Eficacy evaluation of percutaneous vertebroplasty combined with preprocedure orthopaedic positioning

Dr Bui Van Giang1, Dr Nguyen Duy Thang1
1 Saint Paul Hospital

Main Article Content

Abstract

Purpose: To evaluate the effectiveness of Percutaneous vertebroplasty 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 produc e, 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 proportion of stem height increased after treatment was 21.7% average, 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 < 0.05). 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.

Article Details

References

1. Cummings, S.R. and L.J. Melton (2002), Epidemiology and outcomes of osteoporotic fractures,Lancet, 359(9319): p. 1761-7.
2. Reginster, J.Y. and N. Burlet (2006), Osteoporosis: a still increasing prevalence, Bone, 38(2 Suppl 1): p. S4-9.
3. Cotten, A., et al. (1998), Percutaneous vertebroplasty: state of the art, Radiographics, 18(2): p. 311-20; discussion 320-3.
4. Grados, F., et al. (2000), Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty, Rheumatology (Oxford), 39(12): p. 1410-4.
5. Teng, M.M., et al. (2003), Kyphosis correction and height restoration effects of percutaneous vertebroplasty, AJNR Am J Neuroradiol, 24(9): p. 1893-900.
6. 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.
7. 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.
8. McKiernan, F., R. Jensen, and T. Faciszewski (2003), The dynamic mobility of vertebral compression fractures, J Bone Miner Res, 18(1): p. 24-9.
9. Lieberman, I.H., et al. (2001), Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures, Spine (Phila Pa 1976), 26(14): p. 1631-8.
10. 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.