Comparison of Vertebroplasty and Kyphoplasty for Complications

Overview

Journal Orthop Surg

Specialty Orthopedics

Date 2011 Oct 20

PMID 22009645

Citations 20

Authors

Ji-Dong Zhang

Bart Poffyn

Gwen Sys

Dirk Uyttendaele

Affiliations

Soon will be listed here.

Abstract

Vertebroplasty (VP) and kyphoplasty (KP) have been proven equally effective in providing pain relief in patients with vertebral compression fractures (VCF). Both have been reported to have multiple complications which, though rare, are potentially devastating. This literature review focuses on comparing the incidence of various types of complication of VP and KP. Local cement leakage and pulmonary cement embolism have been reported more commonly after VP than KP. It is questionable whether the relative risk of developing an adjacent level new fracture after VP is greater than after KP The relationship between a new VCF and each of these procedures has also not been clearly established. Although the majority of complications are clinically silent, their potential risks, which include a fatal outcome, should always be kept in mind by the practitioner.

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References

Klotzbuecher C, Ross P, Landsman P, Abbott 3rd T, Berger M . Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res. 2000; 15(4):721-39. DOI: 10.1359/jbmr.2000.15.4.721. View

Trout A, Kallmes D, Kaufmann T . New fractures after vertebroplasty: adjacent fractures occur significantly sooner. AJNR Am J Neuroradiol. 2006; 27(1):217-23. PMC: 7976057. View

Vasconcelos C, Gailloud P, Beauchamp N, Heck D, Murphy K . Is percutaneous vertebroplasty without pretreatment venography safe? Evaluation of 205 consecutives procedures. AJNR Am J Neuroradiol. 2002; 23(6):913-7. PMC: 7976897. View

Lee I, Choi A, Yie M, Yoon J, Jeon E, Koh S . CT evaluation of local leakage of bone cement after percutaneous kyphoplasty and vertebroplasty. Acta Radiol. 2010; 51(6):649-54. DOI: 10.3109/02841851003620366. View

Komemushi A, Tanigawa N, Kariya S, Kojima H, Shomura Y, Komemushi S . Percutaneous vertebroplasty for osteoporotic compression fracture: multivariate study of predictors of new vertebral body fracture. Cardiovasc Intervent Radiol. 2006; 29(4):580-5. DOI: 10.1007/s00270-005-0138-5. View

Schofer M, Efe T, Timmesfeld N, Kortmann H, Quante M . Comparison of kyphoplasty and vertebroplasty in the treatment of fresh vertebral compression fractures. Arch Orthop Trauma Surg. 2009; 129(10):1391-9. DOI: 10.1007/s00402-009-0901-1. View

Kumar K, Nguyen R, Bishop S . A comparative analysis of the results of vertebroplasty and kyphoplasty in osteoporotic vertebral compression fractures. Neurosurgery. 2010; 67(3 Suppl Operative):ons171-88. DOI: 10.1227/01.NEU.0000380936.00143.11. View

Kim S, Kang H, Choi J, Ahn J . Risk factors of new compression fractures in adjacent vertebrae after percutaneous vertebroplasty. Acta Radiol. 2004; 45(4):440-5. DOI: 10.1080/02841850410005615. View

Tozzi P, Abdelmoumene Y, Corno A, Gersbach P, Hoogewoud H, von Segesser L . Management of pulmonary embolism during acrylic vertebroplasty. Ann Thorac Surg. 2002; 74(5):1706-8. DOI: 10.1016/s0003-4975(02)03962-0. View

10.

Yeom J, Kim W, Choy W, Lee C, Chang B, Kang J . Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg Br. 2003; 85(1):83-9. DOI: 10.1302/0301-620x.85b1.13026. View

11.

Taylor R, Taylor R, Fritzell P . Balloon kyphoplasty and vertebroplasty for vertebral compression fractures: a comparative systematic review of efficacy and safety. Spine (Phila Pa 1976). 2006; 31(23):2747-55. DOI: 10.1097/01.brs.0000244639.71656.7d. View

12.

Rollinghoff M, Siewe J, Zarghooni K, Sobottke R, Alparslan Y, Eysel P . Effectiveness, security and height restoration on fresh compression fractures--a comparative prospective study of vertebroplasty and kyphoplasty. Minim Invasive Neurosurg. 2010; 52(5-6):233-7. DOI: 10.1055/s-0029-1243631. View

13.

Shindle M, Gardner M, Koob J, Bukata S, Cabin J, Lane J . Vertebral height restoration in osteoporotic compression fractures: kyphoplasty balloon tamp is superior to postural correction alone. Osteoporos Int. 2006; 17(12):1815-9. DOI: 10.1007/s00198-006-0195-x. View

14.

Eck J, Nachtigall D, Humphreys S, Hodges S . Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta-analysis of the literature. Spine J. 2007; 8(3):488-97. DOI: 10.1016/j.spinee.2007.04.004. View

15.

Francois K, Taeymans Y, Poffyn B, Van Nooten G . Successful management of a large pulmonary cement embolus after percutaneous vertebroplasty: a case report. Spine (Phila Pa 1976). 2003; 28(20):E424-5. DOI: 10.1097/01.BRS.0000092345.00563.E0. View

16.

Abdul-Jalil Y, Bartels J, Alberti O, Becker R . Delayed presentation of pulmonary polymethylmethacrylate emboli after percutaneous vertebroplasty. Spine (Phila Pa 1976). 2007; 32(20):E589-93. DOI: 10.1097/BRS.0b013e31814b84ba. View

17.

Movrin I, Vengust R, Komadina R . Adjacent vertebral fractures after percutaneous vertebral augmentation of osteoporotic vertebral compression fracture: a comparison of balloon kyphoplasty and vertebroplasty. Arch Orthop Trauma Surg. 2010; 130(9):1157-66. DOI: 10.1007/s00402-010-1106-3. View

18.

Park S, Modi H, Suh S, Hong J, Noh W, Yang J . Epidural cement leakage through pedicle violation after balloon kyphoplasty causing paraparesis in osteoporotic vertebral compression fractures - a report of two cases. J Orthop Surg Res. 2010; 5:54. PMC: 2924303. DOI: 10.1186/1749-799X-5-54. View

19.

Fribourg D, Tang C, Sra P, Delamarter R, Bae H . Incidence of subsequent vertebral fracture after kyphoplasty. Spine (Phila Pa 1976). 2004; 29(20):2270-6. DOI: 10.1097/01.brs.0000142469.41565.2a. View

20.

Lee M, Dumonski M, Cahill P, Stanley T, Park D, Singh K . Percutaneous treatment of vertebral compression fractures: a meta-analysis of complications. Spine (Phila Pa 1976). 2009; 34(11):1228-32. DOI: 10.1097/BRS.0b013e3181a3c742. View