Evaluation of Percutaneous Vertebroplasty for Management of Symptomatic Osteoporotic Compression Fracture
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Introduction: Osteoporotic vertebral compression fractures are a leading cause of disability and associated morbidities among Indian population. Worldwide, approximately 20% of elderly population above 70 years and 16% of postmenopausal women are suffering from it. Vertebral compression fractures should be aggressively treated with minimally invasive techniques such as Percutaneous Vertebroplasty (PVP) or Percutaneous Kyphoplasty (PKP) to minimize pain and disability associated with it. Aim: To evaluate the PVP in terms of pain reduction and restoration of functional abilities among the patients suffering from symptomatic osteoporotic vertebral compression fracture. Materials and Methods: PVP using polymethyl methacrylate bone cement was performed between 2011 to 2013, on 25 patients admitted for symptomatic osteoporotic vertebral compression fracture in the Department of Orthopaedics, Institute of Post Graduate Medical Education and Research (IPGMER) and SSKM Hospital, Kolkata, West Bengal, India. All of them were followed up for one year. Pain and disability were evaluated with Visual Analogue Scale (VAS) and Oswestry Disability Questionnaire (ODQ) score respectively. Repeated measures ANOVA with Bonferroni post-hoc test was applied for significance testing. Results: Reduction in pain was reported by 56% of patients within 10 minutes of operation. Mean VAS score at presentation was 8.24 (±1.16). It reduced to 6.31 (±1.21) and 2.38 (±0.08) at immediate postoperative period and after 12 months respectively. There was significant reduction (p<0.05) in pain, as measured by VAS score, started at immediate postoperative period to end of follow up period up to one year. Disability, measured by ODQ score, significantly decrease (p<0.05) over time from one week to 12-month postoperatively. At presentation, ODQ score was 93.01 (±4.54). It reduced to 76.84 (±3.76), one week after operation and 16.23 (±1.17), one year after operation. Conclusion: The PVP with polymethayl methacrylate bone cement is still a justified treatment procedure for osteoporotic vertebral compression fractures as it provides excellent pain relief, internal stability to the fractured vertebra thus preventing further collapse and progression of kyphosis, allowing the patients to regain normal activity at the earliest, and at a very reasonable cost with minimal complication.
Authors and Affiliations
arnab karmakar, suchi acharya, dibyendu Biswas, arkaprabha sau
Keywords
Related Articles
- EP ID EP360817
- DOI 10.7860/JCDR/2017/25886.10461
- Views 67
- Downloads 0
Angiolipoma-At a Rare Site
ABSTRACT Angiolipoma (AL), a subtype of lipoma, is a rare benign mesenchymal tumour. It is common in the extremities with rare occurrence in the oral cavity. In this case report, we present a case of non-infiltrating typ...
Estimation of Correlation between Chronological Age, Skeletal Age and Dental Age in Children: A Cross-sectional Study
Introduction: In the modern era, identification and determination of age is imperative for diversity of reasons that include disputed birth records, premature delivery, legal issues and for validation of birth certificat...
Clinical Efficacy and Safety on Combining 20% Trichloroacetic Acid Peel with Topical 5% Ascorbic Acid for Melasma
Introduction: Trichloroacetic Acid (TCA) is a versatile peeling agent for treatment of melasma. However, Post-Inflammatory Hyperpigmentation (PIH) is reported to be the most common side-effect associated with TCA peel. T...
A Prospective Study on Assessment of Rationality in Prescribing Antimicrobial Agents at a Tertiary Care Hospital
Abstract Introduction: Antimicrobial Agents (AMAs) rationality has become the most prevalent issue world wide as the irrational prescribing is leading to antimicrobial resistance. So, reporting interventions and identifi...
Idiopathic Tumoral Calcinosis – Rare Clinico Pathological Entity: A Report of Two Cases
Tumoral calcinosis is a rare disease reported mainly in blacks of tropical and subtropical African regions. It is characterized by tumour-like periarticular deposits of calcium that are found in the regions of the hip, s...