Outcome Comparison between Percutaneous Vertebroplasty and Conservative Treatment in Acute Painful Osteoporotic Vertebral Compression Fracture
Journal of Korean Society of Spine Surgery
;
: 70-75, 2014.
Article
Dans Coréen
| WPRIM
| ID: wpr-95520
ABSTRACT
STUDY DESIGN:
A retrospective comparative study.OBJECTIVES:
To compare the outcome of percutaneous vertebroplasty (VP) and conservative treatment for the treatment of acute painful osteoporotic vertebral compression fractures (VCF). SUMMARY OF LITERATURE REVIEW Vertebroplasty is a common procedure for the treatment of acute painful osteoporotic VCF. However, controversy still exists regarding clinical outcomes of the procedure compared with more conservative treatment. MATERIAL ANDMETHODS:
A consecutive group of patients, undergoing VP and conservative treatment at our hospital, between July 2005 and October 2008, were reviewed retrospectively. All patients were reviewed with at least 1 year of follow up. A total of 58 patients underwent 59 VP procedures under local anesthesia at post injury 2 weeks; a total of 31 underwent conservative treatment. These two groups were compared by the kyphotic angle and loss of vertebral body height at immediate post-injury, post-injury 6weeks and 1y ear, radiologically. And they were compared by the visual analog scale(VAS) score and ambulatory status at the same time, clinically.RESULTS:
At the time of immediate post-injury, six weeks after post-injury, one year after injury, height loss was 29.73%, 19.81%, 22.59% in the VP group, respectively, and 31.20%, 36.80%, 40.60% in the conservative treatment group, respectively. The Kyphotic angles were 13.44degrees, 9.10degrees, 11.31degrees in VP group, respectively, and 10.29degrees, 15.83degrees, 19.00degrees in the conservative treatment group, respectively. There was a statistically significant reduction of height loss and kyphotic angle in VP group at post-injury of 6 weeks and 1 year(p0.05).CONCLUSIONS:
VP prevents further collapse and kyphosis relieves pain quickly and allows early ambulation, but in post-injury 1 year follow up, there was no significant difference in clinical outcomes. Proper treatment should be done with respect to patient's age, general condition, economic status and complication.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ostéoporose
/
Rachis
/
Taille
/
Études rétrospectives
/
Études de suivi
/
Marche à pied
/
Oreille
/
Lever précoce
/
Fractures par compression
/
Vertébroplastie
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2014
Type:
Article
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