KYPHOPLASTY IN THE TREATMENT OF PAINFUL OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES
Journal Title: Journal of Turkish Spinal Surgery - Year 2012, Vol 23, Issue 4
Abstract
Introduction: The treatment algorithm for osteoporotic vertebral compression fractures (OVCFs) has completely transformed with the inclusion of kyphoplasty in the surgical routine. The objective of this work is to review the clinical and radiological outcomes of kyphoplasty in the treatment of OVCF. Materials & Methods: 55 patients suffering from 70 OVCFs were treated with kyphoplasty between 2002 and 2011. Anterior, middle and posterior height losses and kyphosis changes were radiologically investigated, and the VAS and ASIA scores were reviewed. Results: The mean duration of the phenomena was 69.3 days. The mean VAS scores were found to be 7.2 ± 0.8 preoperatively, and 1.2 ± 1.1 postoperatively (p<0.05). The vertebral body height restoration was found to be 39.4 ± 25.6%, 50.7 ± 23.2% and 46.1 ± 34.8%, in the anterior, middle and posterior parts of the vertebrae, respectively (p<0.05). Cement leakage was observed at 16 (22.8%) levels following PMMA injection, and a significant relationship was found between cement leakage and the amount of cement applied (p<0.05). Acute fractures showed significantly better vertebral body height restoration than subacute cases (p<0.05). Conclusion: Kyphoplasty is an effective treatment for OVCF. A bilateral approach was not superior to a unilateral approach in terms of the management of pain. Early kyphoplasty is one of the most important factors affecting restoration. Aggressive cement injection should be avoided.
Authors and Affiliations
Mehmet Reşid ÖNEN, Mesut YILMAZ
Keywords
Related Articles
- EP ID EP676736
- DOI -
- Views 128
- Downloads 0
HUMAN MESENCHYMAL STEM CELL THERAPY IN THORACIC SPINAL CORD INJURY AND EVALUATION OF THE RESULTS-AN EXPERIMENTAL STUDY IN RATS
Objective: The aim of this study is to investigate the hyper-acute and acute effects of mesenchymal stem cell (MSC) therapy on traumatic spinal cord injury (SCI) in an experimental animal model. Materials and Methods...
VERTICAL EXPANDABLE PROSTHETIC TITANIUM RIB (VEPTR) TECHNIQUE FOR THE TREATMENT OF PROGRESSIVE EARLY ONSET SCOLIOSIS
The progression of early onset scoliosis has a negative effect on the visceral organs, respiratory system, and normal spinal growth, and so treatment should be begun as soon as possible. Reports have shown that after ear...
LAMÎNOPLASTIES
During the last six months, six patients having different spt'nal diseases were operaied by using opert door laminoplasty method, the lamînas were reestablished with mini plaques. One case with servicai spondylotic myelo...
LUMBAR SPINAL CANAL STENOSIS İN OSTEOPOIKILOSIS (CASE REPORT)
Osteopoikilosis is a rare form of bone displasia which is usually an incidental radiological finding. The dis-ease has typical radiological findings and generally does not reçuire treatment; however, in the recent years,...
SSI AND GALVESTON PROCEDURES FOR CORRECTION AND STABILIZATION OF NEUROMUSCULAR SCOLIOSIS
Betvveen 1986 and 1993, spine fusions were performed by SSI-Galveston method in 5 patients with severe pelvic obliquity and by SSI method in the remaining 6 of 11 patients ali of whom had neuromuscular scoliosis. 8 (73%)...