Balloon kyphoplasty in patients with osteoporotic vertebral compression fractures.
Balloon kyphoplasty (BKP) is a minimally invasive surgical procedure indicated for treatment of painful vertebral compression fractures. During BKP, cannulae are placed percutaneously into the vertebral body, allowing insertion of inflatable balloons. Inflating the balloons partially restores vertebral body height, compacts the bone and creates a cavity for placement of bone cement after balloon removal. Placement of the cement reduces and stabilizes the fracture. BKP differs from vertebroplasty in that it aims to restore vertebral height and reduce kyphotic deformity. Case reports and observational studies have consistently shown that BKP significantly reduces pain, increases mobility and functional capacity and improves quality of life for up to 3 years. Clinically significant adverse events have been rarely reported. These findings were confirmed in randomized and nonrandomized prospective controlled studies. The objective of this review is to describe the surgical procedures involved in BKP and to review the evidence supporting its use.
Orthopaedic Department, Woodend Hospital, NHS Grampian, Aberdeen, UK. d.wardlaw@nhs.net
Douglas
D
Wardlaw
Jan
J
Van Meirhaeghe
Jonas
J
Ranstam
Leonard
L
Bastian
Steven
S
Boonen
D001843:Bone Cements / Q000494:pharmacology; D002986:Clinical Trials as Topic; D050815:Fractures, Compression / Q000150:complications / Q000191:economics / Q000601:surgery*; D006801:Humans; D058498:Kyphoplasty / Q000191:economics / Q000379:methods*; D058866:Osteoporotic Fractures / Q000150:complications / Q000191:economics / Q000601:surgery*; D016103:Spinal Fractures / Q000150:complications / Q000191:economics / Q000601:surgery*
D001843:Bone Cements