Asian Spine J. 2008 Jun;2(1):9-14. doi: 10.4184/asj.2008.2.1.9. Epub 2008 Jun 30.
The clinical and radiological availability of percutaneous balloon kyphoplasty as a treatment for osteoporotic burst fractures.
Asian spine journal
Ki Chan An, Sukjung Kang, Jang Suk Choi, Jin Hyuk Seo
Affiliations
Affiliations
- Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
PMID: 20411136
PMCID: PMC2857483 DOI: 10.4184/asj.2008.2.1.9
Abstract
STUDY DESIGN: We retrospectively assessed the results of percutaneous balloon kyphoplasty (KP) by clinical and radiological methods.
PURPOSE: To evaluate the outcome of KP as a treatment for osteoporotic burst fractures.
OVERVIEW OF LITERATURE: Many surgeons are concerned about the possibility of neurological complications after percutaneous kyphoplasty for osteoporotic burst fractures, secondary to intra-canal cement leakage.
METHODS: We performed KP as a treatment for osteoporotic burst fractures. We studied 12 patients/13 vertebrae. The two control groups consisted of patients who only underwent conservative treatment and those who underwent posterior instrumentation and fusion. We measured each preoperative/postoperative vertebral kyphotic deformity angle (KDA) using simple lateral spine images and checked for leakage of cement, as well. The preoperative/postoperative visual analog scale (VAS) scores for back pain, degree of daily activity, and postoperative complications were evaluated.
RESULTS: The mean improvement in KDA after KP was 9.7+/-2.2 degrees . The mean preoperative and postoperative VAS scores for back pain were 8.3+/-0.4 and 3.1+/-0.17, respectively. Regarding the control group, the mean postoperative VAS score for the conservative group and the posterior surgery group decreased by 4.5+/-0.17 and 3.2+/-0.19, respectively. There was no statistically significant difference between the KP and posterior surgery groups (p=0.125). However, there was a statistically significant difference between the KP and conservative treatment groups (p=0.012).
CONCLUSIONS: KP is safe and useful for treating osteoporotic burst fractures.
Keywords: Cement leakage; Osteoporotic burst fracture; Percutaneous balloon kyphoplasty; Thoracolumbar spine
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