Vertebral augmentation by kyphoplasty in osteoporotic vertebral fractures: A clinical experience

Abstract

Aim: The clinical characteristics and results of patients who underwent kyphoplasty for osteoporotic fractures in a single center between 2015 and 2023 were examined. Material and Methods: Patients who underwent balloon kyphoplasty between 2015 and 2023 due to osteoporotic vertebral fractures were assessed. Visual Analog Scale (VAS) was used to evaluate the patients' pain before and after the clinical operation. In all fractures, local kyphosis angle and vertebral body heights were measured. Results: A total of 103 osteoporotic vertebra fractures were treated with kyphoplasty. The patients consist of 69 females and 34 males, with a mean age of 71. The average follow-up period lasted for 9.21 +/- 8.07 months. When the patients were evaluated functionally, the VAS score, which was 8.674 +/- 0.46 preoperatively, decreased to 3.019 +/- 0.99 post -operatively (p<0.001). Post -operative pain relief and satisfaction rate was 65.2%. The mean local kyphosis angle, which was 19.98(degrees)+/- 0.68 pre -operatively, was found to be 18.07(degrees)+/- 0.56 post -operatively (P<0.001). At the end of an average follow-up period of nine months, it was determined that there was a 1.91(degrees) improvement in post -operative local kyphosis angle. An average correction of 8.97% was achieved in terms of local kyphosis. It was observed that an increase of 1.75 mm (8.97%) was achieved in the vertebral body restoration. Cement leakage was observed in five patients (4.85%). Discussion: We are presenting our findings regarding the application of kyphoplasty to prevent deformity development in cases of severe pain due to osteoporotic vertebral fractures that are unresponsive to medical treatment.