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Percutaneous vertebral augmentation for acute traumatic vertebral Fractures: A TQIP database study
Jordan C Petitt1, Samuel Stanley1, Ahmed Kashkoush2
1Department of Neurological Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, United States of America.
Summary
Percutaneous vertebroplasty (VP) and kyphoplasty (KP) use for acute traumatic vertebral fractures varies significantly. Patient age, sex, hospital characteristics, and geographic region influence procedure rates.
Area of Science:
- Orthopedics
- Neurosurgery
- Trauma Surgery
Background:
- Percutaneous vertebroplasty (VP) and kyphoplasty (KP) are common treatments for vertebral fractures.
- Limited research exists on VP/KP utilization in acute trauma settings.
Purpose of the Study:
- To describe the current utilization of VP/KP in patients experiencing acute traumatic vertebral fractures.
- To identify patient and hospital factors associated with VP/KP use in this population.
Main Methods:
- Analysis of the 2016 American College of Surgeons National Trauma Databank (TQIP).
- Inclusion criteria: Patients with severe spine injury (AIS ≥ 3) who underwent VP/KP.
- Logistic regression modeling to determine factors associated with VP/KP use.
Main Results:
- Over 20,000 patients met inclusion criteria; 406 received VP/KP.
- Patients aged 50+ and females were more likely to receive VP/KP.
- Hospitals with Level II trauma centers and 401-600 beds showed higher VP/KP rates.
- African American patients, isolated trauma, larger neurosurgery/orthopedic groups, and certain US regions had lower VP/KP rates.
Conclusions:
- Significant variation exists in VP/KP use for acute traumatic vertebral fractures across US trauma centers.
- Patient demographics, hospital characteristics, and surgeon factors influence procedure adoption.
- Regional and institutional practice patterns are key determinants of VP/KP utilization.
