Percutaneous vertebroplasty versus percutaneous kyphoplasty for the treatment of Kümmell's disease in Chinese patients: A systematic review and meta-analysis

doi:10.3877/cma.j.issn.2095-8757.2019.01.008

Abstract

Abstract:

Objective

Compared the efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of Chinese Kümmell's disease by meta-analysis.

Methods

We performed a systematic literature search across Embase, Pubmed, Central, Cinahl, PQDT, CNKI, CQVIP, WanFang Data, Cochrane Library, and CBM, from October 2008 to October 2018, to compared the efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of Chinese Kümmell's disease. The literature was screened according to inclusion and exclusion criteria and the quality of the literature was assessed strictly. After extracting the data, Statistical software Review manager5.3 was used for data-analysis.

Results

We included 477 patients from 10 articles (including 2 English articles and 8 Chinese articles). The Cobb angle (95%CI:0.20~3.47, P=0.03), height of vertebral body (95%CI:-0.87~-0.31, P<0.01), and the Oswestry dysfunction index (95%CI:0.17~1.95, P=0.02) in the PKP group were better than that in the PVP group. However, the operation time in the PVP group was less than that in the PKP group (95%CI:-15.82~-8.73, P<0.01).

Conclusion

PKP is recommended for the treatment of Chinese Kümmell's disease, which is excellent in radiological results (eg. postoperative Cobb angle and vertebral body height, etc.) and clinical outcomes (eg. Oswestry dysfunction index, etc.).

Key words: Kümmell's disease, Percutaneous vertebroplasty, Percutaneous vyphoplasty, Meta-analysis

Rong Zhang, Wenya Zhou, Ping Liu, Xiangyang Tian, Junyan Yu. Percutaneous vertebroplasty versus percutaneous kyphoplasty for the treatment of Kümmell's disease in Chinese patients: A systematic review and meta-analysis[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(01): 33-40.

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References 29

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研究者及发表年份	研究类型	分组	病例数	年龄（岁）	性别（男/女，例）	结局指标	文献质量
Zhang等^[9]（2015）	回顾性研究	PVP	38	75.58±4.97	10/28	②④⑤⑥⑦	6分
?	?	PKP	35	73.74±4.35	9/26	②④⑤⑥⑦	6分
Zhang等^[6]（2018）	回顾性研究	PVP	22	72.82±6.99	7/15	⑤⑥	4分
?	?	PKP	13	74.38±5.66	5/8	⑤⑥	4分
余伟波等^[10]（2016）	回顾性研究	PVP	48	74.6(63~85)	10/38	①②③④⑤⑥⑦	6分
?	?	PKP	20	75.9(65~87)	4/16	①②③④⑤⑥⑦	6分
俞兴等^[11]（2018）	回顾性研究	PVP	20	67.05±4.03	2/18	①②③④⑤⑥⑦	6分
?	?	PKP	28	67.21±4.57	3/25	①②③④⑤⑥⑦	6分
俞海明等^[12]（2016）	回顾性研究	PVP	14	74.47±5.79	5/9	①②③④⑤⑥	6分
?	?	PKP	28	71.56±8.35	9/16	①②③④⑤⑥	6分
冯方等^[13]（2018）	回顾性研究	PVP	20	72.3±5.4	12/28	①②③④⑤⑥⑦	6分
?	?	PKP	20	72.3±5.4	12/28	①②③④⑤⑥⑦	6分
施凯兵等^[14]（2017）	回顾性研究	PVP	10	75.1±3.6	7/16	①②③④⑤⑦	6分
?	?	PKP	13	75.1±3.6	7/16	①②③④⑤⑦	6分
李浩^[15]（2013）	回顾性研究	PVP	7	71.8±7.69	3/4	①③④⑥	6分
?	?	PKP	5	71.8±7.69	2/3	①③④⑥	6分
陈书连等^[16]（2012）	回顾性研究	PVP	33	69.2±6.3	4/29	④⑤⑥⑦	5分
?	?	PKP	30	68.7±6.5	3/27	④⑤⑥⑦	5分
高延征等^[17]（2016）	回顾性研究	PVP	38	73±6	20/18	②③④⑥	5分
?	?	PKP	35	75±6	16/19	②③④⑥	5分

研究者及发表年份	研究类型	分组	病例数	年龄（岁）	性别（男/女，例）	结局指标	文献质量
Zhang等^[9]（2015）	回顾性研究	PVP	38	75.58±4.97	10/28	②④⑤⑥⑦	6分
?	?	PKP	35	73.74±4.35	9/26	②④⑤⑥⑦	6分
Zhang等^[6]（2018）	回顾性研究	PVP	22	72.82±6.99	7/15	⑤⑥	4分
?	?	PKP	13	74.38±5.66	5/8	⑤⑥	4分
余伟波等^[10]（2016）	回顾性研究	PVP	48	74.6(63~85)	10/38	①②③④⑤⑥⑦	6分
?	?	PKP	20	75.9(65~87)	4/16	①②③④⑤⑥⑦	6分
俞兴等^[11]（2018）	回顾性研究	PVP	20	67.05±4.03	2/18	①②③④⑤⑥⑦	6分
?	?	PKP	28	67.21±4.57	3/25	①②③④⑤⑥⑦	6分
俞海明等^[12]（2016）	回顾性研究	PVP	14	74.47±5.79	5/9	①②③④⑤⑥	6分
?	?	PKP	28	71.56±8.35	9/16	①②③④⑤⑥	6分
冯方等^[13]（2018）	回顾性研究	PVP	20	72.3±5.4	12/28	①②③④⑤⑥⑦	6分
?	?	PKP	20	72.3±5.4	12/28	①②③④⑤⑥⑦	6分
施凯兵等^[14]（2017）	回顾性研究	PVP	10	75.1±3.6	7/16	①②③④⑤⑦	6分
?	?	PKP	13	75.1±3.6	7/16	①②③④⑤⑦	6分
李浩^[15]（2013）	回顾性研究	PVP	7	71.8±7.69	3/4	①③④⑥	6分
?	?	PKP	5	71.8±7.69	2/3	①③④⑥	6分
陈书连等^[16]（2012）	回顾性研究	PVP	33	69.2±6.3	4/29	④⑤⑥⑦	5分
?	?	PKP	30	68.7±6.5	3/27	④⑤⑥⑦	5分
高延征等^[17]（2016）	回顾性研究	PVP	38	73±6	20/18	②③④⑥	5分
?	?	PKP	35	75±6	16/19	②③④⑥	5分

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