Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: a prospective randomised study
This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A total of 44 patients were randomised to undergo either uni- or bipedicular balloon kyphoplasty. Sel...
Saved in:
Published in | The bone & joint journal Vol. 95-B; no. 3; pp. 401 - 406 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.03.2013
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A total of 44 patients were randomised to undergo either uni- or bipedicular balloon kyphoplasty. Self-reported clinical assessment using the Oswestry Disability Index, the Roland-Morris Disability questionnaire and a visual analogue score for pain was undertaken pre-operatively, and at three and twelve months post-operatively. The vertebral height and kyphotic angle were measured from pre- and post-operative radiographs. Total operating time and the incidence of cement leakage was recorded for each group. Both uni- and bipedicular kyphoplasty groups showed significant within-group improvements in all clinical outcomes at three months and twelve months after surgery. However, there were no significant differences between the groups in all clinical and radiological outcomes. Operating time was longer in the bipedicular group (p < 0.001). The incidence of cement leakage was not significantly different in the two groups (p = 0.09). A unipedicular technique yielded similar clinical and radiological outcomes as bipedicular balloon kyphoplasty, while reducing the length of the operation. We therefore encourage the use of a unipedicular approach as the preferred surgical technique for the treatment of osteoporotic vertebral compression fractures. |
---|---|
AbstractList | This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A total of 44 patients were randomised to undergo either uni- or bipedicular balloon kyphoplasty. Self-reported clinical assessment using the Oswestry Disability Index, the Roland-Morris Disability questionnaire and a visual analogue score for pain was undertaken pre-operatively, and at three and twelve months post-operatively. The vertebral height and kyphotic angle were measured from pre- and post-operative radiographs. Total operating time and the incidence of cement leakage was recorded for each group.
Both uni- and bipedicular kyphoplasty groups showed significant within-group improvements in all clinical outcomes at three months and twelve months after surgery. However, there were no significant differences between the groups in all clinical and radiological outcomes. Operating time was longer in the bipedicular group (p < 0.001). The incidence of cement leakage was not significantly different in the two groups (p = 0.09).
A unipedicular technique yielded similar clinical and radiological outcomes as bipedicular balloon kyphoplasty, while reducing the length of the operation. We therefore encourage the use of a unipedicular approach as the preferred surgical technique for the treatment of osteoporotic vertebral compression fractures.
