Comparision of Radiological Parameters Post Stentoplasty vs Balloon Kyphoplasty: A Case Series
Vipin Tyagi, Rahul Kakran*, Ashish Kumar Agarwal and Vinay Sharma
Department of Orthopaedivs, Yashoda Hospital, India
*Corresponding Author: Rahul Kakran, Department of Orthopaedivs, Yashoda Hospital, India.
Received:
November 08, 2024; Published: December 19, 2024
Abstract
Aim: To evaluate the efficacy of balloon kyphoplasty vs Stentoplasty in Dorso- Lumbar spinal fracture by analysing Kyphosis correction and height restoration.
Objective
- To evaluate Kyphosis correction in dorso lumbar spinal fracture treated with balloon kyphoplasty vs Stentoplasty by calculating local wedge angle of collapsed vertebrae pre and post operation.
- To evaluate height restoration in dorso lumbar spinal fracture treated with balloon kyphoplasty vs Stentoplasty by calculating anterior height of collapsed vertebrae pre and post operation.
Method
- In this Ambispective observational study, we included 10 patients With dorso-lumbar spinal fractures who needed cementing of the collapsed vertebrae as per the Indications.
- The patients were selected according to the inclusion and exclusion criteria.
- The patients were operated between 2023 and 2024 at Yashoda Super speciality Hospital, Nehru Nagar, Ghaziabad.
- We reviewed digital radiographs of 10 patients before and after balloon kyphoplasty and Stentoplasty.
- We measured the wedge angle of the fractured vertebral body, Wedge angle reduction and Restoration percentage of wedge angle, pre and post operation.
- We have also measured the anterior height of the collapsed vertebra, Anterior vertebral body height gain and Percentage of anterior height gain, pre and post operation.
Result
- Total 10 patients were assessed, out of which 5 patients underwent Stentoplasty and 5 patients underwent balloon kyphoplasty.
- In post Stentoplasty patients, Wedge angle reduction was 2.44 ± 1.07 and Restoration percentage of wedge angle was 19.32 ± 7.42, Anterior vertebral body height gain was 0.28 ± 0.13 and Percentage of anterior height gain was 16.16 ± 5.51.
- In post balloon kyphoplasty patients, Wedge angle reduction was 2.54 ± 1.78 and Restoration percentage of wedge angle was 19.64 ± 10.71, Anterior vertebral body height gain was 0.24 ± 0.11and Percentage of anterior height gain was 17.32 ± 8.17
Conclusion
- Balloon kyphoplasty and Stentoplasty both increases the height of the fractured vertebra and reduces the wedge angle of the collapsed vertebral fracture.
- Therefore, Balloon kyphoplasty and stentoplasty are equally effective and radiographic differences do not make significant influence on the clinical results.
- Still we need more high-quality RCTs with larger sample size, multi- centric, and longer follow-up are warranted to confirm the current findings.
Keywords: Radiological; Parameters; Post Stentoplasty; Balloon Kyphoplasty
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