Patient Experience Following Kyphoplasty: Safety, Efficacy, and Patient Satisfaction
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 10, Issue 1
Abstract
Aims: Kyphoplasty is a minimally invasive treatment used to reduce pain, restore vertebral height and improve mobility in patients with painful spinal VCF. Pain from vertebral compression fractures (VCF) comprises an important health issue with significant social and economic impact, particularly in elderly patients with osteoporosis where treatment options are limited. We assessed outcomes in patients with VCF who failed conservative management and underwent kyphoplasty. Study Design: Prospective and retrospective case series. Place and Duration of Study: At a single neurosurgical practice February 2003 and September 2012. Methodology: A total of 203 patients with 288 treated vertebral body fractures treated with kyphoplasty were enrolled. The Visual Analog Scale (VAS) was used to prospectively measure back pain before and after surgery. Pre and post operative disability and quality of life were retrospectively measured with the Roland Morris Disability Index (RMDI) and EuroQol 5-Domain scale (EQ5D), respectively, via patient survey. Pre and post-operative narcotic analgesic usage and incidence of subsequent fractures were recorded. Results: There was a statistically significant improvement (P < .001) in each of the assessed measures following surgery. The post-operative rate of narcotic use was reduced from 63% to 17%. Eight patients (4.2%) developed and underwent repair of an adjacent fracture with a mean time between surgeries of 461 days. Conclusion: Following kyphoplasty, patients experienced significant, rapid, and sustained reduction of back pain, improved quality of life, and reduced disability with a low complication rate. Timely repair of VCF is indicated, not only to prevent complications associated with prolonged inactivity but also for effective treatment of severe pain in the acute setting.
Authors and Affiliations
Kimberly P. Kicielinski, Patrick R. Pritchard, Henry Ruiz, Daxa M. Patel, Frank J. Crisona, R. Shane Tubbs, M. R. Chambers
Keywords
Related Articles
- EP ID EP348209
- DOI 10.9734/BJMMR/2015/19370
- Views 58
- Downloads 0
Subtherapeutic INR in a Patient on Warfarin Therapy after Discontinuation of Lomustine
Aims: To report a case of a potential drug interaction between warfarin and lomustine that may have led to a subtherapeutic International Normalized Ratio (INR) and to inform health care providers of a need for more freq...
Vitamin A Status of Steady State Sickle Cell Anaemia Patients Compared to Normal Control in Maiduguri North Eastern Nigeria
Sickle cell anaemia is an inherited disorder of haemoglobin characterized by sickled red blood cells and increased destruction of these cells. Antioxidants protect cells from the damaging effects of free radicals. The ai...
Gouty Tophi in Lumbar Region that Mimicked Chondrosarcoma, a Case Report
Aims: To report a case of tophaceous gout in the lumbar spine with atypical imaging presentation, mimicking a chondrosarcoma and to discuss the differential diagnosis, illustrate the pathological aspects and surgical man...
Papillary Thyroid Cancer: A Histopathological Review in Accra, Ghana
There is paucity of information on papillary thyroid cancer (PTC) in Ghana. The aim of this study was to determine the relative proportions of thyroid malignancies diagnosed in our institution that were PTC, the trend an...
Bioceramic Technology in Endodontics
Bioceramics include ceramic materials specifically designed for use in medicine and dentistry. These materials are mainly alumina, zirconia, bioactive glass, glass ceramics, coatings, composites, hydroxyapatite and resor...