Cite this article: Bone Joint J 2013;95-B:401–6. This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A total of 44 patients were randomised to undergo either uni- or bipedicular balloon kyphoplasty. Self-reported clinical assessment using the Oswestry Disability Index, the Roland-Morris Disability questionnaire and a visual analogue score for pain was undertaken pre-operatively, and at three and twelve months post-operatively. The vertebral height and kyphotic angle were measured from pre- and post-operative radiographs. Total operating time and the incidence of cement leakage was recorded for each group. Both uni- and bipedicular kyphoplasty groups showed significant within-group improvements in all clinical outcomes at three months and twelve months after surgery. However, there were no significant differences between the groups in all clinical and radiological outcomes. Operating time was longer in the bipedicular group (p < 0.001). The incidence of cement leakage was not significantly different in the two groups (p = 0.09). A unipedicular technique yielded similar clinical and radiological outcomes as bipedicular balloon kyphoplasty, while reducing the length of the operation. We therefore encourage the use of a unipedicular approach as the preferred surgical technique for the treatment of osteoporotic vertebral compression fractures. This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A total of 44 patients were randomised to undergo either uni- or bipedicular balloon kyphoplasty. Self-reported clinical assessment using the Oswestry Disability Index, the Roland-Morris Disability questionnaire and a visual analogue score for pain was undertaken pre-operatively, and at three and twelve months post-operatively. The vertebral height and kyphotic angle were measured from pre- and post-operative radiographs. Total operating time and the incidence of cement leakage was recorded for each group. Both uni- and bipedicular kyphoplasty groups showed significant within-group improvements in all clinical outcomes at three months and twelve months after surgery. However, there were no significant differences between the groups in all clinical and radiological outcomes. Operating time was longer in the bipedicular group (p < 0.001). The incidence of cement leakage was not significantly different in the two groups (p = 0.09). A unipedicular technique yielded similar clinical and radiological outcomes as bipedicular balloon kyphoplasty, while reducing the length of the operation. We therefore encourage the use of a unipedicular approach as the preferred surgical technique for the treatment of osteoporotic vertebral compression fractures. |
Author | Nguyen, J T Lane, J M Rebolledo, B J Unnanuntana, A Kepler, C K Gladnick, B P |
Author_xml | – sequence: 1 givenname: B J surname: Rebolledo fullname: Rebolledo, B J email: rebolledob@hss.edu organization: Hospital for Special Surgery, 535 East 70th Street, New York, New York 10021, USA. rebolledob@hss.edu – sequence: 2 givenname: B P surname: Gladnick fullname: Gladnick, B P – sequence: 3 givenname: A surname: Unnanuntana fullname: Unnanuntana, A – sequence: 4 givenname: J T surname: Nguyen fullname: Nguyen, J T – sequence: 5 givenname: C K surname: Kepler fullname: Kepler, C K – sequence: 6 givenname: J M surname: Lane fullname: Lane, J M |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23450028$$D View this record in MEDLINE/PubMed |
BookMark | eNpNkctOHDEQRS0ECo_MH6DIy2x64ic9zi4ZJSESEhuQ2Fl-lDUN3e2O7R5p_oZPxR0gijflkm7dW_Y5R8djHAGhS0rWlBP2hXBCmytGHtZKfudrpjZUHaEzRoRqhCCb4_c7V-IUrXJ-JPVsCKWCfkCnjAtJCNucoedtHCaTuhxHHAOex24C37m5Nwmb0WP7X29N38eqezpMuzj1JpcDDjHhsgNcEpgywFgWl5gLxCmmWDqH95AK2GR67GpUgpy76hGScWWu3Vds8JRinsCVbg841dQ4dBk8zmX2h4_oJJg-w-qtXqD7nz_uttfNze2v39tvN41j8qo0yrW0Na5tpVJOWkG9JQ6kYm27FOKtdfXNUnkbqGT1X1ggPHhvZAAnPL9An1996zJ_ZshF1yUc9L0ZIc5ZU04F55xRXqXiVerq3jlB0FPqBpMOmhK94NELHr3g0Qse_RdPHfv0ljDbAfy_oXcY_AXc-ZJo |
