EFFECTIVENESS AND SAFETY OF VERTEBROPLASTY FOR MANAGING OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES: IMPLICATIONS FOR ATHLETIC RECOVERY AND PERFORMANCE

Abstract

Objective: This study aims to assess the efficacy and safety of percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCFs), with a particular focus on their implications for long-term mobility and athletic performance. Methods: A comprehensive literature search was conducted across various databases and journals, selecting both randomized and non-randomized controlled studies for inclusion. Data analysis was performed using RevMan 5.0.25 software. Results: The analysis included nine non-randomized prospective controlled trials and one randomized controlled trial, encompassing a total of 749 patients. Results indicated significant postoperative pain relief in patients treated with both PKP and PVP, with PKP showing a slightly superior pain relief effect within the first year of follow-up. Beyond one year, the benefits of PKP in pain relief were more pronounced. While both procedures effectively relieved postoperative functional impairment, PKP demonstrated greater efficacy in correcting spinal deformities and restoring vertebral height. Quality of life improvements were comparable between the two techniques. Importantly, PKP exhibited a lower incidence of postoperative complications compared to PVP. Conclusion: PKP offers distinct advantages over PVP in terms of pain relief, vertebral height restoration, and spinal deformity correction, contributing significantly to enhanced recovery and potentially improved long-term physical function. These findings support the utilization of PKP as a safer and more effective treatment option for patients with OVCFs, particularly those aiming for a swift and robust return to physical activity and sports. The lower complication rates associated with PKP also suggest a preferable safety profile, crucial for athletes and active individuals seeking to minimize downtime and optimize recovery.