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Published in: European Spine Journal 12/2014

01-12-2014 | Original Article

Effect of vertebroplasty with bone filler device and comparison with balloon kyphoplasty

Authors: Dong-Hoon Yang, Ki Hong Cho, Young Sun Chung, Young Rae Kim

Published in: European Spine Journal | Issue 12/2014

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Abstract

Purpose

To evaluate the effect of vertebroplasty with a bone filler device compared with balloon kyphoplasty.

Methods

A total of 222 patients underwent operations from January 2008 to October 2012. One-level fractures numbered 169 (86.7 %) cases and two-level fractures numbered 26 (13.3 %). A total of 221 vertebral levels were analyzed consequently. Vertebral height, compression ratio, and segmental Cobb’s angle were measured in preoperative and postoperative lateral X-rays.

Results

The compression ratio was the most influential parameter among three variables. Adjusted postoperative compression ratio was not significantly different between two operation groups. Bone cement leakage rates did not differ (p < 0.05). Bone cement distribution was spongy type in the majority of the vertebroplasty with bone filler device (94.5 %), but only in 42.0 % of the kyphoplasty. High bone densitometry readings and long period from diagnosis to operation were significant risk factors for bone cement leakage.

Conclusions

Vertebroplasty with a bone filler device could achieve equivalent compression reduction and bone cement leakage rate, as well as greater sponge-type bone cement distribution, which were advantages over balloon kyphoplasty.
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Metadata
Title
Effect of vertebroplasty with bone filler device and comparison with balloon kyphoplasty
Authors
Dong-Hoon Yang
Ki Hong Cho
Young Sun Chung
Young Rae Kim
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 12/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-014-3379-7

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