Comparison of percutaneous kyphoplasty and pedicle screw fixation for treatment of thoracolumbar severe osteoporotic vertebral compression fracture with kyphosis

2021 ◽  
Author(s):  
Zhenxing Wen ◽  
Xiaoyi Mo ◽  
Shengli Zhao ◽  
Wei Lin ◽  
Zhipeng Chen ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Vertebral Compression Fracture ◽  
Screw Fixation ◽  
Compression Fracture ◽  
Pedicle Screw Fixation ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Percutaneous Kyphoplasty

scholarly journals Comparison of Percutaneous Kyphoplasty and Bone Cement-Augmented Short-Segment Pedicle Screw Fixation for Management of Kümmell Disease

2018 ◽  
Vol 24 ◽  
pp. 1072-1079 ◽  
Author(s):  
Yan-Sheng Huang ◽  
Ding-Jun Hao ◽  
Hang Feng ◽  
Hai-Ping Zhang ◽  
Si-Min He ◽  
...  
Keyword(s):  
Bone Cement ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Short Segment ◽  
Percutaneous Kyphoplasty

scholarly journals Comparison of Percutaneous Kyphoplasty with or without Pedicle Screw Fixation in Osteoporotic Thoracolumbar Vertebral Fractures: A Retrospective Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Dichao Huang ◽  
Jichong Ying ◽  
Dingli Xu ◽  
Jianming Chen ◽  
Jianlei Liu ◽  
...  
Keyword(s):  
Back Pain ◽  
Retrospective Study ◽  
Pedicle Screw ◽  
Vertebral Fractures ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Fixation Failure ◽  
Percutaneous Kyphoplasty ◽  
Significant Difference

Background. Osteoporotic thoracolumbar compression fractures have become a great social burden due to the aging tendency of population. This study is aimed at comparing the clinical and radiological outcomes of percutaneous kyphoplasty with or without pedicle screw fixation in patients with osteoporotic thoracolumbar fractures. Hypothesis. There is a difference in clinical outcomes between percutaneous kyphoplasty with pedicle screw fixation and percutaneous kyphoplasty. Methods. This retrospective study included 87 patients who received percutaneous kyphoplasty with or without pedicle screw fixation between October 2015 and October 2017 at Ningbo No.6 Hospital and were followed for 2 years. A total of 40 patients received percutaneous kyphoplasty with pedicle screw fixation (PKPF group), and the other 47 patients had percutaneous kyphoplasty only (PKP group). The outcomes were measured using the visual analogue scale (VAS), Oswestry Disability Index (ODI), Cobb angle (CA), and anterior vertebra height rate (AVHr), which were calculated at preoperative admission and each follow-up visit. Complications including postoperative back pain, refracture, and fixation failure were collected from medical records. Results. There was no significant difference in baseline characteristics or preoperative data between the two groups ( p < 0.05 ) but significantly better improvements in VAS, ODI, CA, and AVHr at 12- and 24-month follow-up visits in the PKPF group compared with those of the PKP group. 23 (48.9%) patients in the PKP group had complications, whereas only 5 (12.5%) patients in the PKPF group presented complications including 2 postoperative back pain and 1 fixation failure ( p = 0.04 ). Conclusions. PKPF obtained longer correction and better improvement in VAS, ODI, and CA in patients with osteoporotic thoracolumbar vertebral fractures than PKP.

scholarly journals Impact of Different Sarcopenia Stages on the Postoperative New Osteoporotic Vertebral Compression Fracture After Percutaneous Kyphoplasty

2021 ◽  
Author(s):  
Chaowei Lin ◽  
Minyu Zhu ◽  
Kelun Huang ◽  
Sheng Lu ◽  
Honglin Teng
Keyword(s):  
Risk Factors ◽  
Vertebral Compression Fracture ◽  
Univariate Analysis ◽  
Compression Fracture ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Advanced Age ◽  
Percutaneous Kyphoplasty ◽  
European Working ◽  
Independent Risk Factors ◽  
The Impact

Abstract PurposeThe purpose of this study was to evaluate the impact of different sarcopenia stages on osteoporotic vertebral compression refracture (OVCRF) and identify other risk factors of new osteoporotic vertebral compression fracture (OVCF).MethodsWe conducted a large, retrospective study of patients who underwent percutaneous kyphoplasty (PKP) for OVCF. Sarcopenia was staged as “presarcopenia”, “sarcopenia”, and “severe sarcopenia” according to the definition of the European Working Group on Sarcopenia in Older People. Univariate and multivariate analyses evaluating the risk factors for OVCRF were performed. ResultsA total of 329 patients were included, in which 20.4%, 13.1%, and 7.3% of the patients were identified as having “presarcopenia”, “sarcopenia”, and “severe sarcopenia” respectively. Advanced sarcopenia stage was associated with lower BMI, lower serum albumin level and higher NRS 2002 scores. Subsequent fractures developed in 72 (21.8 %) of 329 patients during the one year follow-up. In univariate analysis, female (p = 0.012), advanced age (≥ 75 years; p = 0.004), lower BMD (p =0.000), stage of sarcopenia (p = 0.009) were associated with OVCRFs. Multivariable analysis revealed that female (OR 6.325; 95% CI 2.176-18.368, p = 0.001), age (OR 1.863; 95% CI 1.002-3.464, p =0.049), lower BMD (OR 1.736; 95% CI 1.294-2.328, p = 0.000), sarcopenia (OR 2.536; 95% CI 1.130-5.692, p = 0.024) and severe sarcopenia (OR 4.579; 95% CI 1.615-12.968, p = 0.004) were independent risk factors of OVCRFs. ConclusionsSarcopenia and severe sarcopenia were independent risk factors for OVCRF, as well as low BMD, advanced age and female.

