Relationship between unilateral percutaneous kyphoplasty for
treating Kummell’s disease and the amount of injected bone cement

doi:10.3969/j.issn.2095-4344.2252

Abstract

Abstract:

BACKGROUND: Percutaneous kyphoplasty is an effective method to treat Kummell’s disease, but there is no uniform standard for the amount of injected bone cement.

OBJECTIVE: To investigate the relationship between unilateral percutaneous kyphoplasty for treating Kummell’s disease and the amount of injected bone cement.

METHODS: Totally 35 cases of Kummell’s disease, who were treated in the Wuxi Hospital of Traditional Chinese Medicine from January 2014 to June 2018, were included in this study, including 11 males and 24 females. According to bone cement injection volume, unilateral percutaneous kyphoplasty was performed in two groups: Low volume group (n=16; volume ≤ 3 mL) and conventional quantity group (n=19; 3 mL ≤ volume ≤ 6 mL). The leakage of bone cement was observed during operation. Vertebral body refracture was postoperatively observed. Visual analogue scale and Oswestry dysfunction index were used to evaluate the efficacy of the surgery preoperatively, 2 days postoperatively and at last follow-up. Vertebral kyphotic Cobb’s angle and the height of injured vertebral anterior edge were assessed by imaging. This study was approved by the Ethics Committee of Wuxi Hospital of Traditional Chinese Medicine.

RESULTS AND CONCLUSION: (1) All patients successfully completed the operation, and were followed up for 6-36 months. (2) Visual analogue scale scores and Oswestry dysfunction index of the two groups 2 days after treatment and at final follow-up were significantly lower than those before surgery (P < 0.05). However, there was no significant difference in visual analogue scale scores and Oswestry dysfunction index between the two groups (P > 0.05). (3) Cobb’s angle of vertebral kyphosis and the height of the anterior edge of injured vertebral bodies were significantly improved in the two groups 2 days after treatment and at final follow-up (P < 0.05), but there was no significant difference between the two groups (P > 0.05). (4) In the conventional quantity group, cement leakage occurred in 5 cases and vertebral body refracture occurred in 2 cases. In the low volume group, cement leakage occurred in 1 case and vertebral body refracture occurred in 2 cases. The incidences of bone cement leakage and vertebral body refracture had no significant difference between the two groups (P > 0.05). (5) The results showed that unilateral percutaneous kyphoplasty could effectively relieve pain with different amounts of bone cement in Kummell’s disease, and there was no difference in leakage rate and safety of bone cement.

Key words: Kummell’s disease, bone cement, unilateral percutaneous kyphoplasty, bone cement amount, bone cement leakage, vertebral anterior height, Cobb’s angle, visual analogue scale score, Oswestry disability index

CLC Number:

Ren Yide, Zhang Yafeng, Li Feng, Gao Hongwen. Relationship between unilateral percutaneous kyphoplasty for treating Kummell’s disease and the amount of injected bone cement[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(16): 2467-2472.

Figures/Tables 7

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