Yannick Palmowski, Sophie Balmer, Justus Bürger, Friederike Schömig, Zhouyang Hu, Matthias Pumberger

October 2020, Volume 29, Issue 10, pp 2560 - 2567 Original Article Read Full Article 10.1007/s00586-020-06491-8

First Online: 15 June 2020


To clarify the relationship between operative timing and the early post-operative radiological and clinical outcome after kyphoplasty.


We conducted a retrospective cohort study including patients who underwent kyphoplasty of a single vertebra. Patients were divided into three groups (acute [


A total of 230 patients (100 with acute, 91 with subacute and 39 with chronic fractures) with fractures from T4 to L5 were included. In all groups, there was a significant post-operative improvement in the anterior (8.9–12.9%) and middle (10.7–13.4%) VBH (all groups: p 


Kyphoplasty is effective for vertebral height restoration as well as pain relief for both acute, subacute and chronic fractures. However, the achievable correction of the fracture-related local kyphosis decreases significantly after 6 weeks. Therefore, we recommend making a final decision about conservative vs. operative treatment within 6 weeks to ensure better height restoration in surgically treated patients.

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