{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:04:26Z","timestamp":1789542266156,"version":"build-2803163510"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To retrospectively compare the safety and efficacy of percutaneous kyphoplasty (PKP), internal fixation (IF), and kyphoplasty combined with internal fixation (KP\u2009+\u2009IF) in treating metastatic vertebral fracture (MVF) with posterior wall damage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>87 patients with MVF with posterior wall damage underwent surgery. In Group PKP, 36 patients underwent PKP; in Group IF, 20 patients underwent pedicle screw fixation; and in Group KP\u2009+\u2009IF, 31 patients underwent kyphoplasty combined with pedicle screw fixation. Operative time, intraoperative blood loss, clinical and radiological results, and complication rate in each group were evaluated and compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Significant improvement on the VAS, ODI scores, vertebral height and local kyphotic angle (LKA) was noted in each group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Group PKP and Group KP\u2009+\u2009IF achieved better pain relief than Group IF (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). At postoperative 3\u00a0days, Group PKP had better pain relief than Group KP\u2009+\u2009IF (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). At other follow-up time points, there were no differences between Group PKP and KP\u2009+\u2009IF (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). Group KP\u2009+\u2009IF and Group IF were more efficacious than Group PKP in terms of height restoration and LKA correction (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Group KP\u2009+\u2009IF had a higher incidence of postoperative complications than Group PKP and Group IF(<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>PKP was safe and effective in treating MVF with posterior wall damage. It can achieve similar clinical outcomes compared to KP\u2009+\u2009IF, but associated with less operative time, less blood loss and fewer complications. IF alone should not be the first treatment option for its poorer analgesic effect.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13018-023-03608-9","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T07:03:16Z","timestamp":1677135796000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of three techniques in the surgical management of metastatic vertebral fracture with posterior wall damage: a retrospective study"],"prefix":"10.1186","volume":"18","author":[{"given":"Heng","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jile","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yijie","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangdong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weimin","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"issue":"1","key":"3608_CR1","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ocl.2011.08.004","volume":"43","author":"CA Molina","year":"2012","unstructured":"Molina CA, Gokaslan ZL, Sciubba DM. Diagnosis and management of metastatic cervical spine tumors. Orthop Clin N Am. 2012;43(1):75\u201387 (viii\u2013ix).","journal-title":"Orthop Clin N Am"},{"issue":"4","key":"3608_CR2","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1016\/j.nec.2004.04.018","volume":"15","author":"RG Perrin","year":"2004","unstructured":"Perrin RG, Laxton AW. Metastatic spine disease: epidemiology, pathophysiology, and evaluation of patients. Neurosurg Clin N Am. 2004;15(4):365\u201373.","journal-title":"Neurosurg Clin N Am"},{"issue":"5","key":"3608_CR3","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1097\/BSD.0000000000000601","volume":"31","author":"M Sadeghi-Naini","year":"2018","unstructured":"Sadeghi-Naini M, Aarabi S, Shokraneh F, et al. Vertebroplasty and kyphoplasty for metastatic spinal lesions: a systematic review. Clin Spine Surg. 2018;31(5):203\u201310.","journal-title":"Clin Spine Surg"},{"issue":"10","key":"3608_CR4","doi-asserted-by":"publisher","first-page":"2165","DOI":"10.1007\/s00586-014-3751-7","volume":"24","author":"M Markmiller","year":"2015","unstructured":"Markmiller M. Percutaneous balloon kyphoplasty of malignant lesions of the spine: a prospective consecutive study in 115 patients. Eur Spine J. 2015;24(10):2165\u201372.","journal-title":"Eur Spine J"},{"issue":"6","key":"3608_CR5","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1016\/j.spinee.2019.02.012","volume":"19","author":"ST S\u00f8rensen","year":"2019","unstructured":"S\u00f8rensen ST, Kirkegaard AO, Carreon L, et al. Vertebroplasty or kyphoplasty as palliative treatment for cancer-related vertebral compression fractures: a systematic review. Spine J. 2019;19(6):1067\u201375.","journal-title":"Spine J"},{"issue":"4","key":"3608_CR6","first-page":"690","volume":"28","author":"A Hiwatashi","year":"2007","unstructured":"Hiwatashi A, Westesson PL. Vertebroplasty for osteoporotic fractures with spinal canal compromise. AJNR Am J Neuroradiol. 