Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease

  • Authors:
    • Xiao‑Ming Xiong
    • Yu‑Liang Sun
    • Si‑Mao Song
    • Mao‑Yi Yang
    • Jie Zhou
    • Dun Wan
    • Xuan‑Geng Deng
    • Hua‑Gang Shi
  • View Affiliations

  • Published online on: September 6, 2019     https://doi.org/10.3892/etm.2019.7980
  • Pages: 3615-3621
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Abstract

In the present study, the efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty (PKP) for Kummell disease was compared. Between March 2015 and June 2017, 63 patients with Kummell disease were recruited and underwent PKP with two different puncture techniques: A total of 38 patients were treated by unilateral transverse process‑pedicle PKP and 25 patients were treated by bilateral PKP. The operative time, intra‑operative fluoroscopy time, volume of bone cement injection and bone cement leakage were recorded. Prior to surgery and 1 day post‑surgery, the visual analogue scale (VAS) pain score and Oswestry disability index (ODI) were determined, and the vertebral body height and Cobb angle were measured. The results indicated that the incidence of bone cement leakage in the unilateral group was similar with the bilateral group (15.79% vs. 16.00%), with no statistically significant difference between the two groups. None of the patients in the two groups had any obvious damage of the spinal cord. The operative time, intra‑operative fluoroscopy time and volume of bone cement injection in the unilateral group were lower than those in the bilateral group. A chest X‑ray examination at 1 day post‑surgery revealed no pulmonary embolism in the two groups. The VAS score, ODI, vertebral body height and Cobb angle were significantly improved in the unilateral and bilateral groups at 1 day post‑surgery and at the last follow‑up (12 months post‑surgery) as compared with these parameters prior to surgery. In conclusion, the unilateral transverse process‑pedicle and bilateral puncture techniques in PKP exhibited good efficacy as a treatment for Kummell disease. The operative time, intra‑operative fluoroscopy time and volume of bone cement injection were lower in the unilateral group.
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November-2019
Volume 18 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Xiong XM, Sun YL, Song SM, Yang MY, Zhou J, Wan D, Deng XG and Shi HG: Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease. Exp Ther Med 18: 3615-3621, 2019.
APA
Xiong, X., Sun, Y., Song, S., Yang, M., Zhou, J., Wan, D. ... Shi, H. (2019). Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease. Experimental and Therapeutic Medicine, 18, 3615-3621. https://doi.org/10.3892/etm.2019.7980
MLA
Xiong, X., Sun, Y., Song, S., Yang, M., Zhou, J., Wan, D., Deng, X., Shi, H."Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease". Experimental and Therapeutic Medicine 18.5 (2019): 3615-3621.
Chicago
Xiong, X., Sun, Y., Song, S., Yang, M., Zhou, J., Wan, D., Deng, X., Shi, H."Efficacy of unilateral transverse process‑pedicle and bilateral puncture techniques in percutaneous kyphoplasty for Kummell disease". Experimental and Therapeutic Medicine 18, no. 5 (2019): 3615-3621. https://doi.org/10.3892/etm.2019.7980