Outcome of Balloon Kyphoplasty for the Treatment of Osteoporotic Vertebral Compression Fracture in Patients with Rheumatoid Arthritis

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2016 Aug 26

PMID 27558384

Citations 3

Authors

Jihoon Shim

Kwanghyun Lee

Hunchul Kim

Byungjik Kang

Haewon Jeong

Chang-Nam Kang

Affiliations

Soon will be listed here.

Abstract

Background: Osteoporosis and osteoporotic fractures are widely known as complications of rheumatoid arthritis. Kyphoplasty (KP) is known as an effective treatment modality for reducing pain and correcting kyphotic deformity in osteoporotic vertebral compression fracture (OVCF). However, cutcomes of KP in rheumatoid patients are not well known. The purpose of the study was to investigate the clinical and radiological outcomes of balloon KP on OVCF in patients with rheumatoid arthritis.

Methods: A total of 23 patients (31 vertebral bodies) with rheumatoid arthritis who received KP for OVCF and could be followed up for at least 1 year were examined. For clinical outcomes, visual analogue scale (VAS) and the Korean version of the Oswestry disability index (KODI) were evaluated. For radiological outcomes, changes in anterior vertebral height and local kyphotic angle were measured, alongside cement leakage, adjacent fracture, and the recollapse of cemented vertebra.

Results: The anterior vertebral height was significantly restored after surgery compared with prior to surgery (p < 0.001). Cement leakage was found in 14 cases (45.1 %), and disc space leakage was prevalent (50 %), while vascular cement leakage was found in one case. Adjacent fracture was found in 3 patients (11.5 %). VAS for lumbago showed a significant decrease (p < 0.001) after surgery (VAS = 2.4) compared with that before (VAS = 8.1); it was somewhat increased after the 1-year follow-up (VAS = 2.8; p = 0.223). KODI also decreased (48.8 %) after surgery compared with before (84.6 %). However, it increased somewhat (49.9 %) after the 1-year follow-up.

Conclusion: KP on rheumatoid arthritis patients for OVCF was effective for reducing pain in the early stage and restoring vertebral body height. Recollapse of the treated vertebral body was found relatively frequently alongside the correction loss of local kyphotic angle.

Citing Articles

Percutaneous Balloon Kyphoplasty Vertebral Augmentation for Compression Fracture Due to Vertebral Metastasis: A 12-Month Retrospective Clinical Study in 72 Patients.

Kircelli A, Coven I Med Sci Monit. 2018; 24:2142-2148.

PMID: 29634678 PMC: 5905353. DOI: 10.12659/msm.909169.

Preoperative prone position exercises: a simple and novel method to improve tolerance to kyphoplasty for treatment of single level osteoporotic vertebral compression fractures.

Li G, Liu H, Wang Q, Zhong D BMC Musculoskelet Disord. 2017; 18(1):472.

PMID: 29162076 PMC: 5697054. DOI: 10.1186/s12891-017-1843-3.

Comparison of radiofrequency kyphoplasty (RFK) and balloon kyphoplasty (BKP) in the treatment of vertebral compression fractures: A meta-analysis.

Feng L, Shen J, Feng C, Chen J, Wu Y Medicine (Baltimore). 2017; 96(25):e7150.

PMID: 28640091 PMC: 5484199. DOI: 10.1097/MD.0000000000007150.

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