الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 2 |  |  |
| | | from | 2 | | |
Abstract
Minimally invasive vertebral augmentation procedures are very effective in relieving vertebral compression fracture pain, improving the functional status of the patients of vertebral compression fracture and have the ability to correct kyphotic deformity and re-store vertebral height.
There is no statistically significant difference between percutaneous vertebroplasty and percutaneous kyphoplasty regarding relieving pain, improving the quality of life, restoring vertebral height, and reduce kyphotic deformity. Vertebroplasty and Kyphoplasty have a high profile of safety and efficacy.
Because of the marked difference of cost, we recommend to give vertebroplasty a high priority over Kyphoplasty.
Study limitations
At some stage during the processing of our study we had confronted by frequent at-tacks of malfunction of our hospital fluoroscope during vertebroplasty or kyphoplasty procedures. At this point we considered that this might provide a considerable risk to our patients and threaten our study implementation. Due to this critical situation it was rec-ommended by supervisors of the work and the head of the department to continue the study with the help of other colleagues in Alexandria University Hospital and Zagazig University Hospital. Thanks to their help we were able to complete the study cases in a proper way and complete the sample size decided in our protocol. As the personal factor as well as the practice standards are more or less equivalent in these departments we found that this necessary step did not affect our results in a way that cause in significant bias.
Vertebral compression fractures induce a heavy burden in terms of both general health and healthcare costs. This a prospective comparative study was conducted to compare the therapeutic effect of both percutaneous vertebroplasty (PVP) and percutaneous kyphop-lasty (PKP) in treatment of non-traumatic vertebral compression fractures (VCFs) regard-ing alleviating back pain, improving mobility of patients and restoring vertebral height.
A sample size of 16 patients with 18 VCFs was taken and randomly treated by either vertebroplasty or kyphoplasty in Suez Canal University Hospital. Visual analogue scale and Roland Morris Disability Score were documented in both groups before the proce-dure the within 1st week and 3rd month after the procedure. Height restoration, kyphotic angle correction, Complication and perioperative events were documented.
We found both procedures are effective in relieving back pain and have ability to im-prove pain visual analogue scale 6.5 and 6.75 for vertebroplasty and kyphoplasty respec-tively. There was no difference in pain alleviation effect between these two procedures. Both procedures improve the quality of life in patients suffered from vertebral compres-sion fracture without any difference between two procedures in improving Roland Morris Disability score. Vertebroplasty and kyphoplasty have the ability to restore the collapsed vertebral height and reduce kyphotic deformity due to vertebral compression fracture and there is no difference between them regarding these properties.Both procedures are safe and related complications are minor, manageable, and brief. There was neither mortality nor marked morbidity due to these procedures in our study populations. There was no statistically significant difference between vertebroplasty and kyphoplasty related com-plications.The incidence of radiological leakage in vertebroplasty significantly exceeds its occurrence in kyphoplasty procedure.The amount of cement injected in both procedures was similar without significant difference in our study population, while the procedural time was longer in kyphoplasty.The cost of kyphoplasty is higher three times higher than vertebroplasty.
We recommend using vertebroplasty more frequent than kyphoplasty because both of them were effective and safe in management of vertebral compression fracture.