Percutaneous vertebroplasty versus percutaneous kyphoplasty in treating Kummell disease of peripheral sclerosis type in stage Ⅲ

ZHOU Hongyou; FU Dongming; LI Ran; WU Zhikai; HAN Hao; MENG Bin

doi:10.7619/jcmp.20214960

Journal of Clinical Medicine in Practice > 2022 > 26(4): 37-41. > DOI: 10.7619/jcmp.20214960

ZHOU Hongyou, FU Dongming, LI Ran, WU Zhikai, HAN Hao, MENG Bin. Percutaneous vertebroplasty versus percutaneous kyphoplasty in treating Kummell disease of peripheral sclerosis type in stage Ⅲ[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 37-41. DOI: 10.7619/jcmp.20214960

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Percutaneous vertebroplasty versus percutaneous kyphoplasty in treating Kummell disease of peripheral sclerosis type in stage Ⅲ

Department of Orthopedics, the First Hospital Affiliated to Soochow University, Suzhou, Jiangsu, 215006

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Received Date: December 16, 2021
Available Online: March 21, 2022
Published Date: February 27, 2022

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Abstract

Abstract

Objective To compare the clinical efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of patients with Kummell disease of peripheral sclerosis type in stage Ⅲ.
Methods The clinical materials of 77 patients with peripheral sclerosis type of Kummell disease in stage Ⅲ were retrospectively analyzed. Among them, 11 patients treated with PVP were selected as PVP group, and 66 patients treated with PKP were selected as PKP group. The operation time, the injected amount of bone cement, the Visual Analogue Scale (VAS) of pain and Oswestry dysfunction index (ODI) before operation, 1 day after operation and at the last follow-up, the height of the anterior edge of the vertebral body and the local Cobb angle of the diseased vertebral body were compared between the two groups.
Results Patients in both groups completed the operation successfully and were followed up. The PVP group was followed up for 16.00 (14.50, 18.00) months, and the PKP group was followed up for 16.00 (14.00, 18.00) months. The intraoperative injected volume of bone cement was 3.00 (2.00, 3.00) mL in the PVP group and 4.00 (4.00, 5.00) mL in the PKP group, and there was a significant difference between two groups (Z=-4.63, P < 0.01); the operation time was 30.00 (27.00, 33.00) min in the PVP group and 50.00 (45.00, 57.00) min in the PKP group, and there was also a significant difference between two groups (Z=-4.91, P < 0.01). One day after operation and at the last follow-up, the VAS score and ODI in both groups were significantly lower than those before operation in the same group (P < 0.01). One day after operation and at the last follow-up, the vertebral body height in both groups were higher than that before operation in the same group, and the Cobb angle was significantly lower than that before operation; meanwhile, the vertebral body height of the PKP group was higher than that of the PVP group, and the Cobb angle was smaller than that of the PVP group; the differences above were statistically significant (P < 0.05 or P < 0.01).
Conclusion Both PVP and PKP can effectively alleviate the intractable pain in the lower back of patients with peripheral sclerosis type of Kummell disease in stage Ⅲ, but PKP can better restore the height of vertebral body and improve local kyphosis.
- Kummell disease,
- osteoporosis,
- peripheral sclerosis,
- percutaneous vertebroplasty,
- percutaneous kyphoplasty

