ABSTRACT

Objective: Single-session multi-level vertebroplasty (VP) and kyphoplasty (KP) are minimally invasive techniques for spinal compression fracture treatment.This study aimed to retrospectively evaluate the safety and clinical efficacy of three or more KP/VP procedures performed in a single session.

Materials and Methods: Between 2017 and 2024, clinical data from 13 patients who underwent single-session multilevel (>3 levels) KP/ VP for spinal compression fractures were retrospectively analyzed. Pain severity was assessed preoperatively and postoperatively using the visual analog scale (VAS), while functional recovery was evaluated using the Oswestry Disability Index (ODI). The procedure-related complication rates, including cement leakage, were also analyzed and categorized according to clinical significance.

Results: A significant reduction in pain levels was observed based on VAS scores (p<0.05). The mean preoperative VAS score was 8.38±1.26, which decreased to 5.15±1.72 in the early postoperative period and further to 2.15±1.14 in the late postoperative period. Similarly, the mean preoperative ODI score was 70.72±11.65, which decreased to 33.56±10.4* in the late postoperative period (p<0.05). The complication rate related to the procedure remained minimal, with a cement leakage rate of 18%.

Conclusion: Single-session multi-level KP and VP are reliable and effective treatment methods for spinal compression fractures, and they can significantly reduce pain and achieve functional improvement with a low complication rate. This approach has been implemented in a limited number of centers worldwide and has a high clinical success rate.