{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T18:44:36Z","timestamp":1782758676214,"version":"3.54.5"},"reference-count":20,"publisher":"The Korean Spinal Neurosurgery Society","issue":"4","license":[{"start":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T00:00:00Z","timestamp":1703980800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["Neurospine"],"published-print":{"date-parts":[[2023,12,31]]},"abstract":"<jats:p>Objective: Whether the use of a balloon or stent in vertebroplasty for vertebral fractures, such as balloon kyphoplasty (BKP) or vertebral body stenting (VBS), actually contributes to the restoration of postoperative vertebral height is unclear. The aim of the current study was to compare the effectiveness of percutaneous vertebroplasty (PVP), BKP, and VBS in the correction of collapsed vertebrae in patients with painful vertebral fractures.Methods: The cases studied involved 34 vertebrae in 28 patients treated with PVP, 43 vertebrae in 38 patients treated with BKP, and 20 vertebrae in 20 patients treated with VBS at Izinkai Takeda General Hospital. Changes in the vertebral height and local kyphosis angle were measured based on standing lumbar radiographs before and after surgery and were compared among the treatment groups.Results: There were no differences in changes in the height of the anterior wall, middle body, or posterior wall of the treated vertebrae among the 3 treatment groups. The same was true for changes in the local kyphosis angle. The effectiveness of vertebral height restoration depended heavily upon preoperative vertebral instability in all the treatment groups. Correction loss due to balloon deflation effect or balloon sinking was noted with VBS or BKP.Conclusion: BKP and VBS have the advantage of reducing the risk of extravertebral leakage of injected bone cement, but they have a disadvantage in that they are no more effective than PVP in restoring collapsed vertebrae despite the use of a balloon or metal stent.<\/jats:p>","DOI":"10.14245\/ns.2346754.377","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T23:32:11Z","timestamp":1703719931000},"page":"1159-1165","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Effectiveness of Vertebral Height Restoration Based on the Vertebroplasty Procedure Used to Treat Osteoporotic Vertebral Fractures"],"prefix":"10.14245","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5864-6010","authenticated-orcid":true,"given":"Kunio","family":"Yokoyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8968-7125","authenticated-orcid":true,"given":"Naokado","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4538-5499","authenticated-orcid":true,"given":"Hidekazu","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4289-6688","authenticated-orcid":true,"given":"Yutaka","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1555-188X","authenticated-orcid":true,"given":"Akira","family":"Sugie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3899-3154","authenticated-orcid":true,"given":"Makoto","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1856-7123","authenticated-orcid":true,"given":"Masahiko","family":"Wanibuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1042-6668","authenticated-orcid":true,"given":"Masahiro","family":"Kawanishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5355","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(10)60954-3"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-012-2441-6"},{"key":"ref3","first-page":"1","volume-title":"Percutaneous vertebroplasty for treatment of painful osteoporotic vertebral compression fractures: an evidence-based analysis","year":"2010"},{"key":"ref4","first-page":"209","volume-title":"Comparison of percutaneous vertebroplasty and balloon kyphoplasty for the treatment of single level vertebral compression fractures: a metaanalysis of the literature","author":"Wang","year":"2015"},{"key":"ref5","first-page":"620","volume-title":"Vertebroplasty and kyphoplasty: new treatment strategies for fractures in the osteoporotic spine","author":"Karlsson","year":"2005"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2143172.586"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040620.310"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-012-2603-6"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1341-x"},{"key":"ref10","first-page":"E341","volume-title":"The role of minimally invasive vertebral body stent on reduction of the deflation effect after kyphoplasty: a biomechanical study","author":"Wang","year":"2018"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.06.002"},{"key":"ref12","first-page":"E1147","volume-title":"Cement augmentation in a thoracolumbar fracture model: reduction and stability after balloon kyphoplasty versus vertebral body stenting","author":"Disch","year":"2014"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-233"},{"key":"ref14","first-page":"577","volume-title":"Vertebral body stenting versus kyphoplasty for the treatment of osteoporotic vertebral compression fractures: a randomized trial","author":"Werner","year":"2013"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.a2726"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.2003.18.1.24"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-011-2218-z"},{"key":"ref18","first-page":"1893","volume-title":"Kyphosis correction and 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