J Clin Neurosci, 2023 · DOI: 10.1016/j.jocn.2023.02.001 · Published: April 1, 2023
This study examines the use of percutaneous vertebroplasty (VP) and kyphoplasty (KP) in patients with acute traumatic vertebral fractures using the ACS Trauma Quality Improvement Program (TQIP) database. The study found that older patients and women were more likely to receive PVA. Hospitals with a Level II trauma center and those with 401–600 beds were also more likely to perform PVA. Conversely, African American patients, those with isolated trauma, and those treated by larger neurosurgical or orthopedic groups were less likely to receive PVA. Regional differences in PVA use were also observed.
The variability in PVA use suggests a need for standardized guidelines to ensure equitable access to this treatment.
Understanding hospital and surgeon-related factors can inform resource allocation and training efforts to improve PVA access.
Further prospective studies are needed to evaluate the efficacy of PVA in acute trauma settings and identify optimal patient selection criteria.