2007;28(4):690\u20132.","journal-title":"AJNR Am J Neuroradiol"},{"issue":"2","key":"3608_CR7","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00701-009-0189-5","volume":"151","author":"JJ Shin","year":"2009","unstructured":"Shin JJ, Chin DK, Yoon YS. Percutaneous vertebroplasty for the treatment of osteoporotic burst fractures. Acta Neurochir (Wien). 2009;151(2):141\u20138.","journal-title":"Acta Neurochir (Wien)"},{"issue":"9 Pt 2","key":"3608_CR8","doi-asserted-by":"publisher","first-page":"S311","DOI":"10.1097\/01.RVI.0000082822.75926.4c","volume":"14","author":"JK McGraw","year":"2003","unstructured":"McGraw JK, Cardella J, Barr JD, et al. Society of Interventional Radiology quality improvement guidelines for percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14(9 Pt 2):S311-315.","journal-title":"J Vasc Interv Radiol"},{"issue":"1","key":"3608_CR9","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1080\/02841850601026427","volume":"48","author":"R Pflugmacher","year":"2007","unstructured":"Pflugmacher R, Beth P, Schroeder RJ, et al. Balloon kyphoplasty for the treatment of pathological fractures in the thoracic and lumbar spine caused by metastasis: one-year follow-up. Acta Radiol. 2007;48(1):89\u201395.","journal-title":"Acta Radiol"},{"issue":"10","key":"3608_CR10","doi-asserted-by":"publisher","first-page":"1539","DOI":"10.1016\/j.injury.2014.06.018","volume":"45","author":"M Gan","year":"2014","unstructured":"Gan M, Zou J, Zhu X, et al. Balloon kyphoplasty for osteoporotic spinal fractures with middle column compromise. Injury. 2014;45(10):1539\u201344.","journal-title":"Injury"},{"issue":"7","key":"3608_CR11","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1002\/jso.24222","volume":"113","author":"S Molloy","year":"2016","unstructured":"Molloy S, Sewell MD, Platinum J, et al. Is balloon kyphoplasty safe and effective for cancer-related vertebral compression fractures with posterior vertebral body wall defects? J Surg Oncol. 2016;113(7):835\u201342.","journal-title":"J Surg Oncol"},{"issue":"3","key":"3608_CR12","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1097\/01.bsd.0000211273.74238.0e","volume":"20","author":"HL Yang","year":"2007","unstructured":"Yang HL, Zhao L, Liu J, et al. Changes of pulmonary function for patients with osteoporotic vertebral compression fractures after kyphoplasty. J Spinal Disord Tech. 2007;20(3):221\u20135.","journal-title":"J Spinal Disord Tech"},{"issue":"Suppl 19","key":"3608_CR13","doi-asserted-by":"publisher","first-page":"B52","DOI":"10.1097\/BRS.0000000000001804","volume":"41","author":"H Yang","year":"2016","unstructured":"Yang H, Liu H, Wang S, et al. Review of percutaneous kyphoplasty in China. Spine (Phila Pa 1976). 2016;41(Suppl 19):B52-b58.","journal-title":"Spine (Phila Pa 1976)"},{"issue":"9","key":"3608_CR14","doi-asserted-by":"publisher","first-page":"2382","DOI":"10.1200\/JCO.2002.09.097","volume":"20","author":"S Dudeney","year":"2002","unstructured":"Dudeney S, Lieberman IH, Reinhardt MK, et al. Kyphoplasty in the treatment of osteolytic vertebral compression fractures as a result of multiple myeloma. J Clin Oncol. 2002;20(9):2382\u20137.","journal-title":"J Clin Oncol"},{"issue":"4","key":"3608_CR15","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1016\/j.injury.2009.09.033","volume":"41","author":"J Zou","year":"2010","unstructured":"Zou J, Mei X, Gan M, et al. Is kyphoplasty reliable for osteoporotic vertebral compression fracture with vertebral wall deficiency? Injury. 2010;41(4):360\u20134.","journal-title":"Injury"},{"issue":"1","key":"3608_CR16","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1007\/s00264-012-1709-0","volume":"37","author":"R Dong","year":"2013","unstructured":"Dong R, Chen L, Tang T, et al. Pain reduction following vertebroplasty and kyphoplasty. Int Orthop. 2013;37(1):83\u20137.","journal-title":"Int Orthop"},{"issue":"8","key":"3608_CR17","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1016\/j.clineuro.2010.05.006","volume":"112","author":"CH Li","year":"2010","unstructured":"Li CH, Chang MC, Liu CL, et al. Osteoporotic burst fracture with spinal canal compromise treated with percutaneous vertebroplasty. Clin Neurol Neurosurg. 2010;112(8):678\u201381.","journal-title":"Clin Neurol Neurosurg"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-023-03608-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-023-03608-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-023-03608-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T18:02:42Z","timestamp":1677175362000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-023-03608-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,23]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3608"],"URL":"https:\/\/doi.org\/10.1186\/s13018-023-03608-9","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,23]]},"assertion":[{"value":"5 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 February 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This is a retrospective study. Approval was granted by the Institutional Ethics Committee of Soochow University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"135"}}