ArticleJournal of spine surgery (Hong Kong)2017
Utilization of vertebroplasty and kyphoplasty procedures throughout the United States over a recent decade: an analysis of the Nationwide Inpatient Sample.
Article in Journal of spine surgery (Hong Kong), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 42 citations in OpenAlex.
- Clinical comparison between a percutaneous hydraulic pressure delivery system and balloon tamp system using high-viscosity cement for the treatment of osteoporotic vertebral compression fractures.Clinics (Sao Paulo, Brazil) · 2019Trial
- Current implementation and perception of palliative interventional radiology procedures for patients with refractory cancer pain among interventional radiologists in Japan: a nationwide survey.Japanese journal of radiology · 2026Article
- Predictors of Vertebroplasty Selection in Older Adults with Osteoporotic Vertebral Compression Fractures: A Real-World Cohort Study.Clinical interventions in aging · 2025Article
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- Enhanced Risk Stratification for Short-Term Complications Following Vertebral Augmentation for Osteoporotic Vertebral Compression Fractures.International journal of spine surgery · 2023Article
- Percutaneous vertebral augmentation for acute traumatic vertebral Fractures: A TQIP database study.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023Article
- Trends in Hospitalization and Economic Impact of Percutaneous Kyphoplasty in Italy.Journal of clinical medicine · 2022Article
- Current Trends and Socioeconomic Disparities in the Utilization of Spine Augmentation for Patients With Osteoporotic Vertebral Compression Fracture: A Nationwide Inpatient Sample Analysis From 2012 to 2016.International journal of spine surgery · 2022Article
- Three generations of treatments for osteoporotic vertebral fractures: what is the evidence?Orthopedic reviews · 2022Article
- The application of inferior vena cava filters in orthopaedics and current research advances.Frontiers in bioengineering and biotechnology · 2022Review
- The burden of percutaneous vertebroplasty: an epidemiological nationwide study in Italy from 2009 to 2015.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Prevention of Pulmonary Cement Embolism by Inferior Vena Cava Filter following Vertebroplasty-related Cement Intravasation.Journal of radiology case reports · 2021Article
- Polymethylmethacrylate Pulmonary Embolism Following Kyphoplasty.Clinical practice and cases in emergency medicine · 2019Article
- Medicare Accountable Care Organizations and Use of Potentially Low-Value Procedures.Surgical innovation · 2019Article
- Is It Time to Stop (or Pause) Vertebral Augmentation?Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019Article
- At what price decreased mortality risk? : Response to 'Were VCF patients at higher risk of mortality following the 2009 publication of the vertebroplasty "sham" trials?'Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018Article
- The statistical fragility of vertebroplasty outcomes: A systematic review of randomized controlled trials.Journal of craniovertebral junction & spineReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven the increasing societal focus on health care utilization and value-based care, it is essential to understand the demographic and economic data surrounding percutaneous vertebral augmentation procedures performed in the United States. Double-blinded prospective randomized controlled trials have shown no benefit to the use of vertebroplasty over a sham procedure in the treatment of vertebral fractures. Contrastingly, kyphoplasty may be beneficial when appropriately indicated.
methodsThe National Inpatient Sample (NIS) database was queried for patients who underwent either kyphoplasty (ICD-9-CM 81.66) or vertebroplasty (ICD-9-CM 81.65) procedures between 2006 and 2014 across 44 states. Demographic and economic data were obtained which included the annual number of surgeries, age, sex, insurance type, location, and frequency of routine discharge. The NIS database represents a 20% sample of discharges from U.S. hospitals, which is weighted to provide national estimates.
resultsIn 2014, an estimated total number of 19,420 kyphoplasty and 6,130 vertebroplasty procedures were performed across the United States. The number of vertebroplasty procedures decreased 53% from 13,128 in 2008. Similarly, the number of kyphoplasty procedures decreased 17% from 23,320 in 2007. Based on payer, Medicare patients comprised 83% of those billed for kyphoplasty and vertebroplasty, and 75% of procedures were utilized in areas designated as "not low income". In 2014, patients in the South Atlantic region comprised 24% of vertebroplasty and 28% of kyphoplasty cases, far more than any other region. Additionally, kyphoplasty and vertebroplasty were more often performed in teaching facilities rather than community hospitals (60% and 67%, respectively).
conclusionsSince the publication of two double-blind, prospective randomized controlled trials showed no benefit of vertebroplasty over a sham procedure, there has been a significant decrease in both kyphoplasty and vertebroplasty procedures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.