Cites_doi | 10.1097/00000542-197810000-00003 10.3171/foc.2005.18.3.4 10.1097/01.brs.0000150831.46856.87 10.1097/BSD.0b013e318213c113 10.1097/00007632-198303000-00004 10.1097/BRS.0b013e3181f99d70 10.1007/s00198-009-0872-7 10.1016/j.injury.2009.09.021 10.1148/radiol.2253011413 10.1359/JBMR.041203 10.1093/oxfordjournals.aje.a115204 10.1016/j.spinee.2004.09.013 10.1007/s00198-009-1096-6 10.1097/00007632-200107150-00026 10.1016/S0140-6736(09)60010-6 10.1097/00007632-200012150-00006 10.1016/j.ocl.2007.03.010 10.1093/oxfordjournals.aje.a116756 10.1097/01.brs.0000232803.71640.ba 10.1001/jama.285.6.785 10.1359/jbmr.1997.12.1.16 10.1359/jbmr.061113 10.5435/00124635-201103000-00007 10.1097/BSD.0b013e31815d6997 10.1016/S0304-3959(01)00349-9 10.1016/S0899-7071(01)00350-3 10.1002/art.1780360603 10.1002/jbmr.364 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1302/0301-620X.95B3.29819 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | CrossRef MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2049-4408 |
EndPage | 406 |
ExternalDocumentID | 10_1302_0301_620X_95B3_29819 23450028 |
Genre | Randomized Controlled Trial Journal Article Comparative Study |
GroupedDBID | .XZ 08P 0R~ 3EH 4.4 53G 5RS 5VS AAEJM AAQQT AAWTL ABSQV ACRZS ADDZX AENEX AFFNX AFHIN AFOSN AJJEV ALMA_UNASSIGNED_HOLDINGS CGR CUY CVF EBS ECM EIF EJD H13 HZ~ I4R INIJC KQ8 M5~ NPM O9- OB4 ODZKP OFXIZ OHH OK1 OVD OVIDX PONUX PQQKQ R0Z RHF SJN TEORI TJB W1P ZCG AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c256t-9c717ac77599c5b41db0ce59277ce590dbbc45059dbf1524392f03fdda5fec4d3 |
ISSN | 2049-4394 |
IngestDate | Fri Aug 16 20:50:30 EDT 2024 Fri Aug 23 03:33:26 EDT 2024 Tue Aug 27 13:44:53 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c256t-9c717ac77599c5b41db0ce59277ce590dbbc45059dbf1524392f03fdda5fec4d3 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 |
PMID | 23450028 |
PQID | 1314333213 |
PQPubID | 23479 |
PageCount | 6 |
ParticipantIDs | proquest_miscellaneous_1314333213 crossref_primary_10_1302_0301_620X_95B3_29819 pubmed_primary_23450028 |
PublicationCentury | 2000 |
PublicationDate | 2013-Mar 2013-03-00 20130301 |
PublicationDateYYYYMMDD | 2013-03-01 |
PublicationDate_xml | – month: 03 year: 2013 text: 2013-Mar |
PublicationDecade | 2010 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | The bone & joint journal |
PublicationTitleAlternate | Bone Joint J |
PublicationYear | 2013 |
References | r3 r4 r5 Ledlie JT (r30) 2003; 98 r6 r7 r8 r9 Old JL (r2) 2004; 69 r10 r31 r12 r11 r13 r16 r15 r18 r17 r19 Fairbank JC (r14) 1980; 66 r21 r20 r23 r22 r25 r24 r27 r26 r29 r28 r1 |
References_xml | – ident: r16 doi: 10.1097/00000542-197810000-00003 – ident: r31 doi: 10.3171/foc.2005.18.3.4 – ident: r13 doi: 10.1097/01.brs.0000150831.46856.87 – ident: r21 doi: 10.1097/BSD.0b013e318213c113 – ident: r20 doi: 10.1097/00007632-198303000-00004 – ident: r26 doi: 10.1097/BRS.0b013e3181f99d70 – ident: r27 doi: 10.1007/s00198-009-0872-7 – ident: r28 doi: 10.1016/j.injury.2009.09.021 – ident: r15 doi: 10.1148/radiol.2253011413 – ident: r29 doi: 10.1359/JBMR.041203 – ident: r4 doi: 10.1093/oxfordjournals.aje.a115204 – volume: 98 start-page: 36 year: 2003 ident: r30 publication-title: J Neurosurg contributor: fullname: Ledlie JT – ident: r25 doi: 10.1016/j.spinee.2004.09.013 – ident: r10 doi: 10.1007/s00198-009-1096-6 – ident: r7 doi: 