Sage Journals: Discover world-class research

Abstract

We reviewed the effectiveness of balloon kyphoplasty in the treatment of acute symptomatic vertebral compression fractures.

We assessed radiographic and functional outcome in 11 patients with a 24.3 month follow-up from a retrospectively monitored series of 11 patients who underwent balloon kyphoplasty (BKP). A visual analogue scale (VAS) and the short McGill questionnaire (MPQ) were used to assess average symptoms.

Eleven patients with 19 treated vertebrae completed the study. The VAS showed significant improvement after treatment: the initial score was 9.1 ± 0.6 (mean ± SD), falling to 2.7 ± 1.07 by 24.3 months (P<0.001). The MPQ also showed a significant improvement (P<0.001) at follow-up. A new fracture was seen in one patient affecting two vertebrae adjacent to the treated level. On CT following the procedure, there was cement leakage in the disc in 9% of cases.

BKP is a minimally invasive procedure that has been shown to be effective in the treatment of acute symptomatic vertebral compression fractures. It appears that BKP is associated with a low incidence of procedure-related complications and cement extravasation.

Keywords

compression fractures methylmethacrylate kyphoplasty

Get full access to this article

View all access options for this article.

References

Deramond

Saliou

: Respective contributions of vertebroplasty and kyphoplasty to the management of osteoporotic vertebral fractures. Joint Bone Spine 73: 610–613, 2006.

Guarnieri

Ambrosanio

: Vertebroplasty as treatment of aggressive and symptomatic vertebral hemangiomas: up to 4 years of follow-up. Neuroradiology 51(7): 471–476, 2009.

Garfin

Buckley

Ledlie

: Balloon Kyphoplasty Outcomes Group: Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid, significant, and sustained improvements in back pain, function, and quality of life for elderly patients. Spine (Phila Pa 1976) 31(19): 2213–2220, 2006.

Perez-Higueras

Alvarez

: Percutaneous vertebroplasty: long-term clinical and radiological outcome. Neuroradiology 44: 950–954, 2002.

Syed

Jan

Patel

: Fatal fat embolism after vertebroplasty: identification of the high-risk patient. Am J Neuroradiol 27(2): 343–345, 2006.

Chin

Kim

: Efficacy of postural reduction in osteoporotic vertebral compression fractures followed by percutaneous vertebroplasty. Neurosurgery 58(4): 695–700, 2006.

Rousing

Andersen

: Percutaneous vertebroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures: three-months follow-up in a clinical randomized study. Spine 34(13): 1349–1354, 2009.

Kim

: Prospective analysis of clinical outcomes after percutaneous vertebroplasty for painful osteoporotic vertebral body fractures. Am J Neuroradiol 26(7): 1623–1628, 2005.

Evans

Jensen

: Vertebral compression fractures: pain reduction and improvement in functional mobility after percutaneous polymethylmethacrylate vertebroplasty retrospective report of 245 cases. Radiology 226(2): 366–372, 2003.

10.

Fransen

Collignon

: Direct anterolateral balloon kyphoplasty for a painful C-2 osteolytic malignant lesion. Case illustration 1. J Neurosurg Spine 6(4): 374, 2007.

11.

Kim

Lee

: Pulmonary cement embolism after percutaneous vertebroplasty in osteoporotic vertebral compression fractures: incidence, characteristics, and risk factors. Radiology 251(1): 250–259, 2009.

12.

Wardlaw

Cummings

: Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet 373(9668): 1016–1024, 2009.

13.

McGirt

Parker

: Vertebroplasty and kyphoplasty for the treatment of vertebral compression fractures: an evidenced-based review of the literature. Spine J 9(6): 501–508, 2009.

14.

Lee

Dumonski

: Percutaneous treatment of vertebral compression fractures: a meta-analysis of complications. Spine 34(11): 1228–1232, 2009.

15.

Chavali

Resijek

: Extending polymerization time of polymethylmethacrylate cement in percutaneous vertebroplasty with ice bath cooling. Am J Neuroradiol 24(3): 545–546, 2003.

16.

Gilula

: Is insufficient use of polymethylmethacrylate a cause for vertebroplasty failure necessitating repeat vertebroplasty? Am J Neuroradiol 24(10): 2120–2122, 2003.

17.

Hiwatashi

Westesson

: Kyphoplasty and vertebroplasty produce the same degree of height restoration. Am J Neuroradiol 30(4): 669–673, 2009.

18.

Venmans

Lohle

: Frequency and outcome of pulmonary polymethylmethacrylate embolism during percutaneous vertebroplasty. Am J Neuroradiol 29(10): 1983–1985, 2008.

19.

Kaufmann

Trout

Kallmes

: The effects of cement volume on clinical outcomes of percutaneous vertebroplasty. Am J Neuroradiol 27(9): 1933–1937, 2006.

20.

Knavel

Rad

: Clinical outcomes with hemivertebral filling during percutaneous vertebroplasty. Am J Neuroradiol 30(3): 496–499, 2009.

Balloon Kyphoplasty for Acute Osteoporotic Compression Fractures

Abstract

Keywords

Get full access to this article

References