Balloon kyphoplasty and percutaneous vertebroplasty in the surgery of osteoporotic vertebral fractures
DOI:
https://doi.org/10.25305/unj.86580Keywords:
osteoporosis, vertebral compression fracture, balloon kyphoplasty, percutaneous vertebroplasty, complicationsAbstract
Introduction. The elderly and postmenopausal patients are likely to have a high risk of vertebral osteoporotic fracture associated with pain and self- maintenance limitations. These fractures are treated with percutaneous vertebroplasty (PVP) and balloon kyphoplasty (BKP). Along with the obvious efficiency, these minimally invasive techniques have a number of complications.
Objective. To study the incidence of complications and the dynamics of social adaptation of the patients operated for spinal compression fractures against osteoporosis using PVP and BKP.
Materials and methods. The results of treatment of 43 patients with uncomplicated thoracolumbar spine fractures were analyzed. In 19 patients (26 vertebrae) PVP was performed, 24 patients (28 vertebrae) underwent BKP. The operation results were estimated with Oswestry questionnaire; the complications were clinically and radiologically assessed.
Results. All patients showed a reduction in pain intensity and better social adaptability. The incidence of such complications as extravertebral bone cement leakage was higher in PVP group (19.2%) compared with BKP group (3.6%). Complications were asymptomatic.
Conclusion. Both minimal invasive methods reduced pain equally and improved social adaptation of the patients. BKP is more safe, but is more expensive procedure as well.
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