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Clinical efficacy of percutaneous vertebroplasty versus percutaneous kyphoplasty treating osteoporotic vertebral compression fractures with kyphosis

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to investigate the clinical efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in treating osteoporotic vertebral compression fractures (OVCFs) with kyphosis.

Methods

The clinical data included 63 patients in the PVP group and 70 in the PKP group. The study assessed the pain visual analog scale (VAS), Oswestry Disability Index (ODI), wedge angle (WA), local kyphotic angle (LKA), and vertebral height.

Results

The operative time was significantly less in the PVP group (p < 0.05). Meanwhile, more bone cement was injected into the PKP group (p < 0.05), with significantly higher surgical costs (p > 0.05). Post-operative VAS, ODI, WA, LKA, and vertebral height were significantly improved in PVP and PKP groups compared with pre-operative measurements (p < 0.05). The results revealed insignificant VAS and ODI improvement differences between the two groups at each follow-up time (p > 0.05). Vertebral height, WA, and LKA improved more significantly in the PKP group at day 1 and 3 months post-operatively (p < 0.05), with insignificant group differences at subsequent time points (p > 0.05). The improvements in VAS were unrelated to those in WA, LKA, or vertebral height in either group (p > 0.05). The improvement in VAS was unrelated to the amount of bone cement injected (p > 0.05); the PKP group demonstrated a lower incidence of cement leakage (12.9%; p < 0.05).

Conclusion

PVP and PKP can restore partial vertebral height and improve kyphosis with similar clinical outcomes. PVP has a shorter operating time, is more economical, and can represent a therapeutic choice.

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Availability of data and materials

The datasets used or analyzed during the current study are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), 100 Yongping Road, Zhengzhou, 450000, Henan, China

    Dawei Liang, Jia Pei, Xianwei Zhou & Xiaohui Zhang

  2. Shenyang Pharmaceutical University, Shenyang, 110000, Liaoning, China

    Ruoyan Pei

Authors
  1. Dawei Liang
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  2. Jia Pei
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  3. Ruoyan Pei
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  4. Xianwei Zhou
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  5. Xiaohui Zhang
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Contributions

DL contributed significantly to the analysis and wrote the manuscript; JP and RP performed the data analyses; XZ and XZ helped perform the analysis with constructive discussions. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Xiaohui Zhang.

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No conflict of interest exits in the submission of this manuscript.

Ethical approval

This study was approved by the medical Ethics Committee of the Luoyang Orthopedic-Traumatological Hospital Of Henan Province (Henan Provincial Orthopedic Hospital) institution.

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Manuscript is approved by all authors for publication.

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Liang, D., Pei, J., Pei, R. et al. Clinical efficacy of percutaneous vertebroplasty versus percutaneous kyphoplasty treating osteoporotic vertebral compression fractures with kyphosis. Eur J Trauma Emerg Surg (2023). https://doi.org/10.1007/s00068-023-02416-4

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  • DOI: https://doi.org/10.1007/s00068-023-02416-4

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