What is difference between vertebroplasty and kyphoplasty? скачать в хорошем качестве

What is difference between vertebroplasty and kyphoplasty?

https://balticspineclinic.co.uk/ Dr. Janis Slezins and Dr. Raimonds Mikijanskis Vertebroplasty and kyphoplasty have become common surgical techniques for the treatment of vertebral compression fractures. Vertebroplasty involves the percutaneous injection of bone cement into the cancellous bone of a vertebral body with the goals of pain alleviation and preventing further loss of vertebral body height. Kyphoplasty utilizes an inflatable balloon to create a cavity for the cement with the additional potential goals of restoring height and reducing kyphosis. Vertebroplasty and kyphoplasty are effective treatment options for the reduction of pain associated with vertebral body compression fractures. Biomechanical studies demonstrate that kyphoplasty is initially superior for increasing vertebral body height and reducing kyphosis, but these gains are lost with repetitive loading. Complications secondary to extravasation of cement include compression of neural elements and venous embolism. These complications are rare but more common with vertebroplasty. Vertebroplasty and kyphoplasty are both safe and effective procedures for the treatment of vertebral body compression fractures. In the past two decades, vertebroplasty and kyphoplasty have emerged as surgical options that play a central role in the treatment of vertebral compression fractures. Before the common use of vertebroplasty and kyphoplasty, the principal surgical option for treatment of compression fractures was decompression and fusion. However, surgical fixation frequently failed in elderly patients because of osteopenia . Vertebroplasty was first introduced in 1987 by Galibert et al. who successfully treated seven patients who had painful vertebral angiomas. Since then, the use of vertebroplasty has expanded to include treatment of osteoporotic compression fractures , traumatic compression fractures , and metastatic compression fractures. Osteoporotic compression fractures are now the most common indication for this procedure.