Purpose:
It is the comparison of effectiveness of vertebroplasty and kyphoplasty for pain management and reduction of vertebral height loss in osteoporotic vertebral body fractures.
Material and Methods:
In our clinic since 2008, 75 vertebral fortification surgeries were performed for OVBF. 38 patients whose pre-operative and post-operative data and patients themselves were accessible included in the study.
Results:
Preoperative VAS scores of vertebroplasty (VP) patients were 7.61 ± 0.49 and postoperatively it was 3.33 ± 0.57 (p<0.005). Kyphoplasty (KP) patients preoperative score was 7.23±0.56 and 24 h postoperative was 3.41 ± 1.06 (p < 0.005). VP patients preoperative vertebral body (a) anterior, (b) midline and (c) posterior heights were 17.54 ± 5.35 mm, 13.07±3.99 mm, 20.35 ± 4.12 mm respectively and postoperative 18.69 ± 5.35 mm, 14.39 ± 3.90 mm, 21.35 ± 4.40 mm respectively (p<0.05). KP patients preoperative vertebral body (a) anterior, (b) midline and (c) posterior heights were 16.46 ± 6.97 mm, 11.78 ± 5.15 mm, 18.91 ± 3.99 mm respectively and postoperative 17.99 ± 6.29 mm, 13.38 ± 5.09 mm, 20.32 ± 3.71 respectively (p<0.05).
Conclusion:
For treatment of pain and maintenance of vertebral height in osteoporotic vertebral fractures efficiency of VP and KP were found to be similar.
Keywords: Kyphoplasty, osteoporotic vertebral body fracture, vertebroplasty