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[1]	陈昊, 杨惠林. 骨质疏松性椎体压缩骨折诊治的思考[J]. 中华创伤骨科杂志, 2019, 21(4): 366-368. doi: 10.3760/cma.j.issn.1671-7600.2019.04.017
[2]	LIM J, CHOI S W, YOUM J Y, et al. Posttraumatic delayed vertebral collapse: kummell's disease[J]. J Korean Neurosurg Soc, 2018, 61(1): 1-9. doi: 10.3340/jkns.2017.0505.010
[3]	KIM J E, CHOI S S, LEE M K, et al. Failed percutaneous vertebroplasty due to insufficient correction of intravertebral instability in kummell's disease: a case report[J]. Pain Pract, 2017, 17(8): 1109-1114. doi: 10.1111/papr.12561
[4]	YUDOYONO F, RUSPANAH I, BARAQBAH H. Three-level thoracolumbar vertebroplasty with screw-rod-wire construct in Kummels disease patient with neurological deficit after low impact injury[J]. Nsmc, 2020, 3(3): 118-121. doi: 10.36444/nsmc.v3i3.124
[5]	LI K C, LI A F Y, HSIEH C H, et al. Another option to treat Kümmell's disease with cord compression[J]. Eur Spine J, 2007, 16(9): 1479-1487. doi: 10.1007/s00586-006-0094-z
[6]	KIM H S, LEE S K, KIM S W, et al. Chronic Spinal Epidural Hematoma Related to Kummell's Disease[J]. J Korean Neurosurg Soc, 2011, 49(4): 231-233. doi: 10.3340/jkns.2011.49.4.231
[7]	HUANG Y J, PENG M X, HE S Q, et al. Clinical efficacy of percutaneous kyphoplasty at the hyperextension position for the treatment of osteoporotic kümmell disease[J]. Clin Spine Surg A Spine Publ, 2016, 29(4): 161-166. doi: 10.1097/BSD.0000000000000259
[8]	HUANG Y S, HAO D J, WANG X D, et al. Long-segment or bone cement-augmented short-segment fixation for kummell disease with neurologic deficits A comparative cohort study[J]. World Neurosurg, 2018, 116: e1079-e1086. doi: 10.1016/j.wneu.2018.05.171
[9]	李伟, 楼宇梁, 全仁夫. 脊柱后路PSO截骨长节段固定治疗Kummells病伴脊柱后凸的临床疗效[J]. 中华老年骨科与康复电子杂志, 2019, 5(1): 33-38. doi: 10.3877/cma.j.issn.2096-0263.2019.01.007
[10]	PARK J W, PARK J H, JEON H J, et al. Kümmell's disease treated with percutaneous vertebroplasty: minimum 1 year follow-up[J]. Korean J Neurotrauma, 2017, 13(2): 119-123. doi: 10.13004/kjnt.2017.13.2.119
[11]	唐永超, 莫国业, 张顺聪, 等. 经皮椎体强化术治疗无神经症状Kümmell病的中长期疗效[J]. 中国脊柱脊髓杂志, 2018, 28(1): 38-43. doi: 10.3969/j.issn.1004-406X.2018.01.06
[12]	刘义杰, 杨森, 李雪峰, 等. 经皮椎体后凸成形术治疗无神经症状性Ⅲ期Kümmell病[J]. 中华创伤骨科杂志, 2019, 21(10): 888-893. doi: 10.3760/cma.j.issn.1671-7600.2019.10.012
[13]	CHEN L, DONG R B, GU Y, et al. Comparison between balloon kyphoplasty and short segmental fixation combined with vertebroplasty in the treatment of kümmell's disease[J]. Pain Physician, 2015, 18(4): 373-381.
[14]	JACOBSON R E, PALEA O, GRANVILLE M. Progression of vertebral compression fractures after previous vertebral augmentation: technical reasons for recurrent fractures in a previously treated vertebra[J]. Cureus, 2017, 9(10): e1776. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732011/
[15]	YANG H L, LIU H, WANG S H, et al. Review of percutaneous kyphoplasty in China[J]. Spine (Phila Pa 1976), 2016, 41(Suppl 19): B52-B58. http://www.ncbi.nlm.nih.gov/pubmed/27656784
[16]	WANG B, WANG Y H, ZHANG H P, et al. A novel bone cement screw system combined with vertebroplasty for the treatment of Kummell disease with bone deficiency at the vertebral anterior border: a minimum 3-year follow-up study[J]. Clin Neurol Neurosurg, 2021, 201: 106434.

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