Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons

Abstract Kyphoplasty (KP) with intravertebral reduction devices (IRD) was reported to be associated with better radiological outcomes than KP with balloons (BK) for osteoporotic vertebral compression fractures (OVCFs). However, the mechanical factors that contribute to the radiological benefits of I...

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Main Authors: Chi-Jung Chiang, Jin-Wei Huang, Shu-Mei Chen, Jiann-Her Lin
Format: Article
Language:English
Published: Nature Portfolio 2021-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-84856-9
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author Chi-Jung Chiang
Jin-Wei Huang
Shu-Mei Chen
Jiann-Her Lin
author_facet Chi-Jung Chiang
Jin-Wei Huang
Shu-Mei Chen
Jiann-Her Lin
author_sort Chi-Jung Chiang
collection DOAJ
description Abstract Kyphoplasty (KP) with intravertebral reduction devices (IRD) was reported to be associated with better radiological outcomes than KP with balloons (BK) for osteoporotic vertebral compression fractures (OVCFs). However, the mechanical factors that contribute to the radiological benefits of IRDs require further investigation. To probe the mechanical factors, this retrospective matched cohort study was designed, including the older patients with painful OVCFs and treated with KP. We compared the clinical and radiological outcomes between KP with an IRD and BK, where vertebral body height and kyphotic angle of the cemented vertebrae were measured pre- and postoperatively; clinical outcomes were collected by telephone interviews. The restoration and maintenance ratio suggested that IRDs were associated with favorable effects long-term wise in anterior to middle vertebral body and kyphosis than BK in patients. The gathered results concluded the radiological benefits of IRD regarding both its efficient restoration and maintenance in vertebrae.
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spelling doaj.art-214bdebb6e934b5480bc1149a7305bc72022-12-21T19:08:41ZengNature PortfolioScientific Reports2045-23222021-03-011111810.1038/s41598-021-84856-9Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloonsChi-Jung Chiang0Jin-Wei Huang1Shu-Mei Chen2Jiann-Her Lin3Department of General Medicine, Taipei Medical University Shuang Ho HospitalDepartment of General Medicine, Taipei Medical University Shuang Ho HospitalDivision of Neurosurgery, Department of Surgery, School of Medicine, Taipei Medical UniversityDivision of Neurosurgery, Department of Surgery, School of Medicine, Taipei Medical UniversityAbstract Kyphoplasty (KP) with intravertebral reduction devices (IRD) was reported to be associated with better radiological outcomes than KP with balloons (BK) for osteoporotic vertebral compression fractures (OVCFs). However, the mechanical factors that contribute to the radiological benefits of IRDs require further investigation. To probe the mechanical factors, this retrospective matched cohort study was designed, including the older patients with painful OVCFs and treated with KP. We compared the clinical and radiological outcomes between KP with an IRD and BK, where vertebral body height and kyphotic angle of the cemented vertebrae were measured pre- and postoperatively; clinical outcomes were collected by telephone interviews. The restoration and maintenance ratio suggested that IRDs were associated with favorable effects long-term wise in anterior to middle vertebral body and kyphosis than BK in patients. The gathered results concluded the radiological benefits of IRD regarding both its efficient restoration and maintenance in vertebrae.https://doi.org/10.1038/s41598-021-84856-9
spellingShingle Chi-Jung Chiang
Jin-Wei Huang
Shu-Mei Chen
Jiann-Her Lin
Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
Scientific Reports
title Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
title_full Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
title_fullStr Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
title_full_unstemmed Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
title_short Kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
title_sort kyphoplasty with intravertebral reduction devices associated with better height restoration and greater kyphosis correction than kyphoplasty with balloons
url https://doi.org/10.1038/s41598-021-84856-9
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