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Kyphoplasty versus vertebroplasty: restoration of vertebral body height and correction of kyphotic deformity with special attention to the shape of the fractured vertebrae

Authors
 Kim, Kyung-Hyun  ;  Kuh, Sung-Uk  ;  Chin, Dong-Kyu  ;  Jin, Byung-Ho  ;  Kim, Keun-Su  ;  Yoon, Young-Sul  ;  Cho, Yong-Eun 
Citation
 JOURNAL OF SPINAL DISORDERS & TECHNIQUES, Vol.25(6) : 338-344, 2012 
Journal Title
 JOURNAL OF SPINAL DISORDERS & TECHNIQUES 
ISSN
 1536-0652 
Issue Date
2012
MeSH
Aged ; Aged, 80 and over ; Bone Cements ; Female ; Fractures, Compression/surgery* ; Humans ; Kyphoplasty/methods* ; Kyphosis/surgery* ; Lumbar Vertebrae/injuries ; Lumbar Vertebrae/surgery ; Male ; Middle Aged ; Osteoporotic Fractures/surgery* ; Pain Measurement ; Spinal Fractures/surgery* ; Thoracic Vertebrae/injuries ; Thoracic Vertebrae/surgery ; Vertebroplasty/methods*
Keywords
bone cement ; calcium phosphate ; calcium sulfate ; polymethylmethacrylate ; bone defect ; lumbar vertebrae ; sheep
Abstract
STUDY DESIGN: Retrospective comparative analysis. OBJECTIVE: We analyzed kyphosis correction, vertebral height restoration, and bone cement leakage in patients treated by vertebroplasty (VP) and kyphoplasty (KP) to compare the effectiveness of VP and KP for the treatment of osteoporotic vertebral compression fractures. SUMMARY OF BACKGROUND DATA: Superior results have been reported for the use of KP for kyphotic deformity correction and collapsed vertebral height restoration. However, there are no previous comparative reports comparing the efficacy of KP versus VP according to the shapes of fractured vertebrae. METHODS: A total of 103 patients underwent either VP (n=58) or KP (n=45) for treatment of osteoporotic vertebral compression fracture between October 2006 and September 2009. We organized the patients into 6 groups according to treatment method and fracture type: VP (wedge-shaped), VP (V-shaped), VP (flat-shaped), KP (wedge-shaped), KP (V-shaped), and KP (flat-shaped). Comparisons were performed for kyphosis correction, vertebral height restoration, and cement leakage between VP and KP groups. RESULTS: KP was more effective than VP, especially for middle column height restoration and bone cement leakage prevention, for all fracture types (P value <0.05). In addition, KP was more effective in anterior height restoration and kyphosis correction in both flat and wedge-shape fractures (P value <0.05). However, posterior column vertebral height was not restored in either the KP group or the VP group. The clinical outcomes did not differ between the 2 groups (P value >0.05). CONCLUSIONS: KP has a significant advantage over VP in terms of kyphosis correction, vertebral height restoration, and cement leakage prevention. KP has an obvious advantage in terms of middle vertebral height restoration and cement leakage prevention, especially for V-shape compression fractures.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00024720-201208000-00007&LSLINK=80&D=ovft
DOI
21705918
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kuh, Sung Uk(구성욱) ORCID logo https://orcid.org/0000-0003-2566-3209
Kim, Kyung Hyun(김경현)
Kim, Keun Su(김근수) ORCID logo https://orcid.org/0000-0002-3384-5638
Yoon, Young Sul(윤영설)
Cho, Yong Eun(조용은) ORCID logo https://orcid.org/0000-0001-9815-2720
Chin, Dong Kyu(진동규) ORCID logo https://orcid.org/0000-0002-9835-9294
Jin, Byung Ho(진병호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91093
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