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Kyphoplasty - Europe PMC

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Last Updated: 27 January 2023

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Early-Onset Anterior Endplate Fractures of Adjacent Vertebras in Balloon Kyphoplasty and Spinejack®

Vertebral compression fractures are most common on the thoracolumbar junction, which is one of the most fragile biomechanical regiments at the thoracic kyphosis-lumbar lordosis junction. Over a 6-month follow-up, the primary aim of this research is to compare the clinical effectiveness of percutaneous balloon kyphoplasty and SpineJacku00ae procedures in the treatment of thoracolumbar VCFs. The early-onset ALFs in the BKP group were anterior toe inferior endplate fractures at the superior vertebral levels mainly. In our analysis, the timing of kyphoplasty treatment for acute VCFs within 1 month and patients with advanced age were both risk factors for early-onset ALFs. Conclusions: There was no superiority in the incidence rate of early-onset ALFs and kyphosis corrections of BKP or SJ methods in the treatment of thoracolumbar VCFs.

Source link: https://europepmc.org/article/PPR/PPR599962


Comparison of a directional cement delivery device versus conventional device in unilateral percutaneous kyphoplasty for the therapy of osteoporotic thoracolumbar fracture in the elderly.

This study seeks to compare the clinical and radiological results of PKP using a unilateral pedicle technique using a traditional bone cement delivery unit and a directional bone cement delivery device in the elderly and determine the value of a directional delivery system for the treatment of thoracolumbar compression fracture therapy. By X-ray and computed tomography scan, the cement leakage and bone cement distribution were determined for presentation, as well as the incidence of bone cement leakage. Between the two groups, a significant difference was observed in the number of bone cement injections between the two groups. Conclusion Conclusion: The application of a directional bone cement delivery system is safe and effective, as compared to the use of a traditional bone cement delivery system, without increasing the operative time, radiation exposure time, and the incidence of bone cement leakage.

Source link: https://europepmc.org/article/MED/36631874


Bilateral percutaneous kyphoplasty achieves more satisfactory outcomes compared to unilateral percutaneous kyphoplasty in osteoporotic vertebral compression fractures: A comprehensive comparative study.

Objective In a 2-year follow-up, the aim of the study was to rigorously compare the clinical safety of unilateral percutaneous kyphoplasty and bilateral percutaneous kyphoplasty in treating OVCFs and determine their ability to maintain the results. BPKP was administered to the UPKP group, and 42 patients were treated with BPKP. BPKP's operation and injected cement volume were much higher in the BPKP group than those of the UPKP group. BPKP achieved a significant increase in middle height and volume of the fractured vertebral body when compared to UPKP. In the UPKP group's 2-year follow-up to the BPKP group, there were substantial declines of anterior, middle height, and volume of the fractured vertebral body. At the final follow-up, the Oswestry Disability Index of the BPKP group was lower than that of the UPKP group, which was lower than that of the UPKP group.

Source link: https://europepmc.org/article/MED/35938239


Systematic Retrospective Analysis of Risk Factors and Preventive Measures of Bone Cement Leakage in Percutaneous Kyphoplasty.

The aim of this report was to determine the risk factors of bone cement leakage in percutaneous kyphoplasty therapy of osteoporotic vertebral compression fractures, as well as bone cement leakage prevention. Methods An retrospective review of 517 cases of OVCFs treated with PKP was divided into 2 groups based on whether they had bone cement leakage or not, leakage company, or non-leakage group, according to the type of leakage prevention. To determine the key risk factors, we used the binary logistic regression technique to find the most reliable results among the risk factors listed above. BMD, the cortical defect, and the time of bone cement injection were identified as bone cement leakage-independent risk factors, according to binary logistic analysis results. Conclusions Impairment of BMD values, cortical bone, and an inappropriate time of bone cement injection will raise the risk of bone cement leakage in PKP treatment and reduce PKP effects.

Source link: https://europepmc.org/article/MED/36592691

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions