Is Osteoporotic Thoracolumbar Burst Fracture a Contraindication to Percutaneous Kyphoplasty? A Systematic Review

BACKGROUND: The management of pain after osteoporotic thoracolumbar burst fracture has not reached a treatment consensus. Percutaneous kyphoplasty been shown to be efficient in reducing acute fracture, although the topic remains highly controversial this field. OBJECTIVE: This study aimed conduct systematic review current literature evaluate effectiveness and safety percutaneous on fracture. STUDY DESIGN: A review. SETTING: University hospital. METHODS: comprehensive search was performed through PubMed, EMBASE, Web Science, Cochrane library without time restriction. Among studies meeting eligible criteria, any which utilized alone included For radiographic outcome evaluation, vertebral height kyphotic angle were analyzed. VAS (Visual Analog Scale) ODI (Oswestry Disability Index) for clinical evaluation. Complications such as cement leakage adjacent or relapse also RESULTS: In total, 289 patients (338 bodies) 8 studies. Clinical outcomes indicated that achieved relief (VAS) from 6.8 preoperatively 1.1 postoperatively, improvement quality life (ODI) ranged 87.0 ± 6.0% 23.9 4.4%. radiological anterior restoration 20.1 2.3 85.3 10.6, posterior 27.3 1.7 83.3 7.4. Kyphotic correction 21.7 7.8° 3.17° postoperatively. main complications PKP relapse, had an incidence 7.7% -45.4% 4.3% -74.1%, respectively. LIMITATIONS: Due good English publications, only English-language research searches conducted, but they do unduly affect our aggregate results impact. More prospective randomized controlled trials are needed provide higher evidence practice. CONCLUSIONS: To is absolutely contraindication kyphoplasty. can obtain satisfactory fractures. effectively decreased by meticulous careful manipulation, appropriate precautionary measures. KEY WORDS: kyphoplasty, osteoporosis, leakage,