Is percutaneous kyphoplasty the better choice for minimally invasive treatment of neurologically intact osteoporotic Kümmell’s disease? A comparison of two ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-02-14

AUTHORS

JiaNan Zhang, Yong Fan, Xin He, YiBin Meng, YunFei Huang, ShuaiJun Jia, JinPeng Du, QiNing Wu, DingJun Hao

ABSTRACT

PurposeThe purpose of this study was to compare and evaluate the safety and efficacy of percutaneous vertebroplasty at a hyperextension position (PVPHP) and percutaneous kyphoplasty at a hyperextension position (PKPHP) for the treatment of osteoporotic Kümmell’s disease.MethodsThis study was a retrospective, single-centre study. There were 35 patients with osteoporotic Kümmell’s disease who were analyzed. Twenty-two of them underwent PVPHP and the other 13 patients underwent PKPHP from January 2013 to January 2015. The volume of bone cement injection and operation costs were compared. We compared the visual analogue score (VAS) and vertebral Cobb’s angle at pre-operation, the second day after operation, and the final follow-up. We compared the Oswestry disability index (ODI) score at the pre-operation and the final follow-up.ResultsThere were no significant differences in gender, age, course of disease, bone mineral density (BMD), and mean follow-up time between the two groups (P > 0.05). Regarding the costs of the operation, the PKPHP group was significantly higher than the PVPHP group (P < 0.05). Compared with the pre-operation (P < 0.05), the post-operative ODI score, VAS, and Cobb’s angle of the two groups were improved significantly. Even though the correction of Cobb’s angle in the PKPHP group was slightly better than the PVPHP position group, there were no significant differences between two groups (P > 0.05). At the final follow-up, the Cobb’s angle was increased in both groups, but there was no significant difference (P > 0.05). There was no significant difference in the bone cement leakage rate between the two groups (P > 0.05).ConclusionFor the treatment of Kümmell’s disease, PVPHP and PKPHP are both safe and effective, but PVPHP is more economical and can be considered a preferred method of treatment. More... »

PAGES

1321-1326

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-018-3832-z

DOI

http://dx.doi.org/10.1007/s00264-018-3832-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101034243

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29445960


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34 Kümmell's disease
35 MethodsThis study
36 ODI scores
37 Oswestry Disability Index
38 PKPHP
39 PKPHP group
40 PVPHP
41 PVPHP group
42 PVPHP position group
43 PurposeThe purpose
44 ResultsThere
45 age
46 analogue score
47 angle
48 best choice
49 bone cement injection
50 bone cement leakage rate
51 bone mineral density
52 cement injection
53 cement leakage rate
54 choice
55 comparison
56 correction
57 cost
58 course
59 course of disease
60 days
61 density
62 differences
63 disease
64 efficacy
65 gender
66 group
67 hyperextension position
68 index
69 injection
70 intact osteoporotic Kümmell’s disease
71 invasive procedures
72 invasive treatment
73 kyphoplasty
74 leakage rate
75 method
76 mineral density
77 operation
78 operation cost
79 osteoporotic Kümmell’s disease
80 patients
81 percutaneous kyphoplasty
82 percutaneous vertebroplasty
83 position
84 position group
85 post-operative ODI scores
86 preferred method
87 procedure
88 purpose
89 rate
90 safety
91 scores
92 second day
93 significant differences
94 single-center study
95 study
96 time
97 treatment
98 vertebral Cobb’s angle
99 vertebroplasty
100 visual analogue score
101 volume
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