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"Kyphoplasty is the newer of the 2 procedures, and, as such, there are fewer published reports. Outcomes analysis from Liebermann’s series of 30 patients and 70 kyphoplasty procedures showed significant improvement in bodily pain and physical function using SF-36 questionnaire data (8). In a multicenter kyphoplasty study with 340 patients and 376 kyphoplasty procedures, 90% of the patients reported pain relief (12).
Another retrospective analysis of 1,439 patients and 2,194 kyphoplasty procedures revealed pain relief in 90% of the patients within 2 weeks of the procedures (12). Other studies have noted that 75% of those patients who obtain pain relief gain it immediately after the procedure, and the remainder of those who will get pain relief experience it within the first 4 weeks after procedure (12).
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One of the benefits of kyphoplasty is the restoration of vertebral height. A study using cadaveric specimens showed an average 97% restoration of vertebral height with kyphoplasty versus an average 30% restoration of height with vertebroplasty (14).
The ability to restore vertebral height appears to be a function of the elapsed time from the fracture, and the earlier procedure is performed, the greater benefits. Studies have noted 92% restoration of height if the procedure is done within 3 months of symptom onset, but only a 35% increase in vertebral height if it is done 5 months or more after of the onset of symptoms. The average height restoration in a multicenter trial was between 54% and 61% (12)
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