Does the complication rate and treatment effect of balloon kyphoplasty and vertebroplasty differ in countries or specialties of operators?
Journal
Formosan Journal of Musculoskeletal Disorders
Journal Volume
2
Journal Issue
3
Date Issued
2011-08-01
Author(s)
Abstract
Purpose: Vertebral compression fracture results in back pain, kyphotic deformity, loss of vertebral height, and restriction in daily activity. Conservative treatment, including analgesics, bed rest, and bracing, did not show up for good clinical control. Recently, minimally invasive surgical techniques, such as kyphoplasty and vertebroplasty, could become popular because of quick relief of pain. The goal of this review is to find out whether the complication rates and treatment effects differ in countries or specialties of operators. Materials and Methods: Detailed searches of electronic databases (i.e. Pubmed, Cochrane library) were performed from 1987 to April 2007. Outcome measures of efficacy included visual analog scale decrease, change in kyphotic angle, restoration of vertebral height, and improvement of functional capacity. Outcome measures of safety were cement leakage, new vertebral compression fracture, and complications. Results: There is a trend of increasing publications regarding these two procedures, especially in vertebroplasty. We found a higher level of cement leakage rate in vertebroplasty than in kyphoplasty. We also found that reduction in kyphotic angle was better in kyphoplasty than in vertebroplasty. These results were compatible with other literatures. Cement leakage rates were lower in neurosurgery department (20.6%) and orthopedic department (24.7%) than radiology department (52.9%). Conclusions: The procedure operated by orthopedic surgeons and neurosurgeons tend to have lower cement leakage rate. One possible reason was that the neurosurgeons and the orthopedic surgeons are more familiar with the anatomical information needed for the procedure. Another possible explanation was that the radiologists might have more sufficient data to report the complications than the clinicians. © 2011.
Subjects
Fracture | Kyphoplasty | Osteoporosis | Vertebrae | Vertebroplasty
SDGs
Type
journal article