Comparison of Unilateral versus Bilateral Kyphoplasty in Multiple Myeloma Patients and the Importance of Preoperative Planning

Retrospective comparative study and technical note. To determine if there is a difference in clinical and radiographic parameters between unilateral and bilateral kyphoplasty in a uniform cancer population and to stress the importance of preoperative planning. While unipedicular kyphoplasty is gaini...

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Bibliographic Details
Published in:Asian spine journal 2014, 8(3), , pp.244-252
Main Authors: Papanastassiou, Ioannis D, Eleraky, Mohamed, Murtagh, Ryan, Kokkalis, Zinon T, Gerochristou, Maria, Vrionis, Frank D
Format: Article
Language:English
Subjects:
Clinical Study
Compression fracture
Kyphoplasty
Magnetic resonance imaging
Multiple myeloma
Unilateral
정형외과학
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Summary:Retrospective comparative study and technical note. To determine if there is a difference in clinical and radiographic parameters between unilateral and bilateral kyphoplasty in a uniform cancer population and to stress the importance of preoperative planning. While unipedicular kyphoplasty is gaining popularity, a few comparative studies have reported on superior kyphotic reduction with the bipedicular approach. We reviewed 69 myeloma patients with 105 operated levels (51 levels were done bilaterally vs. 54 unilaterally). Pain reduction, height restoration, cement volume and complications were recorded up to three months postoperatively. A technical note to identify the skin entry point on the basis of the magnetic resonance imaging and fluoroscopy (lateral view) is being described. Both procedures resulted in significant pain reduction (5.4-5.6/10 points, p=0.8). There was significant height restoration after the operation (p
ISSN:1976-1902
1976-7846
DOI:10.4184/asj.2014.8.3.244