Surgical outcomes of balloon kyphoplasty and posterior fixation for osteoporotic vertebral body fractures with posterior wall damage at the thoracolumbar junction

Abstract

We compared the use of balloon kyphoplasty (BKP) and posterior fixation with that of posterior vertebral column resection (P-VCR) and posterior fixation to treat osteoporotic vertebral body fractures with posterior wall damage at the thoracolumbar junction. BKP and posterior fixation was a less invasive procedure with a significantly shorter operating time and significantly lower blood loss. Screw loosening and correction loss due to new vertebral body fractures occurred in both groups, but there was no revision surgery due to correction loss, indicating that BKP with posterior fixation is a suitable procedure for older patients.