Unilateral versus bilateral percutaneous vertebroplasty for osteoporotic vertebral compression fractures in elderly patients: A meta-analysis

Medicine
Ying-Chun ChenWei Yuan

Abstract

To contrast the effects and complications in unilateral and bilateral percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures in elderly patients. Multiple databases were adopted to search relevant studies, and the articles eventually satisfied the criteria were included. All the meta-analyses were conducted with the Review Manager 5.2. To estimate the quality of each article, risk of bias table was performed. Finally, 627 patients were enrolled in 9 studies and ultimately met the eligibility criteria. The unilateral and bilateral surgical samples were 314 and 313, respectively. The meta-analysis showed no significant difference in Visual Analog Scale/Score (VAS) (MD = -0.05, 95% confidence interval [CI] [-0.24, 0.13], P = .57), Oswestry Disability Index (ODI) score (MD = 0.03, 95% CI [-0.57, 0.62], P = .93) and cement leakage (OR = 1.00, 95% CI [0.67, 1.50], P = 1.00) between unilateral group and bilateral group. The surgery time of unilateral PVP is much less than that of bilateral PVP (MD = -8.42, 95% CI [-13.17, -3.66], P = .0005). Patients with bilateral PVP surgery have been injected more cement than patients with a unilateral surgery (MD = -2.56, 95% CI [-2.79, -2.33], P <.00001). This study de...Continue Reading

References

Jan 14, 2003·Seminars in Neurology·Perry P NgChristopher F Dowd
Jan 18, 2006·Journal of Vascular and Interventional Radiology : JVIR·Maurits H J VoormolenLeo E H Lampmann
Feb 9, 2012·Archives of Orthopaedic and Trauma Surgery·Lih-Huei ChenWen-Jer Chen
Oct 16, 2015·Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University·Artur JurczyszynAleksander B Skotnicki
Dec 31, 2015·Cardiovascular and Interventional Radiology·Tae Seong ImHeung Sik Kang
Jun 14, 2017·Surgical Neurology International·Arvin R WaliClark C Chen
Jun 27, 2018·Journal of Korean Neurosurgical Society·Ihab ZidanAmr Elwany

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Methods Mentioned

BETA
percutaneous vertebroplasty

Software Mentioned

Review Manager
Excel

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