622021-12-06 Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study Yeh, Kuei-Lin Wu, Szu-Hsien Liaw, Chen-Kun Hou, Sheng-Mou Wu, Shing-Sheng World J Clin Cases Observational Study BACKGROUND: Osteoporosis with vertebral compression fractures is increasingly common in the elderly population. Cement augmentation is one of the effective surgical treatments for these patients. Currently, there are several different types of cement augmentation treatments. No studies have compared the safety and efficacy of different cement augmentation types for the treatment of such fractures; thus, we retrospectively compared vertebroplasty, balloon kyphoplasty, and kyphoplasty with SpineJack or an intravertebral expandable pillar. AIM: To compare the postoperative safety and efficacy of each surgical intervention in treating vertebral compression fractures. METHODS: We retrospectively analyzed 354 patients with acute vertebral compression fractures, defined as signal changes in the T1 weighted magnetic resonance imaging, and randomly divided the patients into five groups. Their visual analog scale scores for pain, kyphotic angle, average body height, rate of cement leakage, and occurrence of adjacent vertebral compression fractures were followed for 1 year. One-way analysis of variance, the post hoc Bonferroni test, and Fisher exact probability test were used for statistical analyses. RESULTS: All pain scores significantly improved 12 mo postoperatively; however, there was no significant difference between the groups (P = 0.325). Kyphoplasty with SpineJack significantly reduced the kyphotic angle (P = 0.028) and restored the height of the vertebral body (P = 0.02). The rate of adjacent compression fractures was the highest in the vertebroplasty group, with a statistically significant difference according to the Fisher exact probability test (P = 0.02). The treatment with the lowest cement leakage rate cannot be identified because of the small sample size; however, kyphoplasty with SpineJack, an IVEP, and vesselplasty resulted in lower rates of cement leakage than balloon kyphoplasty and vertebroplasty. CONCLUSION: Kyphoplasty with SpineJack has good outcomes in kyphotic angle reduction and body height restoration. Vertebroplasty has the highest cement leakage rate and adjacent compression fracture occurrence. Baishideng Publishing Group Inc 2021-11-06 2021-11-06 /pmc/articles/PMC8610862/ /pubmed/34877285 http://dx.doi.org/10.12998/wjcc.v9.i31.9509 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Observational Study Yeh, Kuei-Lin Wu, Szu-Hsien Liaw, Chen-Kun Hou, Sheng-Mou Wu, Shing-Sheng Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title | Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title_full | Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title_fullStr | Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title_full_unstemmed | Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title_short | Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study |
title_sort | outcomes of different minimally invasive surgical treatments for vertebral compression fractures: an observational study |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610862/ https://www.ncbi.nlm.nih.gov/pubmed/34877285 http://dx.doi.org/10.12998/wjcc.v9.i31.9509 |
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