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Author:

Huang, Yan-Sheng (Huang, Yan-Sheng.) | Hao, Ding-Jun (Hao, Ding-Jun.) | Feng, Hang (Feng, Hang.) | Zhang, Hai-Ping (Zhang, Hai-Ping.) | He, Si-Min (He, Si-Min.) | Ge, Chao-Yuan (Ge, Chao-Yuan.) | Niu, Xing-Bang (Niu, Xing-Bang.)

Indexed by:

SCIE Scopus

Abstract:

Background: The purpose of this study was to compare the efficacy of percutaneous kyphoplasty (PKP) and bone cementaugmented short segmental fixation (BCA+SSF) for treating Kummell disease. Material/Methods: Between June 2013 and December 2015, 60 patients were treated with PKP or BCA+SSF. All patients were followed up for 12-36 months. We retrospectively reviewed outcomes, including Oswestry Disability Index (ODI), visual analogue scale (VAS), and kyphotic Cobb angle. Results: VAS, ODI, and Cobb angle, measured postoperatively and at the final follow-up, were lower than those measured preoperatively in both groups (P<0.05). VAS, ODI, and Cobb angle measured postoperatively demonstrated no significant differences when compared with those measured at the final follow-up in the PKP group (P>0.05). In the BCA+SSF group, VAS and ODI at the final follow-up were lower than those measured postoperatively (P<0.05), but no significant difference was found in the Cobb angle (P>0.05). The PKP group had better VAS and ODI than the BCA+SSF group, postoperatively (P<0.05). No significant difference was found in VAS and ODI at the final follow-up (P>0.05) or the Cobb angle measured postoperatively and at the final follow-up (P>0.05) between the 2 groups. Operative time, blood loss, and hospital stay in the PKP group were lower than those in the BCA+SSF group (P<0.05). No significant difference was found in complications (P>0.05). Conclusions: PKP patients had better early clinical outcomes, shorter operation times and hospital admission times, and decreased blood loss, but had similar complications, radiographic results, and long-term clinical outcomes compared with BCA+SSF patients.

Keyword:

Comparative Study Fracture Fixation, Internal Kyphoplasty Osteoporosis Spinal Fractures

Author Community:

  • [ 1 ] [Huang, Yan-Sheng; Niu, Xing-Bang] Xian Med Univ, Xian, Shaanxi, Peoples R China
  • [ 2 ] [Hao, Ding-Jun; Feng, Hang; Zhang, Hai-Ping; He, Si-Min; Ge, Chao-Yuan] Xi An Jiao Tong Univ, Honghui Hosp, Dept Spine Surg, Xian, Shaanxi, Peoples R China

Reprint Author's Address:

  • Xi An Jiao Tong Univ, Honghui Hosp, Dept Spine Surg, Xian, Shaanxi, Peoples R China.

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Source :

MEDICAL SCIENCE MONITOR

ISSN: 1643-3750

Year: 2018

Volume: 24

Page: 1072-1079

1 . 9 8

JCR@2018

2 . 6 4 9

JCR@2020

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:114

JCR Journal Grade:3

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 14

SCOPUS Cited Count: 23

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 3

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