1. LONG-TERM CLINICAL AND RADIOLOGICAL RESULTS OF VERTEBRAL AUGMENTATION TECHNIQUES IN OSTEOPOROTIC LUMBAR COMPRESSION FRACTURES: VERTEBROPLASTY OR KYPHOPLASTY?
- Author
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Yavuz, Ahmed Yasin and Aydın, Mehmet Volkan
- Subjects
RADIOLOGY ,VERTEBRATES ,OSTEOPOROSIS ,KYPHOPLASTY ,COMPRESSION fractures - Abstract
Objective: This study aimed to compare long-term segmental deformity and clinical manifestations associated with vertebroplasty and kyphoplasty in treating single-level vertebral compression fractures. Materials and Methods: The patients were categorized into four groups based on corpus height loss and surgical procedures: VP1 and KP2 for ≤50% and VP2 and KP1 for >50%. Corpus height losses, restoration rates, segmental kyphotic angle values, visual analogue scale (VAS), and Oswestry disability index (ODI) scores were recorded at the 5-year follow-up. Results: There was a significant difference in the distribution of cases with corpus height loss ≤ 50% (VP1 and KP2) and ≥50% (KP1 and VP2) (p<0.05). Statistically significant decreases were observed in the restoration rates between the first day and the 60
th month of postoperative follow-up for VP1, VP2, and KP1 (p<0.001). The restoration rate decreased in KP2 (p=0.023). There were no statistically significant changes in the segmental kyphotic angles for VP1, VP2, and KP1 from the first day to the 30th month. The angle of KP2's angle remained unchanged until the 60th month. VAS scores were significantly decreased for VP1, VP2, and KP1 on both the first and sixth day and the sixth (month <0.001). A significant difference was found in ODI values between the pre-operative period and the 5th year for VP1, VP2, and KP1 (p<0.001) but not for KP2 (p=0.003), indicating better results for KP2. Conclusion: Vertebroplasty is sufficient in patientscases with a height loss of ≤50%, whereas kyphoplasty is superior in patients with a height loss of >50%. [ABSTRACT FROM AUTHOR]- Published
- 2023
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