Comparative study of balloon kyphoplasty with unilateral versus bilateral approach in osteoporotic vertebral compression fractures.
This study analyses the radiological and clinical results according to the two techniques of unilateral and bilateral balloon kyphoplasty in osteoporotic vertebral compression fractures. Fifty-two patients with osteoporotic vertebral compression fractures occurring at the thoracolumbar junction were enrolled in this study. All patients were classified into two groups; group I was treated with a unilateral approach and group II with a bilateral approach. The Cobb angle was measured each time to evaluate the kyphotic angle during the pre- and post-operative periods and at last follow-up, and a 10-point visual analog scale for pain was recorded at the same time. We found that the bilateral approach had a greater advantage in the reduction of kyphosis and the loss of reduction was less than the unilateral approach for the treatment of osteoporotic vertebral compression fractures.
Chung
Hyung Jin
HJ
Department of Orthopaedic Surgery, College of Medicine, Sanggye Paik Hospital, Inje University, Seoul, South Korea. chungkjmd@dreamwiz.com
Chung
Kook Jin
KJ
Yoon
Hoi Soo
HS
Kwon
In Hyup
IH
D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D002404:Catheterization / Q000379:methods; D005260:Female; D050815:Fractures, Compression / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications; D019904:Polymethyl Methacrylate / Q000627:therapeutic use*; D020127:Recovery of Function; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery; D054854:Vertebroplasty / Q000295:instrumentation / Q000379:methods*
D001843:Bone Cements; D019904:Polymethyl Methacrylate