scholarly journals Percutaneous Kyphoplasty in Treating Osteoporotic Vertebral Compression Fracture With Kyphotic Deformity: A Compared Study

2020 ◽  
Author(s):  
Wenye Yao ◽  
Runsheng Guo ◽  
Qi Lai ◽  
Bin Zhang
Keyword(s):  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Operation Time ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Kyphotic Deformity ◽  
Percutaneous Kyphoplasty ◽  
Bilateral Group ◽  
Significant Difference ◽  
Unilateral Group

Abstract Objective: To evaluate the efficacy and safety of percutaneous kyphoplasty (PKP) for thoracolumbar osteoporotic vertebral compression fracture (OVCF) with kyphosis via unilateral versus bilateral approach.Methods: All patients suffered OVCF with kyphosis were retrospectively reviewed. Of those, performed unilateral PKP or underwent bilateral PKP with random. The clinical and radiological data such as the correction of deformity, sagittal profle and record of the perioperative morbidity of the patients were analyzed.Results: All patients (76±3.6 years) were enrolled in this investigation, including 47 in the unilateral and 39 in the bilateral group. No significant difference in general data was detected between the two groups (p >0.05). Howere, the operation time and cement amount 28.2±3.4 min, 3.8±0.6 ml in the unilateral group, while 50.1±4.6 min, 5.4±0.5 ml in the bilateral group, respectively (P <0.05).In addition,The preoperative visual analog scale(VAS) and Vertebral local kyphosis angle were 8.8±0.65 and 16.3 ± 6.5°compared to last follow-up 3.15±0.78 and 14.26± 2.16°in unilateral group, while 8.5±0.78 and 16.5 ± 7.1°compared to last follow-up 2.66±0.86 and 13.81±2.38°in bilateral group, respectively (P < 0.05). Furthermore, Oswestry Disablility Index (ODI) and prevertebral height ratio in both groups were significantly different before and after surgery, but no significant difference between the two groups (p >0.05).Conclusion: Both bilateral and unilateral PKP are relatively safe and provide effective treatment for patients with painful thoracolumbar osteoporotic vertebral compression fracture with mild kyphotic deformity. However, unilateral PKP need less operation time and volume of cement.

scholarly journals Could lateral decubitus position improve the cement distribution of unilateral percutaneous kyphoplasty in patients with osteoporotic vertebral compression fracture?

2021 ◽  
Author(s):  
Tao Wu ◽  
Hu Qin ◽  
Xiaohui Tang ◽  
Yunfeng Bai ◽  
Zhen Jin ◽  
...  
Keyword(s):  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Cement Leakage ◽  
Osteoporotic Vertebral Compression Fracture ◽  
Lateral Decubitus Position ◽  
Radiographic Evaluation ◽  
Percutaneous Kyphoplasty ◽  
Cement Injection ◽  
Cement Distribution ◽  
Lateral Decubitus

Abstract Background: To determine the influence of lateral decubitus position on cement distribution of unilateral percutaneous kyphoplasty (PKP) in patients with osteoporotic vertebral compression fracture (OVCF).Methods: A retrospective review was performed on patients who underwent PKP for OVCF at the Spine Department of our hospital between January 2016 and January 2020. Unilateral PKP were performed by the same senior spinal surgeon team under local anesthesia. Patients were divided into two group according to positions with injecting cement. Complete symptom and radiographic evaluation information were gathered from each patient since the initial presentation. Then, the radiographic and symptomatic indexes between two groups were compared.Results: There were 190 patients included in this study. Ninety-four patients used to receive cement injection in lateral decubitus position while 96 patients were in prone position. A significantly longer surgical time (28.7±4.5 min vs. 26.8±4.3min) and more cement volume (6.14±0.66ml vs. 5.69±0.69ml) were found in lateral decubitus group. And visual analogue scale (VAS) scores were significantly lower (p <0.05) in lateral decubitus group one week after surgery. Compared with prone group, lateral decubitus group showed a significantly higher proportion of grade III cement distribution (18.2% vs. 7.3%, p<0.05) and a significantly lower cement leakage rate (13.8% vs. 26%, p<0.05).Conclusion: It is possible that lateral decubitus position can improve cement distribution, relieve acute pain more and decrease leakage incidence in OVCF patients with unilateral PKP，although it might be slightly time-consuming. It was recommended that position could be switched to lateral decubitus position during cement injection for unilateral PKP, especially when extraversion angle was small.

Sign in / Sign up

Export Citation Format

Share Document