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Medical Specialties Commons

Open Access. Powered by Scholars. Published by Universities.®

Orthopedics

University of South Florida

2014

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Full-Text Articles in Medical Specialties

Controversial Issues In Kyphoplasty And Vertebroplasty In Osteoporotic Vertebral Fractures, Ioannis D. Papanastassiou, Andreas Filis, Maria A. Gerochristou, Frank D. Vrionis Jan 2014

Controversial Issues In Kyphoplasty And Vertebroplasty In Osteoporotic Vertebral Fractures, Ioannis D. Papanastassiou, Andreas Filis, Maria A. Gerochristou, Frank D. Vrionis

Orthopaedics and Sports Medicine Faculty Publications

Kyphoplasty (KP) and vertebroplasty (VP) have been successfully employed for many years for the treatment of osteoporotic vertebral fractures. The purpose of this review is to resolve the controversial issues raised by the two randomized trials that claimed no difference between VP and SHAM procedure. In particular we compare nonsurgical management (NSM) and KP and VP, in terms of clinical parameters (pain, disability, quality of life, and new fractures), cost-effectiveness, radiological variables (kyphosis correction and vertebral height restoration), and VP versus KP for cement extravasation and complications profile. Cement types and optimal filling are analyzed and technological innovations are presented. …