Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment
Background: To compare the radiological and clinical outcomes of kyphoplasty (KP) with intravertebral reduction device (IRD) and vertebroplasty (VP) for treating osteoporotic vertebral compression fracture (OVCF)-associated spinal canal encroachment (SCE). Materials and Methods: From January 2013 to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2020-01-01
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| Series: | Formosan Journal of Surgery |
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| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=20;epage=28;aulast= |
| _version_ | 1797703876200103936 |
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| author | Jia-En Chi Jia-Yuan Hsu Ryan Wing Yuk Chan Wen-Cheng Lo Yung-Hsiao Chiang Jiann-Her Lin |
| author_facet | Jia-En Chi Jia-Yuan Hsu Ryan Wing Yuk Chan Wen-Cheng Lo Yung-Hsiao Chiang Jiann-Her Lin |
| author_sort | Jia-En Chi |
| collection | DOAJ |
| description | Background: To compare the radiological and clinical outcomes of kyphoplasty (KP) with intravertebral reduction device (IRD) and vertebroplasty (VP) for treating osteoporotic vertebral compression fracture (OVCF)-associated spinal canal encroachment (SCE).
Materials and Methods: From January 2013 to December 2016, 57 patients with OVCF-associated SCE treated through VP or KP with an IRD were enrolled. Kyphotic angle (KA) anterior, middle, and posterior body heights (ABH, MBH, and PBH, respectively) at postoperative week 1 3, 6, and 12 months of the cemented vertebrae were evaluated. Visual analog scale (VAS), Oswestry Disability Index (ODI), and EuroQol-5D-5 L (EQ-5D-5 L) were followed, and the complications were recorded.
Results: Sixteen and 41 patients were treated through KP with IRD and VP (IRD and VP groups, respectively), and their characteristics were comparable. Compared with the VP group, KA, ABH, MBH, and PBH in the IRD group were significantly greater after the operation at postoperative 12 months (IRD vs. VP: KA −1.68° ± 6.02° vs. −10.34° ± 4.99°; ABH 2.06 ± 0.29 vs. 1.35 ± 0.26; MBH 2.21 ± 0.51 vs. 1.21 ± 0.31; PBH 2.91 ± 0.62 vs. 2.11 ± 0.33 cm, P< 0.05). Significant postoperative improvements were observed in the VAS, ODI, and EQ-5D-5 L in both groups; these improvements were similar between the two groups. No new neurological deficits occurred, and the incidence rates of cement leakage into the SC were similar.
Conclusions: KP with IRD was associated with better body heights and KA at least for 1 year for OVCF-associated SCE with noninferior clinical outcomes to VP. |
| first_indexed | 2024-03-12T05:10:57Z |
| format | Article |
| id | doaj.art-ba599ac6bef948e3b285c1cb90696147 |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:10:57Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-ba599ac6bef948e3b285c1cb906961472023-09-03T08:39:08ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2020-01-01531202810.4103/fjs.fjs_38_19Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachmentJia-En ChiJia-Yuan HsuRyan Wing Yuk ChanWen-Cheng LoYung-Hsiao ChiangJiann-Her LinBackground: To compare the radiological and clinical outcomes of kyphoplasty (KP) with intravertebral reduction device (IRD) and vertebroplasty (VP) for treating osteoporotic vertebral compression fracture (OVCF)-associated spinal canal encroachment (SCE). Materials and Methods: From January 2013 to December 2016, 57 patients with OVCF-associated SCE treated through VP or KP with an IRD were enrolled. Kyphotic angle (KA) anterior, middle, and posterior body heights (ABH, MBH, and PBH, respectively) at postoperative week 1 3, 6, and 12 months of the cemented vertebrae were evaluated. Visual analog scale (VAS), Oswestry Disability Index (ODI), and EuroQol-5D-5 L (EQ-5D-5 L) were followed, and the complications were recorded. Results: Sixteen and 41 patients were treated through KP with IRD and VP (IRD and VP groups, respectively), and their characteristics were comparable. Compared with the VP group, KA, ABH, MBH, and PBH in the IRD group were significantly greater after the operation at postoperative 12 months (IRD vs. VP: KA −1.68° ± 6.02° vs. −10.34° ± 4.99°; ABH 2.06 ± 0.29 vs. 1.35 ± 0.26; MBH 2.21 ± 0.51 vs. 1.21 ± 0.31; PBH 2.91 ± 0.62 vs. 2.11 ± 0.33 cm, P< 0.05). Significant postoperative improvements were observed in the VAS, ODI, and EQ-5D-5 L in both groups; these improvements were similar between the two groups. No new neurological deficits occurred, and the incidence rates of cement leakage into the SC were similar. Conclusions: KP with IRD was associated with better body heights and KA at least for 1 year for OVCF-associated SCE with noninferior clinical outcomes to VP.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=20;epage=28;aulast=compression fractureintravertebral reduction devicekyphoplastyosteoporosisrefracturespinal canal encroachmentvertebroplasty |
| spellingShingle | Jia-En Chi Jia-Yuan Hsu Ryan Wing Yuk Chan Wen-Cheng Lo Yung-Hsiao Chiang Jiann-Her Lin Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment Formosan Journal of Surgery compression fracture intravertebral reduction device kyphoplasty osteoporosis refracture spinal canal encroachment vertebroplasty |
| title | Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| title_full | Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| title_fullStr | Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| title_full_unstemmed | Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| title_short | Kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| title_sort | kyphoplasty with an intravertebral reduction device for osteoporotic vertebral compression fractures with spinal canal encroachment |
| topic | compression fracture intravertebral reduction device kyphoplasty osteoporosis refracture spinal canal encroachment vertebroplasty |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=20;epage=28;aulast= |
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