Eficacy evaluation of percutaneous vertebroplasty combined with preprocedure orthopaedic positioning
Main Article Content
Abstract
SUMMARY
Purpose: To evaluate the effectiveness of Percutaneous ertebroplasty combined preprocedure orthopaedic positioning in
treating fresh vertebral compression fractures.
Methods: From January 2012 to May 2014, the data of 31 patients (23 females, 8 males; mean age, 72 years) with new vertebral compression fractures were prospectively and retrospectively analyzed. At least 6h before vertebroplasty produce, the patients were positioned to straighten the vertebral column. The radiographies of spinal column is face and lateral view before and post produce were analyzed to evaluate the vertebral body height, as well as scoliosis. Effectiveness of pain-relief was evaluated based on Visual Analog Scale (VAS).
Results: The body height vertebral of compression fractures in these patients was improved by a mean of 56.2%. We achieved a
mean improvement of the wedge angle 5.9o and the cobb angle 4,90 (p < .05). The VAS score is significantly improved (mean 7,8 before and 1,6 after procedure, p < 0,05).
Conclusions: The combination between pre-procedure positioning and vertebroplasty brought good results in pain relief and height of vertebral body with low price.
Article Details
Keywords
Percutaneous vertebroplasty,, Kyphoplasty, Vertebroplasty versus Kyphoplasty, Vertebral body height in vertebropasty
References
1. Cummings, S.R. and L.J. Melton (2002), Epidemiology and outcomes of osteoporotic fractures, Lancet, 359(9319): p. 1761-7.
2. Melton, L.J., 3rd (2003), Adverse outcomes of osteoporotic fractures in the general population, J Bone Miner Res, 18(6): p. 1139-41.
3. Reginster, J.Y. and N. Burlet (2006), Osteoporosis: a still increasing prevalence, Bone, 38(2 Suppl 1): p. S4-9.
4. Cotten, A., et al. (1998), Percutaneous vertebroplasty: state of the art, Radiographics, 18(2): p. 311-20; discussion 320-3.
5. Chen, Y.J., et al. (2012), Significance of dynamic mobility in restoring vertebral body height in vertebroplasty, AJNR Am J Neuroradiol, 33(1): p. 57-60.
6. Hiwatashi, A., et al. (2003), Increase in vertebral body height after vertebroplasty, AJNR Am J Neuroradiol, 24(2): p. 185-9.
7. McKiernan, F., R. Jensen, and T. Faciszewski (2003), The dynamic mobility of vertebral compression fractures, J Bone Miner Res, 18(1): p. 24-9.
8. Chen, Y.J., et al. (2011), The value of dynamic radiographs in diagnosing painful vertebrae in osteoporotic compression fractures, AJNR Am J Neuroradiol, 32(1): p. 121-4.
9. Dublin, A.B., et al. (2005), The vertebral body fracture in osteoporosis: restoration of height using percutaneous vertebroplasty, AJNR Am J Neuroradiol, 26(3): p. 489-92.
10. Bouxsein, M.L. and H.K. Genant (2010), The Breaking Spine, International Orienteering Federation.