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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions

In Not Only Vertebroplasty but Also Kyphoplasty, the Resolution of Vertebral Deformities Depends on Vertebral Mobility

K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano and T. Kuroiwa
American Journal of Neuroradiology July 2013, 34 (7) 1474-1478; DOI: https://doi.org/10.3174/ajnr.A3424
K. Yokoyama
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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M. Kawanishi
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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M. Yamada
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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H. Tanaka
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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Y. Ito
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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M. Hirano
aFrom the Department of Neurosurgery (K.Y., M.K., M.Y., H.T., Y.I., M.H.), Takeda General Hospital, Fushimi, Kyoto, Japan
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T. Kuroiwa
bDepartments of Neurosurgery and Surgical Pathology (T.K.), Osaka Medical College, Takatsuki, Osaka, Japan.
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Abstract

BACKGROUND AND PURPOSE: It has not been clarified whether the postoperative resolution of vertebral deformities achieved by KP are superior to those achieved by VP. We compared the outcomes of KP and VP, taking into account the presence of vertebral mobility, to determine whether the balloon inflation in KP may contribute to postoperative resolution of the vertebral deformities in patients with VCFs.

MATERIALS AND METHODS: The subjects had 34 vertebral bodies treated by VP, and 43 vertebral bodies treated by KP. In all patients, preoperative dynamic imaging was performed to assess the presence of vertebral mobility. First, the vertebral height restoration and kyphotic change were compared between the VP and KP groups. Then, the patients were further divided into 2 groups on the basis of the presence of vertebral mobility, and they were compared within and between the VP and KP groups in relation to the presence of vertebral mobility.

RESULTS: Overall, no significant differences were observed in either the vertebral height restoration or kyphotic change between the VP and KP groups (P > .20). Preoperative dynamic imaging identified 19 vertebral bodies each with vertebral mobility in the VP (56%) and KP groups (44%) (P = .21). Within the VP and KP groups, the vertebral height restoration and kyphotic changes were significantly better in patients with vertebral mobility than in those without (P < .01). There were no significant differences between the 2 treatment groups after adjustment for the presence of vertebral mobility (P > .30).

CONCLUSIONS: In both the VP and KP groups, the vertebral height restoration and kyphotic change largely depended on the preoperative vertebral mobility. The use of the balloon itself contributed little to resolution of the vertebral deformities.

ABBREVIATIONS:

KP
kyphoplasty
PMMA
polymethylmethacrylate
VAS
Visual Analog Scale
VCF
vertebral compression fracture
VP
vertebroplasty
  • © 2013 by American Journal of Neuroradiology
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American Journal of Neuroradiology: 34 (7)
American Journal of Neuroradiology
Vol. 34, Issue 7
1 Jul 2013
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Cite this article
K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano, T. Kuroiwa
In Not Only Vertebroplasty but Also Kyphoplasty, the Resolution of Vertebral Deformities Depends on Vertebral Mobility
American Journal of Neuroradiology Jul 2013, 34 (7) 1474-1478; DOI: 10.3174/ajnr.A3424

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In Not Only Vertebroplasty but Also Kyphoplasty, the Resolution of Vertebral Deformities Depends on Vertebral Mobility
K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano, T. Kuroiwa
American Journal of Neuroradiology Jul 2013, 34 (7) 1474-1478; DOI: 10.3174/ajnr.A3424
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