The Differences of Radiological Results after Percutaneous Vertebroplasty according to the Degree of Preoperative Canal Encroachment due to Bony Fragments / 대한신경손상학회지
Korean Journal of Neurotrauma
; : 15-20, 2012.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-127995
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
Anterior wedge compression fractures and burst fractures have different clinical features, treatment methods and risks of neurologic deficits. The aim of this study was to evaluate the radiological differences and postoperative risk due to cement leakage after vertebroplasty.METHODS:
From January 2007 to December 2008, we retrospectively analyzed the radiological features of 43 patients. We divided the patients into three groups by the degree of the displaced bony fragments into the spinal canal. The change of the compression ratio, the kyphotic angle, the presence of cement leakage and the occurrence of major complications were investigated.RESULTS:
The immediately postoperative improvement of the compression ratio was significantly better in the anterior wedge compression fracture group than that in the burst compression group (p-value 0.022). Cement leakage was more common in the burst fracture group even though this was not statistically significant (p-value 0.114), but cement leakage into spinal canal did not occur. There was no major complication, including embolism and additional neurologic deficit, after vertebroplasty in all the patients.CONCLUSION:
Vertebroplasty was the more effective method for treating an anterior wedge fracture than a burst fracture, and especially for achieving an improved compression ratio. Even though the risk of cement leakage may be higher for a burst fracture, vertebroplasty may be also carefully applied to burst fracture patients with no neurologic deficits at admission.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Canal Medular
/
Compressão da Medula Espinal
/
Estudos Retrospectivos
/
Embolia
/
Fraturas por Compressão
/
Vertebroplastia
/
Manifestações Neurológicas
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Neurotrauma
Ano de publicação:
2012
Tipo de documento:
Artigo