Percutaneous Vertebroplasty versus Percutaneous Kyphoplasty for Osteoporotic Vertebral Compressive Fracture: A Retrospective Cohort Study_Chinese Journal of Evidence-Based Medicine

Authors：

 YANGBao-hua ^1,2 , LIGuo-sheng ² , ZHANGYi-feng ² , ZHOUYong ¹ ,  FENGShi-qing ¹

1. Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, China;
2. Department of Orthopedics, China National Offshore General Hospital, Tianjin 300452, China;

Corresponding author：

FENGShi-qing, Email: fengsq321@gmail.com

Keywords：

Osteoporosis; Osteoporotic vertebral compression fracture; Percutaneous vertebroplasty; Percutaneous kyphoplasty; Cohort study

DOI：

10.7507/1672-2531.20150064

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective Evaluating the clinical efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) for osteoporotic vertebral compressive fracture (OVCF). Methods Patients with OVCF were retrospectively analyzed from Feb. 2008 to Feb. 2013 in Department of Orthopaedics, Tianjin Medical University General Hospital. Patients were divided into the PVP group and the PKP group. The VAS, vertebral kyphosis angle, vertebral height and bone cement leakage of both groups were compared, and the SPSS13.0 software was used for data analysis. Results A total of 55 patients were included. Of which, 25 patients were in the PVP group and 30 patients were in the PKP group. All patients were followed up from 5 to 20 months, with an average time of 15.5 months. The VAS scores in both groups were all improved after the operation (P<0.05), but no significant difference was found between both groups. The vertebral kyphosis angle in both groups were improved after the operation (P<0.05), and the PKP group was better than the PVP group. Six patients in the PVP group occurred the leakage of bone cement, and 4 patients in the PKP group. Five patients in the PVP groups occurred vertebral fracture again, while 7 patients in the PKP group. Conclusion Using PVP and PKP for the treatment of OVCF can quickly relieve pain and increase the stability of the vertebral body. PKP can restore vertebral body height better and reduce the incidence of cement leakage.

Citation： YANGBao-hua, LIGuo-sheng, ZHANGYi-feng, ZHOUYong, FENGShi-qing. Percutaneous Vertebroplasty versus Percutaneous Kyphoplasty for Osteoporotic Vertebral Compressive Fracture: A Retrospective Cohort Study. Chinese Journal of Evidence-Based Medicine, 2015, 15(4): 377-380. doi: 10.7507/1672-2531.20150064 Copy

1.	Xu J, Sun M, Wang Z, et al. Awareness of osteoporosis and its relationship with calcaneus quantitative ultrasound in a large Chinese community population. Clin Interv Aging, 2013, 8:789-796.
2.	Mathis JM. Percutaneous vertebroplasty or kyphoplasty:which one do I choose? Skeletal Radiol, 2006, 35(9):629-631.
3.	Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie, 1987, 33(2):166-168.
4.	Lieberman IH, Dudeney S, Reinhardt MK, et al. Initial outcome and efficacy of/kyphoplasty0in the treatment of painful osteoporotic vertebral compression fractures. Spine (Phila Pa 1976), 2001, 26(14):1631-1638.
5.	Rapedo A. General management of vertebral fractures. Bone, 1996, 18(3 Suppl):191-196.
6.	de Negri P, Tirri T, Paternoster G, et al. Treatment of painful osteoporotic or traumatic vertebral compression fractures by percutaneous vertebral augmentation procedures:a nonrandomized comparison between vertebroplasty and kyphoplasty. Clin J Pain, 2007, 23(5):425-430.
7.	McKiernan F, Jensen R, Faciszewski T. The dynamic mobility of vertebral compression fractures. J Bone Miner Res, 2003, 18(1):24-29.
8.	Liu JT, Liao WJ, Tan WC, et al. Balloon kyphoplasty versus vertebroplasty for treatment of osteoporotic vertebral compression fracture:a prospective, comparative, and randomized clinical study. Osteoporos Int, 2010, 21(2):359-364.
9.	Tie B, He SC, Teng GJ, et al. Cement leakages in percutaneous vertebroplasty:analysis of postoperative computed tomography. Zhonghua Yi Xue Za Zhi, 2012, 92(5):299-302.
10.	Teyssedou S, Saget M, Prebet R, et al. Evaluation of percutaneous surgery in the treatment of thoracolumbar fractures. Preliminary results of a prospective study on 65 patients. Orthop Traumatol Surg, 2012, 98(1):39-47.
11.	Ryu KS, Park CK, Kim MC, et al. Dose-dependent epidural leakage of polymethylmethacrylate after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures. J Neurosurg, 2002, 96(1 Suppl):56-61.
12.	Wang C, Fan S, Liu J, et al. Basivertebral foramen could be connected with intravertebral cleft:a potential risk factor of cement leakage inpercutaneous kyphoplasty. Spine J, 2014, 14(8):1551-1558.
13.	Gan M, Zou J, Song D, et al. Is balloon kyphoplasty better than percutaneous vertebroplastyfor osteoporotic vertebral biconcave-shaped fractures? Acta Radiol, 2014, 55(8):985-991.
14.	Civelek E, Cansever T, Yilmaz C, et al. The retrospective analysis of the effect of balloon kyphoplasty to the adjacent-segment fracture in 171 patients. J Spinal Disord Tech, 2014, 27(2):98-104.
15.	Tanigawa N, Kariya S, Komemushi A, et al. Percutaneous vertebroplasty for osteoporotic compression fractures:long-term evaluation of the technical and clinical outcomes. AJR Am J Roentgenol, 2011, 196(6):1415-1418.
16.	Farrokhi MR, Alibai E, Maghami Z. Randomized controlled trial of percutaneous vertebroplasty versus optimal medical management for the relief of pain and disability in acute osteoporoticvertebral compression fractures. J Neurosurg Spine, 2011, 14(5):561-569.
17.	Rho YJ, Choe WJ, Chun YI. Risk factors predicting the new symptomatic vertebral compression fractures after percutaneous vertebroplastyor kyphoplasty. Eur Spine J, 2012, 21(5):905-911.
18.	Robinson Y, Tschöke SK, Stahel PF, et al. Complications and safety aspects of kyphoplasty for osteoporotic vertebral fractures:a prospective follow-up study in 102 consecutive patients. Patient Saf Surg, 2008, 2:2.
19.	Hulme PA, Krebs J, Ferguson SJ, et al. Vertebroplasty and kyphoplasty:a systematic review of 69 clinical studies. Spine (Phila Pa 1976), 2006, 31(17):1983-2001.

