Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications?
Introduction: Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based pol...
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2025-05-01
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| Series: | Revista Española de Cirugía Ortopédica y Traumatología |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1888441525000451 |
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| author | R. Luque D. Garríguez P. Checa Betegon M. Sanchez J.L. Perez Gonzalez I. Dominguez Esteban |
| author_facet | R. Luque D. Garríguez P. Checa Betegon M. Sanchez J.L. Perez Gonzalez I. Dominguez Esteban |
| author_sort | R. Luque |
| collection | DOAJ |
| description | Introduction: Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone. Materials and methods: This is a comparative, prospective study involving 64 patients 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels. Results: There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life. Conclusion: Both VK100 elastoplasty and PMMA kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid. Resumen: Introducción: La rigidez que se genera en las vértebras tras una cifoplastia con cemento óseo produce un aumento del riesgo de fracturas en vértebras adyacentes. Por esta razón, se han propuesto materiales de relleno alternativos con mayor elasticidad como cerámicas o siliconas bioactivas. El objetivo de este trabajo es comparar los resultados entre cifoplastias realizadas con cemento óseo (PMMA) y con la silicona VK100. Material y Métodos: Se trata de un estudio comparativo y prospectivo, en el que participan 64 pacientes, 23 tratados con VK100 y 41 con PMMA. Se analizaron y se compararon los resultados clínicos, radiológicos y funcionales (Oswestry) y la calidad de vida (EQ-5D), y complicaciones tales como fracturas en vértebras adyacentes. Resultados: No existen diferencias en los resultados clínicos ni radiológicos entre ambos tratamientos. Destaca una diferencia significativa en el aumento de altura del cuerpo medio vertebral,siendo mayor en los tratados con PMMA. También destaca una mayor tasa de fracturas en los tratados con PMMA aunque la diferencia no es significativa. Por último, ambos tratamientos tienen resultados similares en lo que respecta al alivio del dolor y la calidad de vida. Conclusión: Tanto la elastoplastia VK100 como la cifoplastia PMMA son tratamientos eficaces para la fractura vertebral. El VK100 tiene una menor tasa de complicaciones y fracturas adyacentes. A pesar de ello los resultados a largo plazo en términos de eficacia dolor y calidad de vida son similares por lo que ambos tratamientos son igual de válidos. |
| format | Article |
| id | doaj-art-6ba2f0328e0644049badcc07a6a67f30 |
| institution | DOAJ |
| issn | 1888-4415 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Española de Cirugía Ortopédica y Traumatología |
| spelling | doaj-art-6ba2f0328e0644049badcc07a6a67f302025-08-20T03:09:12ZengElsevierRevista Española de Cirugía Ortopédica y Traumatología1888-44152025-05-01693T287T29610.1016/j.recot.2025.02.016Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications?R. Luque0D. Garríguez1P. Checa Betegon2M. Sanchez3J.L. Perez Gonzalez4I. Dominguez Esteban5Corresponding author.; Servicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainServicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainServicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainServicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainServicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainServicio Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, SpainIntroduction: Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone. Materials and methods: This is a comparative, prospective study involving 64 patients 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels. Results: There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life. Conclusion: Both VK100 elastoplasty and PMMA kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid. Resumen: Introducción: La rigidez que se genera en las vértebras tras una cifoplastia con cemento óseo produce un aumento del riesgo de fracturas en vértebras adyacentes. Por esta razón, se han propuesto materiales de relleno alternativos con mayor elasticidad como cerámicas o siliconas bioactivas. El objetivo de este trabajo es comparar los resultados entre cifoplastias realizadas con cemento óseo (PMMA) y con la silicona VK100. Material y Métodos: Se trata de un estudio comparativo y prospectivo, en el que participan 64 pacientes, 23 tratados con VK100 y 41 con PMMA. Se analizaron y se compararon los resultados clínicos, radiológicos y funcionales (Oswestry) y la calidad de vida (EQ-5D), y complicaciones tales como fracturas en vértebras adyacentes. Resultados: No existen diferencias en los resultados clínicos ni radiológicos entre ambos tratamientos. Destaca una diferencia significativa en el aumento de altura del cuerpo medio vertebral,siendo mayor en los tratados con PMMA. También destaca una mayor tasa de fracturas en los tratados con PMMA aunque la diferencia no es significativa. Por último, ambos tratamientos tienen resultados similares en lo que respecta al alivio del dolor y la calidad de vida. Conclusión: Tanto la elastoplastia VK100 como la cifoplastia PMMA son tratamientos eficaces para la fractura vertebral. El VK100 tiene una menor tasa de complicaciones y fracturas adyacentes. A pesar de ello los resultados a largo plazo en términos de eficacia dolor y calidad de vida son similares por lo que ambos tratamientos son igual de válidos.http://www.sciencedirect.com/science/article/pii/S1888441525000451OsteoporosisFractura vertebralCifoplastiaPMMAVK100Oswestry |
| spellingShingle | R. Luque D. Garríguez P. Checa Betegon M. Sanchez J.L. Perez Gonzalez I. Dominguez Esteban Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? Revista Española de Cirugía Ortopédica y Traumatología Osteoporosis Fractura vertebral Cifoplastia PMMA VK100 Oswestry |
| title | Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? |
| title_full | Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? |
| title_fullStr | Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? |
| title_full_unstemmed | Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? |
| title_short | Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? |
| title_sort | silicone kyphoplasty elastoplasty versus traditional cement kyphoplasty for osteoporotic vertebral fractures does this new technique reduce the complications |
| topic | Osteoporosis Fractura vertebral Cifoplastia PMMA VK100 Oswestry |
| url | http://www.sciencedirect.com/science/article/pii/S1888441525000451 |
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