Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Safety and Efficacy of Double Balloon Kyphoplasty (Quattroplasty Versus Single Balloon Kyphoplasty). A Randomized Clinical Trial

Version 1 : Received: 14 November 2023 / Approved: 15 November 2023 / Online: 15 November 2023 (09:50:30 CET)

How to cite: Santiago, S.; Crespo-Sanjuán, J.; Ardura, F.; Hernández Ramajo, R.; Caballero-García, A.; Labrador, G.J.; Bragado, M.; Noriega, D.C. Safety and Efficacy of Double Balloon Kyphoplasty (Quattroplasty Versus Single Balloon Kyphoplasty). A Randomized Clinical Trial. Preprints 2023, 2023110986. https://doi.org/10.20944/preprints202311.0986.v1 Santiago, S.; Crespo-Sanjuán, J.; Ardura, F.; Hernández Ramajo, R.; Caballero-García, A.; Labrador, G.J.; Bragado, M.; Noriega, D.C. Safety and Efficacy of Double Balloon Kyphoplasty (Quattroplasty Versus Single Balloon Kyphoplasty). A Randomized Clinical Trial. Preprints 2023, 2023110986. https://doi.org/10.20944/preprints202311.0986.v1

Abstract

Background and objectives Osteoporotic vertebral compression fractures, particularly prevalent among the aging population, constitute a pressing global healthcare challenge. They often are unnoticed until severe pain and disability manifest, making them an underdiagnosed and undertreated condition. Patients who suffer from these fractures not only endure excruciating pain but also face diminished quality of life, impaired mobility, and the risk of respiratory compromise due to altered spinal alignment. The economic repercussions of vertebral compression fractures are substantial. Hospitalization costs, rehabilitation expenses, long-term care, and indirect costs related to lost productivity significantly burden healthcare systems and society at large , offering a promising avenue for enhancing patient outcomes and relieving the healthcare and societal financial strain posed by vertebral compression fractures. Kyphoplasty, a minimally invasive surgical technique, offers rapid pain relief, vertebral height restoration and improved function. Recognizing the importance of early intervention, this manuscript highlights the potential of kyphoplasty in mitigating both clinical and economic consequences. By addressing these fractures more effectively, kyphoplasty may potentially reduce long-term healthcare expenses and indirect costs. Material and Methods 66 randomized patients were divided into 2 treatment groups (kyphoplasty using single balloon and double balloon), analyzing radiographic and clinical parameters during 12 months of follow-up. Results Patients treated with double balloon obtained greater anterior and posterior vertebral height after reduction and a better local vertebral angle. Both groups of patients obtained clinical improvement after treatment (VAS and ODI), with no differences between the groups. Conclusion Patients treated with double balloon kyphoplasty had better radiographic results. This revision manuscript delves into the critical dimensions of these fractures, encompassing demographics, clinical consequences, challenges in diagnosis and management, and their profound economic impact. This manuscript serves to introduce an improved kyphoplasty technique to guide to the multifaceted nature of osteoporotic vertebral compression fractures and their management.

Keywords

Osteoporotic vertebral compression fractures (VCF); balloon kyphoplasty; vertebra restauration; percutaneous spine surgery; economic impact

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.