Patel Nimesh, Jacobs David, John Jessin, Fayed Mohamed, Nerusu Lakshmi, Tandron Marissa, Dailey William, Ayala Ricardo, Sibai Nabil, Forrest Patrick, Schwalb Jason, Aiyer Rohit
Department of Anesthesiology, Pain Management and Perioperative Medicine, Henry Ford Health System, Detroit, MI, USA.
Department of School of Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
J Pain Res. 2022 Apr 27;15:1233-1245. doi: 10.2147/JPR.S344191. eCollection 2022.
This systematic review comprehensively compared balloon kyphoplasty and vertebroplasty with respect to height restoration and pain relief.
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.
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.
本系统评价全面比较了球囊后凸成形术和椎体成形术在恢复椎体高度和缓解疼痛方面的效果。
采用PRISMA指南比较球囊后凸成形术和椎体成形术，重点关注恢复椎体高度的主要结局以及缓解疼痛和功能改善的次要结局。共纳入33项随机对照试验；20项研究了球囊后凸成形术，7项研究了椎体成形术，6项对椎体成形术和球囊后凸成形术进行了比较。两种治疗方法均能恢复一定的椎体高度，并在减轻疼痛和改善患者报告的功能方面显示出益处。
球囊后凸成形术和椎体成形术是治疗椎体压缩性骨折的有效方法，本综述表明球囊后凸成形术在恢复椎体高度方面可能更具优势。需要进一步研究以确定球囊后凸成形术或椎体成形术在缓解疼痛方面是否更具优势。
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