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 151
- Downloads 0
LUMBAR DISC HERNIATION
Lumbar discectomy is one of the most successfull operations in a carefully selected patient with radiculopathy pain. But, in an inappropiate patient, the result is disappointing. Life time prevelance of low back pain in...
THE HISTORY OF VERTEBRAL FRACTURES
In this review, the development of the history of vertebral fractures and biomechanics is presented.
THE MANAGEMENT OF DEROTATIONAL EFFECT OF COTREL-DUBOUSSET INSTRUMENTATION WITH COMPUTERIZED AXIAL TOMOGRAPHY
There is a general acceptance that primary few surgical techniques aims at the improvement of the rotation de- ' formity. C-D instrumentation makes this improvement with its three dimensional correction. The rotation...
THE USE OF TRANSPEDICULAR INTERNAL FIXATOR IN THE UNSTABLE THORACOLUMBAR VERTEBRAL FRACTURES
Transpedicular internal fixation is used in six unstable thoracolumbar vertebral fractures in our department between My 1989 and December 1989. Operation was performed under image intensifier control. Early mobilitazion...
RECENT ADVENCES IN ETILOGY OF IDOPATHIC SCOLIOSIS
Although idiopathic scoliosis is basically defined as lateral deviation of vertebral column, regarding the data acquired during last 30 years, it is defined as a three dimensional deformity characterized by deformation o...