10.1097/00007632-200107150-00026 – ident: r9 doi: 10.1016/S0140-6736(09)60010-6 – ident: r19 doi: 10.1097/00007632-200012150-00006 – ident: r11 doi: 10.1016/j.ocl.2007.03.010 – volume: 66 start-page: 271 year: 1980 ident: r14 publication-title: Physiotherapy contributor: fullname: Fairbank JC – ident: r23 doi: 10.1093/oxfordjournals.aje.a116756 – ident: r24 doi: 10.1097/01.brs.0000232803.71640.ba – ident: r1 doi: 10.1001/jama.285.6.785 – ident: r3 doi: 10.1359/jbmr.1997.12.1.16 – volume: 69 start-page: 111 year: 2004 ident: r2 publication-title: Am Fam Physician contributor: fullname: Old JL – ident: r5 doi: 10.1359/jbmr.061113 – ident: r12 doi: 10.5435/00124635-201103000-00007 – ident: r17 doi: 10.1097/BSD.0b013e31815d6997 – ident: r18 doi: 10.1016/S0304-3959(01)00349-9 – ident: r6 doi: 10.1016/S0899-7071(01)00350-3 – ident: r22 doi: 10.1002/art.1780360603 – ident: r8 doi: 10.1002/jbmr.364 |
SSID | ssj0000801141 |
Score | 2.3351576 |
Snippet | This is a prospective randomised study comparing the clinical and radiological outcomes of uni- and bipedicular balloon kyphoplasty for the treatment of... |
SourceID | proquest crossref pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 401 |
SubjectTerms | Aged Aged, 80 and over Female Follow-Up Studies Fractures, Compression - surgery Humans Kyphoplasty - methods Male Middle Aged Operative Time Osteoporotic Fractures - surgery Pain Measurement Prospective Studies Recovery of Function Self Report Spinal Fractures - surgery Treatment Outcome |
Title | Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: a prospective randomised study |
URI | https://www.ncbi.nlm.nih.gov/pubmed/23450028 https://search.proquest.com/docview/1314333213 |
Volume | 95-B |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3LjtMwFLXKsGGDQLzKS0ZiV6UkdtzE7OgIGIEYCWkqdRf5kcDMlKQamsXwNfwA_8i9jpO4YkYCNmmbNI6Sc-Sc-zQhL60yokykjESZplHKWR4pZbC9drzQmVaJLtGh_-l4cbRKP6zFejL5FWQttTs9Nz-urCv5H1RhH-CKVbL_gOwwKOyA74AvbAFh2P4VxofhIoKztj7dYtjFJZaiP1wHvzUG2OF_55fbr80WJLPP1ETdOSabwyhY9NGAKG-wkysu1oyR5Y1LPe9SZutZhZVV7UWXTacwxauv15zBm882QB2QsWPj2rORkbpxonYxO2tO4XrhXWLUBya_zaa0zn27HCNW7zfK1n7J9-VYkbaqa1W3NchbteeVPf7SXvqaE58D7t0auMREn9c1L930x8B2iXA97HCuliJaBqzkwdSbdmf_8UrgrsUsWn7RgsXruRRLPmcy72bqgCXbb44mjANPY1-xvt-Kuz90g9xkmRRo63_8nA8uPRDfYF0mvkATrvvqqqti-2k_zr4WusbAcULn5A657S0U-qaj210yKet75OdINdpUNKQaBchpQDXqqUYDqlGgGgWq0YFqOEpINTpQjQZUowPVXlNFA6LRkWjUEe0-Wb17e3J4FPnFPSIDKnsXSZMlGcwKmZDSCJ0mVsdYEsiyDD9iq7WBpySk1RVoTNDNrIp5Za0SVWlSyx-Qgxo4-4hQnhtlwJSINehhY1VeppXO4jw1XEmh8ymJ-sdcbLseLkUXyGUFIlQgQgUiVDiEpuRFj0UBN4IRNFWXTfsdTgHzgnOW8Cl52IE0jNiD-vjaI0_IrZHpT8nB7qItn4Gk3ennjki_AcJip4c |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | Colorado Alliance of Research Libraries |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Comparison+of+unipedicular+and+bipedicular+balloon+kyphoplasty+for+the+treatment+of+osteoporotic+vertebral+compression+fractures%3A+a+prospective+randomised+study&rft.jtitle=The+bone+%26+joint+journal&rft.au=Rebolledo%2C+B+J&rft.au=Gladnick%2C+B+P&rft.au=Unnanuntana%2C+A&rft.au=Nguyen%2C+J+T&rft.date=2013-03-01&rft.eissn=2049-4408&rft.volume=95-B&rft.issue=3&rft.spage=401&rft_id=info:doi/10.1302%2F0301-620X.95B3.29819&rft_id=info%3Apmid%2F23450028&rft.externalDocID=23450028 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2049-4394&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2049-4394&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2049-4394&client=summon |