Percutaneous Vertebroplasty versus Conservative Treatment for One Level Thoracolumbar Osteoporotic Compression Fracture: Results of an Over 2-Year Follow-up

被引:8
作者
Yi, Ho Jun [1 ]
Jeong, Je Hoon [2 ]
Im, Soo Bin [2 ]
Lee, Jung Kil [3 ]
机构
[1] Hallym Univ, Dongtan Sacred Heart Hosp, Dept Neurosurg, Hwaseong, South Korea
[2] Soon Chun Hyang Univ, Bucheon Hosp, Dept Neurosurg, 170 Jomaru Ro, Bucheon Si 420767, Gyeonggi Do, South Korea
[3] Chonnam Natl Univ Hosp, Dept Neurosurg, Gwangju, South Korea
关键词
Osteoporosis; compression fracture; vertebroplasty; osteoplasty; comparative study; thoracic spine; lumbar spine; polymethylmethacrylate (PMMA); VERTEBRAL FRACTURES; RANDOMIZED-TRIAL; OLDER WOMEN; MORTALITY; MANAGEMENT;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We retrospectively compared the clinical and radiological results of percutaneous vertebroplasty with those of conservative treatment in the management of thoracolumbar osteoporotic compression fractures. Sixty-five patients who could be followed up for more than 2 years with thoracic and lumbar spine osteoporotic compression fractures, between January 2005 and October 2010, were reviewed. The patients were divided into 2 groups according to the type of management: group 1, non-operated group treated conservatively; group 2, operated group that underwent percutaneous vertebroplasty. We assessed the clinical and radiological changes at postoperative and follow-up periods in both groups. The male-to-female ratio and mean age of the patients were 11: 54 and 73.04 years (range, 50 - 90 years), respectively. The location and number of treated vertebrae were as follows: T4 = 1, T6 = 1, T7 = 3, T8 = 1, T9 = 2, T10 = 1, T11 = 8, T12 = 11, L1 = 17, L2 = 10, L3 = 6, L4 = 3, and L5 = 1. The mean T-score was -3.37. The overall VAS score and the VAS score until 6 months post-injury were statistically more improved in group 2 than in group 1 (P < 0.05 and P < 0.005, respectively). Overall, the compression ratio was statistically more improved in group 2 than in group 1 (P < 0.05). Early pain control and restoration of the compressed vertebral body are the beneficial and real effects of percutaneous vertebroplasty in patients with thoracolumbar osteoporotic compression fractures.
引用
收藏
页码:E743 / E750
页数:8
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