SINGLE-SESSION MULTILEVEL VERTEBROPLASTY AND KYPHOPLASTY: EVALUATION OF SAFETY AND EFFICACY IN THE TREATMENT OF SPINAL COMPRESSION FRACTURES
Journal of Turkish Spinal Surgery, cilt.36, sa.1, ss.17-23, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/jtss.galenos.2024.29290
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.17-23
- Anahtar Kelimeler: minimally invasive techniques, multilevel kyphoplasty, Multilevel vertebroplasty, spinal compression fractures
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Single-session multi-level vertebroplasty (VP) and kyphoplasty (KP) are minimally invasive techniques for spinal compression fracture treatment.This study aimed to retrospectively evaluate the safety and clinical efficacy of three or more KP/VP procedures performed in a single session. Materials and Methods: Between 2017 and 2024, clinical data from 13 patients who underwent single-session multilevel (>3 levels) KP/ VP for spinal compression fractures were retrospectively analyzed. Pain severity was assessed pre-operatively and post-operatively using the Visual Analogue Scale (VAS), while functional recovery was evaluated using the Oswestry Disability Index (ODI). The procedure-related complication rates, including cement leakage, were also analyzed and categorized according to clinical significance. Results: A significant reduction in pain levels was observed based on VAS scores (p<0.05). The mean pre-operative VAS score was 8.38±1.26, which decreased to 5.15±1.72 in the early post-operative period and further to 2.15±1.14 in the late post-operative period. Similarly, the mean pre-operative ODI score was 70.72±11.65, which decreased to 33.56±10.4* in the late post-operative period (p<0.05). The complication rate related to the procedure remained minimal, with a cement leakage rate of 18%. Conclusion: Single-session multi-level KP and VP are reliable and effective treatment methods for spinal compression fractures, and they can significantly reduce pain and achieve functional improvement with a low complication rate. This approach has been implemented in a limited number of centers worldwide and has a high clinical success rate.