To The Editor:
With interest I read the article on compression fractures treated with
vertebroplasty by Prather, et al.(1) In the discussion section (last paragraph) they state that no study has been published that compares the benefits of
vertebroplasty with those of kyphoplasty in humans with non-neoplastic
fractures.
I do not agree. I would direct the authors and readers of JBJS to a prospective nonrandomized comparison
of vertebroplasty and baloon kyphoplasty that was published last year.(2) It
showed that kyphoplasty is superior in non-recent fractures with
respect to reduction of kyphotic wedge and decreasing pain over a period
of two years, although a higher amount of compression fractures in
adjacent levels was observed.
References:
1. H. Prather, L. Van Dillen, J.P. Metzler, K. D. Riew, and L. A.
Gilula
Prospective Measurement of Function and Pain in Patients with Non-
Neoplastic Compression Fractures Treated with Vertebroplasty
J Bone Joint Surg Am 2006; 88: 334-341
2. J. G. Grohs, M. Matzner, K. Trieb, P. Krepler. Minimal Invasive
Stabilization Of Osteoporotic Vertebral Fractures: A Prospective
Nonrandomized Comparison Of Vertebroplasty And Balloon Kyphoplasty.
J Spinal Disord Tech. 2005 Jun;18(3):238-42