COMPARISON OF HIGH VISCOSITY CEMENT VERTEBROPLASTY (HVCV) AND BALLOON KYPHOPLASTY FOR THE TREATMENT OF OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURE

Dr Rajandra. N. Shewale, Dr. Prasang S. Nihate, Dr Gaurav Chaudhari

Abstract


INTRODUCTION
The prevalence of osteoporosis increases with the increasing
age of the population. Osteoporosis can lead to osteoporotic
vertebral compression fractures (OVCF), and it is the major
health problem of older people worldwide. Due to VCFs, the
patients suffer severe chronic pain, kyphosis, compromised
mobility, pulmonary function reduction, as well as high
mortality. As open surgery also has great risk for these older
VCF patients with multiple medical comorbidities,
conservative treatment is considered for the VCF patients
with bed rest, analgesics, and bracing. However, conservative
management with long periods of inactivity in elderly
patients can lead to pneumonia, decubitus ulcers, venous
thromboembolism, new VCFs, and even death. High VCFrelated
morbidity and treatment costs for VCF demand
finding the alternative treatments that would be less invasive
than open surgery and more effective than conservative
management. Two minimally invasive spine augmentation
techniques were found to fulfill this demand, percutaneous
vertebroplasty (PVP) and percutaneous balloon kyphoplasty
(PKP). Both procedures rely on polymethyl methacrylate
(PMMA) cement injection into the fractured vertebra for
mechanical stabilization of the VCF. Both PVP and PKP can
increase bone strength as well as alleviate the pain caused by
VCFs. Vertebroplasty is the percutaneous injection into the
vertebral body with bone cement. PKP was introduced to
manage the kyphotic deformity and restore the vertebral
height. PKP involves the percutaneous placement of an
inflatable balloon device (bone tamp) into a vertebral body.


Full Text:

PDF

Refbacks

  • There are currently no refbacks.