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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2017; 36(04): 217-224
DOI: 10.1055/s-0037-1608000
Review Article | Artigo de Revisão
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Effect of Kyphoplasty in the Treatment of Osteoporotic Vertebral Fractures Compared to Vertebroplasty – Overview of Systematic Reviews

Efeito da cifoplastia no tratamento de fraturas vertebrais osteoporóticas comparado ao da vertebroplastia - revisões das revisões sistemáticas publicadas
Ricardo Vieira Botelho
1   Post Graduation Program – Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil
,
Juliete Melo Diniz
1   Post Graduation Program – Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil
,
Ulysses de Oliveira Sousa
1   Post Graduation Program – Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil
,
Marcelo Luís Mudo
1   Post Graduation Program – Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil
,
Matheus Fernandes de Oliveira
1   Post Graduation Program – Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

08 August 2017

19 September 2017

Publication Date:
30 October 2017 (online)

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Abstract

Introduction Vertebroplasty and kyphoplasty are possible options for vertebral augmentation after osteoporotic fractures. Both are percutaneous techniques with specific advantages and disadvantages. Our aim is to compare the clinical and radiological results of these two procedures.

Methods An overview of published systematic reviews in the literature on the effects of kyphoplasty compared with vertebroplasty was performed.

Results After short and long follow-up, the kyphoplasty group had lower pain scores on the visual analogue scale (VAS), lower scores in the Oswestry Disability index (ODI), greater restoration of the vertebral body height and lower kyphosis angle in the immediate postoperative period. There was less leakage of cement to the vertebral canal and extraspinal spaces.

Conclusions Compared with vertebroplasty, kyphoplasty achieved better results in pain relief, quality of life, correction of spinal deformity and lower risk of cement leakage.

Resumo

Introdução Vertebroplastia e cifoplastia são opções possíveis de tratamento para fraturas vertebrais osteoporóticas. Ambas são técnicas percutâneas com vantagens e desvantagens específicas. Nosso objetivo é comparar os resultados clínicos e radiológicos dos dois procedimentos.

Métodos Foi realizada uma revisão sistemática da literatura publicada sobre os efeitos da cifoplastia em comparação com a vertebroplastia.

Resultados No acompanhamento a curto e longo prazo, o grupo de cifoplastia teve valores mais baixos na escala visual analógica (EVA) de dor, valores mais baixos no índice de incapacidade de Oswestry (IIO), maior restauração da altura do corpo vertebral e menor ângulo de cifose no pós-operatório imediato. Houve menor incidência de extravasamento de cimento no canal vertebral e nos espaços extraespinhais.

Conclusões Em comparação com a vertebroplastia, a cifoplastia obteve melhores resultados no alívio da dor, na qualidade de vida, na correção de deformidade espinhal e menor risco de extravasamento de cimento.

Keywords

kyphoplasty - vertebroplasty - vertebral fracture - osteoporosis

Palavras-chave

cifoplastia - vertebroplastia - fratura vertebral - osteoporose
 

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