Stentoplasty effectiveness and safety for the treatment of XXXX : a systematic review.

@entity1 @entity3604 @entity174 @entity1513 @entity158 @entity393
To assess the effectiveness and safety of stentoplasty in @entity1 with @entity3604 . A systematic search of databases including MEDLINE, EMBASE and Cochrane library, between others, was conducted to June 9, 2014. Clinical trials and observational studies that included alive adults with @entity3604 and the comparators were the intervention himself, vertebroplasty or balloon kyphoplasty were selected. Quality of evidence was graded according to the GRADE approach. Two review authors independently selected studies, assessed risk of bias and extracted data. Forty-two citations were identified during the search. After removing duplicates, five studies were included: two clinical trials and three observational studies. Stentoplasty, showed higher rate of adverse events related to material (P=0.043) and cuff pressure (P=0.014) in comparison to kyphoplasty. There was no difference between two procedures in terms of @entity1513 , time of exposure to radiation or postoperative loss of cement. Stentoplasty in comparison to vertebroplasty, showed an improvement of restoration of vertebral height (P=0.042), @entity1513 correction and volume of bone cement. No differences were found between two procedures in terms of @entity393 . Based on observational studies, stentoplasty improved vertebral height, @entity158 at 6 and 12months follow-up, and corrected the angle @entity174 in @entity1 with osteoporotic vertebral body. Stentoplasty was presented as a safe procedure in short-medium term, with a low complication rate, a @entity174 lower rates. Stentoplasty improves vertebral height, reduces the @entity158 and correct the vertebral angle in @entity1 with @entity3604 with minimum adverse events. Stentoplasty is comparable to kyphoplasty in terms of correction of @entity1513 , time of exposure to radiation and cement postoperative loss, and comparable to vertebroplasty in terms of restoration of vertebral height correction and bone cement volume. LEVEL OF EVIDENCE: Level II systematic review.
