Evidence map›Paper›PMID 40999221›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Is there a learning curve preforming balloon kyphoplasty?

Raphael Lotan, Itsik Lan, Lev Klatzkin, Mojahed Sakhnini, Oded Hershkovich

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Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Raphael LotanWolfson Medical Center, Holon, Israel.
Itsik LanWolfson Medical Center, Holon, Israel.
Lev KlatzkinWolfson Medical Center, Holon, Israel.
Mojahed SakhniniWolfson Medical Center, Holon, Israel.
Oded HershkovichWolfson Medical Center, Holon, Israel. oded.hershkovich@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective Cohort Study.

objectivesBalloon Kyphoplasty (BKP) is a minimally invasive surgical option for vertebral fractures. The learning curve associated with BKP remains underexplored. This study aims to delineate the learning curve of BKP, focusing on operative time, radiation exposure, and PMMA leakage, hypothesizing that proficiency stabilizes after 10-20 cases.

methodsWe retrospectively reviewed 194 patients who underwent BKP at a single center (2008-2020). Data collected were demographics, operative time, radiation exposure, and PMMA leakage. Statistical analysis employed t-tests, Chi-square, and multivariate logistic regression to correlate outcomes with surgeon experience.

resultsOur Cohort's age was 77.3±9.2, with female predominance (73.2%). The average surgery length for single-level BKP was 37.3±18.4 minutes, with radiation exposure at 14.3±12.1 mGy. The learning curve, best modelled by a second-order polynomial equation (single-level BKP): y=0.0404X

conclusionThe learning curve of BKP plateaus relatively early in a surgeon's experience, suggesting that the procedure's technical proficiency can be acquired rapidly. However, optimizing radiation exposure requires continued attention beyond the initial learning phase. This study is novel in describing a spine surgeon's learning curve performing BKP with an added value to every surgery performed well beyond the first 10-20 cases. PMMA leakage incidence did not change over surgical experience, suggesting a trade-off between vertebral PMMA filling versus the occurrence of an insignificant anterolateral or intradiscal PMMA leak. SYNONYMS: Balloon kyphoplasty (BKP); Polymethylmethacrylate (PMMA.

Indexed as

KyphoplastyLearning CurveSpinal FracturesAgedAged, 80 and overFemaleFluoroscopyHumansMaleMiddle AgedOperative TimeRadiation ExposureRetrospective StudiesBalloon kyphoplastyCompression fracturesLeakageLearning curveRadiation

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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.