The Clinical and Radiological Availability of Percutaneous Balloon Kyphoplasty as a Treatment for Osteoporotic Burst Fractures
Asian Spine Journal
;
: 9-14, 2008.
Article
in English
| WPRIM
| ID: wpr-109492
ABSTRACT
STUDY DESIGN:
We retrospectively assessed the results of percutaneous balloon kyphoplasty (KP) by clinical and radiological methods.PURPOSE:
To evaluate the outcome of KP as a treatment for osteoporotic burst fractures. OVERVIEW OF LITERATURE Many surgeons are concerned about the possibility of neurological complications after percutaneous kyphoplasty for osteoporotic burst fractures, secondary to intra-canal cement leakage.METHODS:
We performed KP as a treatment for osteoporotic burst fractures. We studied 12 patients/13 vertebrae. The two control groups consisted of patients who only underwent conservative treatment and those who underwent posterior instrumentation and fusion. We measured each preoperative/postoperative vertebral kyphotic deformity angle (KDA) using simple lateral spine images and checked for leakage of cement, as well. The preoperative/postoperative visual analog scale (VAS) scores for back pain, degree of daily activity, and postoperative complications were evaluated.RESULTS:
The mean improvement in KDA after KP was 9.7+/-2.2degrees. The mean preoperative and postoperative VAS scores for back pain were 8.3+/-0.4 and 3.1+/-0.17, respectively. Regarding the control group, the mean postoperative VAS score for the conservative group and the posterior surgery group decreased by 4.5+/-0.17 and 3.2+/-0.19, respectively. There was no statistically significant difference between the KP and posterior surgery groups (p=0.125). However, there was a statistically significant difference between the KP and conservative treatment groups (p=0.012).CONCLUSIONS:
KP is safe and useful for treating osteoporotic burst fractures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Spine
/
Congenital Abnormalities
/
Retrospective Studies
/
Back Pain
/
Kyphoplasty
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2008
Type:
Article
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