Journal of Pain Research (Apr 2022)
Balloon Kyphoplasty vs Vertebroplasty: A Systematic Review of Height Restoration in Osteoporotic Vertebral Compression Fractures
Abstract
Nimesh Patel,1 David Jacobs,1 Jessin John,1 Mohamed Fayed,1 Lakshmi Nerusu,2 Marissa Tandron,2 William Dailey,2 Ricardo Ayala,2 Nabil Sibai,1,2 Patrick Forrest,1,2 Jason Schwalb,2,3 Rohit Aiyer1,2 1Department of Anesthesiology, Pain Management and Perioperative Medicine, Henry Ford Health System, Detroit, MI, USA; 2Department of School of Medicine, Wayne State University School of Medicine, Detroit, MI, USA; 3Department of Neurological Surgery, Henry Ford Health System, Detroit, MI, USACorrespondence: Nimesh Patel, Department of Anesthesiology, Pain Management and Perioperative Medicine, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI, 48202, USA, Tel +1 313-932-5756, Fax +1 313-916-9434, Email [email protected] of Review: This systematic review comprehensively compared balloon kyphoplasty and vertebroplasty with respect to height restoration and pain relief.Recent Findings: PRISMA guidelines were utilized to compare balloon kyphoplasty and vertebroplasty, focusing on the primary outcome of height restoration and the secondary outcomes of pain relief and functionality. A total of 33 randomized controlled trials were included; 20 reviewed balloon kyphoplasty, 7 reviewed vertebroplasty, and 6 compared vertebroplasty to balloon kyphoplasty. Both treatments restored some vertebral body height and showed benefits in pain reduction and improved patient-reported functionality.Summary: Balloon kyphoplasty and vertebroplasty are effective treatments for vertebral compression fractures and this review suggests that balloon kyphoplasty may be favored for vertebral height restoration. Further studies are needed to conclude whether balloon kyphoplasty or vertebroplasty is superior for alleviating pain.Keywords: chronic pain, compression fracture, kyphoplasty, low back pain, pain management, post-operative pain, vertebroplasty
