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Research ArticleSPINE
Open Access

Kyphoplasty and Vertebroplasty Produce the Same Degree of Height Restoration

A. Hiwatashi, P.-L.A. Westesson, T. Yoshiura, T. Noguchi, O. Togao, K. Yamashita, H. Kamano and H. Honda
American Journal of Neuroradiology April 2009, 30 (4) 669-673; DOI: https://doi.org/10.3174/ajnr.A1442
A. Hiwatashi
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P.-L.A. Westesson
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T. Yoshiura
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T. Noguchi
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O. Togao
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K. Yamashita
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H. Kamano
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H. Honda
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    Fig 1.

    A 75-year-old woman with compression fractures at T12 and L1, which were treated with vertebroplasty. A, Postoperative CT scan with sagittal re-formation shows intradiskal cement leakages at L1-L2 disk space (arrow). B, Postoperative axial CT shows cement leakage into the paravertebral vein at T12 on the left (arrow).

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    Fig 2.

    An 85-year-old woman with a compression fracture at L1, which was treated with kyphoplasty. A, Postoperative CT scan with sagittal re-formation shows no intradiskal cement leakage from the L1 vertebral body. B, Postoperative axial CT scan again shows no cement leakage from the L1 vertebral body.

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    Table 1:

    Mean vertebral body height (mm) before and after treatment with kyphoplasty (n = 57) and vertebroplasty (n = 124)

    AnteriorCentralPosterior
    KyphoplastyVertebroplastyKyphoplastyVertebroplastyKyphoplastyVertebroplasty
    Before treatment20.419.714.114.325.124.0
    After treatment22.521.515.816.225.524.4
    Restoration2.21.81.71.80.50.5
    • View popup
    Table 2:

    Mean wedge angle (°) before and after treatment with kyphoplasty (n = 57) and vertebroplasty (n = 124)

    KyphoplastyVertebroplasty
    Before treatment7.87.8
    After treatment4.75.1
    Restoration3.02.7
    • View popup
    Table 3:

    Cement leakage (%) into disk spaces and paravertebral soft tissues/veins during kyphoplasty (57 vertebrae) and vertebroplasty (124 vertebrae)

    KyphoplastyVertebroplasty
    Disk space12.3 (14/114)25.0 (62/248)
    Paravertebral soft tissues/veins17.5 (10/57)49.2 (61/124)
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American Journal of Neuroradiology: 30 (4)
American Journal of Neuroradiology
Vol. 30, Issue 4
April 2009
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Cite this article
A. Hiwatashi, P.-L.A. Westesson, T. Yoshiura, T. Noguchi, O. Togao, K. Yamashita, H. Kamano, H. Honda
Kyphoplasty and Vertebroplasty Produce the Same Degree of Height Restoration
American Journal of Neuroradiology Apr 2009, 30 (4) 669-673; DOI: 10.3174/ajnr.A1442

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Kyphoplasty and Vertebroplasty Produce the Same Degree of Height Restoration
A. Hiwatashi, P.-L.A. Westesson, T. Yoshiura, T. Noguchi, O. Togao, K. Yamashita, H. Kamano, H. Honda
American Journal of Neuroradiology Apr 2009, 30 (4) 669-673; DOI: 10.3174/ajnr.A1442
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  • Pain and functional outcome after vertebroplasty and kyphoplasty. A comparative study
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    European Journal of Radiology 2010 75 2
  • ACR Appropriateness Criteria Management of Vertebral Compression Fractures
    Charles T. McConnell, Franz J. Wippold, Charles E. Ray, Barbara N. Weissman, Peter D. Angevine, Ian Blair Fries, Langston T. Holly, Baljendra S. Kapoor, Jonathan M. Lorenz, Jonathan S. Luchs, John E. O’Toole, Nandini D. Patel, Christopher J. Roth, David A. Rubin
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  • Percutaneous vertebroplasty and balloon kyphoplasty in the treatment of osteoporotic vertebral fractures: a prospective randomized comparison
    C. Griffoni, J. N. M. Lukassen, L. Babbi, M. Girolami, C. Lamartina, R. Cecchinato, A. Gasbarrini, G. Barbanti Brodano
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