Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

OUTCOMES OF BALLOON KYPHOPLASTY FOR THE TREATMENT OF OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES AT SON LA PROVINCIAL GENERAL HOSPITAL

Luong Duc Ha1,2, Nguyen Ngoc Hung3,4, Dang Trung Kien5,6, Truong Hong Vinh1,2
1 Center for Trauma and Orthopedics, Son La Provincial General Hospital, Son La
2 Trung tâm CTCH, Bệnh viện Đa khoa tỉnh Sơn La
3 Hai Phong University of Medicine and Pharmacy, Hai Phong, Viet Nam
4 Trường Đại học Y dược Hải Phòng
5 Department of Orthopedics, Viet Duc University Hospital, Ha Noi, Viet Nam
6 Khoa phẫu thuật chấn thương chung, Bệnh viện Hữu nghị Việt Đức, Hà Nội
DOI: 10.52163/yhc.v67iCD7.5599
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Keywords
osteoporotic vertebral compression fracture; balloon kyphoplasty; cement leakage; VAS; Roland–Morris.
Abstract

Objectives: To describe patient characteristics and evaluate pain; function, and radiographic changes after balloon kyphoplasty for osteoporotic vertebral compression fractures (OVCF).

Materials and methods: A pre–post case series of 56 OVCF patients treated at Son La Provincial General Hospital (01/2024–03/2026). Pain and disability were assessed using the Visual Analog Scale (VAS) and Roland–Morris Disability Questionnaire preoperatively, postoperative day 1, month 1, and month 3. Radiographic outcomes included wedge angle, Cobb angle, and vertebral body heights (anterior/middle/posterior). Paired t-tests compared pre–post values (p<0.05).

Results: Mean age 69.18±9.33 years; 67.9% female. VAS decreased from 7.61±1.12 preoperatively to 2.73±1.14 (day 1), 1.63±0.84 (month 1), and 1.32±0.86 (month 3) (all p<0.001). Roland–Morris decreased from 17.43±2.20 to 10.39±1.37, 8.75±1.05, and 7.82±0.69 (all p<0.001). Wedge angle improved from 13.26±1.95° to 9.79±1.45°, Cobb angle from 17.97±2.16° to 12.71±1.87°, with significant increases in anterior and middle vertebral heights (all p<0.001). No complications occurred in 82.1%. Cement leakage was observed in 10.7% (anterior border) and 7.1% (intradiscal), all asymptomatic and requiring no intervention.

Conclusions: Balloon kyphoplasty provided rapid and sustained pain relief, functional improvement, and meaningful radiographic correction in OVCF, with a low rate of asymptomatic cement leakage, supporting its safety and effectiveness in a provincial hospital setting.

References
[1]
Kanis JA, Cooper C, Rizzoli R, Reginster JY; ESCEO; IOF. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2019;30(1):3–44. Google Scholar
[2]
Ensrud KE, Schousboe JT. Vertebral fractures. N Engl J Med. 2011; 364:1634–1642. Google Scholar
[3]
Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie. 1987;33(2):166–168. Google Scholar
[4]
Buchbinder R, Osborne RH, Ebeling PR, et al. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med. 2009; 361:557–568. Google Scholar
[5]
Lieberman IH, Dudeney S, Reinhardt MK, Bell G. Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures. Spine. 2001;26(14):1631–1638. Google Scholar
[6]
Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. 2009;373(9668):1016–1024. Google Scholar
[7]
Klazen CAH, Lohle PNM, de Vries J, et al. Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II). Lancet. 2010;376(9746):1085–1092. Google Scholar
[8]
Hirsch JA, Beall DP, Chambers MR, et al. Management of vertebral fragility fractures: a clinical care pathway developed by a multispecialty panel using the RAND/UCLA Appropriateness Method. Spine J. 2018;18(11):2155–2168. Google Scholar
[9]
Garfin SR, Yuan HA, Reiley MA. New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures. Spine. 2001;26(14):1511–1515. Google Scholar
[10]
Phillips FM, Todd Wetzel F, Lieberman I, Campbell-Hupp M. An in vivo comparison of the safety and efficacy of kyphoplasty and vertebroplasty in the treatment of vertebral compression fractures. Spine J. 2003;3(6):456–465. Google Scholar