1. Xu J, Sun M, Wang Z, et al. Awareness of osteoporosis and its relationship with calcaneus quantitative ultrasound in a large Chinese community population. Clin Interv Aging, 2013, 8:789-796.
2. Mathis JM. Percutaneous vertebroplasty or kyphoplasty:which one do I choose? Skeletal Radiol, 2006, 35(9):629-631.
3. Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie, 1987, 33(2):166-168.
4. Lieberman IH, Dudeney S, Reinhardt MK, et al. Initial outcome and efficacy of/kyphoplasty0in the treatment of painful osteoporotic vertebral compression fractures. Spine (Phila Pa 1976), 2001, 26(14):1631-1638.
5. Rapedo A. General management of vertebral fractures. Bone, 1996, 18(3 Suppl):191-196.
6. de Negri P, Tirri T, Paternoster G, et al. Treatment of painful osteoporotic or traumatic vertebral compression fractures by percutaneous vertebral augmentation procedures:a nonrandomized comparison between vertebroplasty and kyphoplasty. Clin J Pain, 2007, 23(5):425-430.
7. McKiernan F, Jensen R, Faciszewski T. The dynamic mobility of vertebral compression fractures. J Bone Miner Res, 2003, 18(1):24-29.
8. Liu JT, Liao WJ, Tan WC, et al. Balloon kyphoplasty versus vertebroplasty for treatment of osteoporotic vertebral compression fracture:a prospective, comparative, and randomized clinical study. Osteoporos Int, 2010, 21(2):359-364.
9. Tie B, He SC, Teng GJ, et al. Cement leakages in percutaneous vertebroplasty:analysis of postoperative computed tomography. Zhonghua Yi Xue Za Zhi, 2012, 92(5):299-302.
10. Teyssedou S, Saget M, Prebet R, et al. Evaluation of percutaneous surgery in the treatment of thoracolumbar fractures. Preliminary results of a prospective study on 65 patients. Orthop Traumatol Surg, 2012, 98(1):39-47.
11. Ryu KS, Park CK, Kim MC, et al. Dose-dependent epidural leakage of polymethylmethacrylate after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures. J Neurosurg, 2002, 96(1 Suppl):56-61.
12. Wang C, Fan S, Liu J, et al. Basivertebral foramen could be connected with intravertebral cleft:a potential risk factor of cement leakage inpercutaneous kyphoplasty. Spine J, 2014, 14(8):1551-1558.
13. Gan M, Zou J, Song D, et al. Is balloon kyphoplasty better than percutaneous vertebroplastyfor osteoporotic vertebral biconcave-shaped fractures? Acta Radiol, 2014, 55(8):985-991.
14. Civelek E, Cansever T, Yilmaz C, et al. The retrospective analysis of the effect of balloon kyphoplasty to the adjacent-segment fracture in 171 patients. J Spinal Disord Tech, 2014, 27(2):98-104.
15. Tanigawa N, Kariya S, Komemushi A, et al. Percutaneous vertebroplasty for osteoporotic compression fractures:long-term evaluation of the technical and clinical outcomes. AJR Am J Roentgenol, 2011, 196(6):1415-1418.
16. Farrokhi MR, Alibai E, Maghami Z. Randomized controlled trial of percutaneous vertebroplasty versus optimal medical management for the relief of pain and disability in acute osteoporoticvertebral compression fractures. J Neurosurg Spine, 2011, 14(5):561-569.
17. Rho YJ, Choe WJ, Chun YI. Risk factors predicting the new symptomatic vertebral compression fractures after percutaneous vertebroplastyor kyphoplasty. Eur Spine J, 2012, 21(5):905-911.
18. Robinson Y, Tschöke SK, Stahel PF, et al. Complications and safety aspects of kyphoplasty for osteoporotic vertebral fractures:a prospective follow-up study in 102 consecutive patients. Patient Saf Surg, 2008, 2:2.
19. Hulme PA, Krebs J, Ferguson SJ, et al. Vertebroplasty and kyphoplasty:a systematic review of 69 clinical studies. Spine (Phila Pa 1976), 2006, 31(17):1983-2001.

Chinese Journal of Evidence-Based Medicine

Percutaneous Vertebroplasty versus Percutaneous Kyphoplasty for Osteoporotic Vertebral Compressive Fracture: A Retrospective Cohort Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content