Comparison of Unipedicular and Bipedicular Percutaneous Kyphoplasty for Kummell’s Disease

Abstract

Objective: To compare the clinical efficacy of unipedicular and bipedicular percutaneous kyphoplasty (PKP) for Kummell’s disease. Methods: A retrospective study was performed to review 40 patients with stage I and II Kummell’s disease who underwent PKP in our hospital from January 2015 to June 2018. Based on the transpedicular approach of PKP, those patients were randomly divided into unipedicular group (n = 19) and bipedicular group (n = 21). Operative time, bone cement injection volume and cement leakage rate were compared in the two groups. Pre- and post-operative visual analogue score (VAS), local kyphotic angle and average vertebral height were also evaluated. Results: All patients underwent surgery successfully. Compared with preoperative condition, VAS was significantly decreased at 1 day after operation and the last follow-up in both groups ( P .05). Bone cement injection volume was larger in bipedicular group ( P .05). Conclusion: Both unipedicular and bipedicular PKP are effective for treating patients with stage I and II Kummell’s disease, while postoperative pain relief and imaging results in bipedicular group were better than those in unipedicular group.