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Percutaneous Kyphoplasty: Is Bilateral Approach Necessary?
Atilla Yilmaz1, Mürteza Çakir2, Cem Şeyho Yücetaş3
1Neurosurgery Department, Mustafa Kemal University, Hatay, Turkey.
Spine
|December 28, 2017
Summary
Unilateral balloon kyphoplasty offers comparable clinical and radiographic outcomes to bilateral procedures for osteoporotic vertebral compression fractures. This approach also reduces operative time and cement usage, potentially lowering complication risks.
Area of Science:
- Orthopedic Surgery
- Spinal Procedures
- Osteoporosis Management
Background:
- Percutaneous kyphoplasty is a standard treatment for osteoporotic vertebral compression fractures.
- While bilateral kyphoplasty is common, unilateral approaches may offer advantages.
Purpose of the Study:
- To compare radiographic and clinical outcomes of unilateral versus bilateral balloon kyphoplasty.
- To evaluate operative time, cement volume, and complication rates.
Main Methods:
- Retrospective multicenter study of 87 patients with osteoporotic vertebral compression fractures.
- Patients were divided into unilateral (36) and bilateral (51) kyphoplasty groups.
- Clinical outcomes assessed via VAS and ODI; radiological outcomes by vertebral height and kyphosis angle.
Main Results:
- Both techniques yielded significant clinical improvement without significant differences.
- No significant radiographic differences were observed between unilateral and bilateral kyphoplasty.
- Unilateral kyphoplasty demonstrated significantly lower operative times and cement volumes.
Conclusions:
- Unilateral balloon kyphoplasty is as effective as bilateral kyphoplasty for osteoporotic vertebral compression fractures.
- Reduced operative time and cement in unilateral kyphoplasty may decrease complication rates.
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