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Vertebroplasty and kyphoplasty: complementary techniques for the treatment of painful osteoporotic vertebral compression fractures. A prospective non-randomised study on 154 patients

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Abstract

In a prospective study, we aimed to evaluate the potential use of kyphoplasty (KP) and vertebroplasty (VP) as complementary techniques in the treatment of painful osteoporotic vertebral compression fractures (VCFs). After 1 month of conservative treatment for VCFs, patients with intractable pain were offered treatment with KP or VP according to a treatment algorithm that considers time from fracture (Δt) and amount of vertebral body collapse. Bone biopsy was obtained intra-operatively to exclude patients affected by malignancy or osteomalacia. 164 patients were included according to the above criteria. Mean age was 67.6 years. Mean follow-up was 33 months. 10 patients (6.1%) were lost to follow-up and 154 reached the minimum 2-year follow-up. 118 (69.5%) underwent VP and 36 (30.5%) underwent KP. Complications affected five patients treated with VP, whose one suffered a transient intercostal neuropathy and four a subsequent VCF (two at adjacent level). Results in terms of visual analogue scale and Oswestry scores were not different among treatment groups. In conclusion, at an average follow-up of almost 3 years from surgical treatment of osteoporotic VCFs, VP and KP show similar good clinical outcomes and appear to be complementary techniques with specific different indications.

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None of the authors has any potential conflict of interest.

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Authors and Affiliations

  1. Spine Surgery Department III, IRCCS Galeazzi Orthopaedic Institute, Via Galeazzi 4, 20161, Milan, Italy

    Alessio Lovi, Marco Teli & Marco Brayda-Bruno

  2. Neurosurgery Department, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy

    Alessandro Ortolina, Francesco Costa & Maurizio Fornari

Authors
  1. Alessio Lovi
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  2. Marco Teli
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  3. Alessandro Ortolina
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  4. Francesco Costa
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  5. Maurizio Fornari
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  6. Marco Brayda-Bruno
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Correspondence to Alessio Lovi.

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Lovi, A., Teli, M., Ortolina, A. et al. Vertebroplasty and kyphoplasty: complementary techniques for the treatment of painful osteoporotic vertebral compression fractures. A prospective non-randomised study on 154 patients. Eur Spine J 18 (Suppl 1), 95–101 (2009). https://doi.org/10.1007/s00586-009-0986-9

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