Selectivity and individualization of transpedicular balloon kyphoplasty for aged osteoporotic spinal fractures / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 174-178, 2005.
Artículo
en Chino
| WPRIM
| ID: wpr-343744
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the selectivity and individualization of transpedicular balloon kyphoplasty for aged osteoporotic spinal fracture.</p><p><b>METHODS</b>Twenty-two consecutive procedures were performed in 17 aged patients with osteoporotic spinal compression fractures from April 2002 to June 2004. The signal changes in different sequences were confirmed by magnetic resonance imaging before the procedures. This operation involved the percutaneous insertion of two inflatable bone tamps into a fractured vertebral body transpedicularly under fluoroscopic guidance. Every patient was treated individually, according to the results of radiography and CT scan before operation. Preoperative and postoperative complications, visual analogue scale, and radiographic findings such as vertebral height and Cobb angle were recorded and analyzed.</p><p><b>RESULTS</b>All patients tolerated the procedure well with immediate relief of their back pain in 24 hours. There was no leakage of cement into the epidura. The mean loss percent of the anterior and middle vertebral heights were (35.32 +/- 13.15)% and (27.53 +/- 12.61)% before operation, and (14.21 +/- 12.43)% and (16.2 +/- 7.5)% after operation. The height restoration of vertebra was confirmed by X-ray after the procedure (P < 0.01). The mean kyphosis was improved from (25.3 +/- 4.2) degrees to (8.6 +/- 5.1) degrees. No complications occurred. No patient had nerve injury. The patients were allowed to walk next day after the procedure.</p><p><b>CONCLUSION</b>The selectivity and individualization of transpedicular balloon kyphoplasty for aged osteoporotic spinal fractures has satisfactory short-term clinical efficacy. It is also an effective way to prevent complications.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Osteoporosis
/
Cirugía General
/
Osteoporosis Posmenopáusica
/
Fracturas de la Columna Vertebral
/
Procedimientos Quirúrgicos Mínimamente Invasivos
/
Fijación Interna de Fracturas
/
Fracturas Espontáneas
/
Cifosis
/
Métodos
Tipo de estudio:
Guía de Práctica Clínica
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Acta Academiae Medicinae Sinicae
Año:
2005
Tipo del documento:
Artículo
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