Improved Quality of Life after Percutaneous Vertebroplasty for Osteoporotic Vertebral Body Compression Fractures in the Elderly

ABSTRACT

OBJECTIVE: The purpose of this study is to assess the improvement of quality of life after percutaneous vertebroplasty for osteoporotic vertebral body compression fractures in the elderly. METHODS: Between September 1999 and September 2002, 30 patients underwent 41 percutaneous vertebroplasties for osteoporotic vertebral body (17 thoracic, 24 lumbar). The mean age was 72.9 years (range, 64-78 years) and mean follow-up period was 13.2 months (range, 6-35 months). Visual Analog Scale (VAS) scores, ambulatory status, and sleep status were determined by questionnaires. RESULTS: Twenty-eight patients (93.3%) had marked or complete pain relief immediately after procedure. The mean VAS score was 7.7 preoperatively, 2.3 at 48 hours, and 1.5 at 6 months follow-up (p<0.01). Analgesic consumption was reduced immediately and at 6 months follow-up in 28 patients (93.3%). Twenty-six patients (86.7%) slept more comfortably without analgesics (p<0.01) and 24 patients (80.0%) were fully ambulated at 6 months follow-up (p<0.05). Overall, 90% of the patients were satisfied with the results of the procedures and 10% reported no change. There were no significant complications related to the procedures. CONCLUSION: Vertebroplasty is safe and effective procedure to treat osteoporotic vertebral body compression fractures in the elderly. Vertebroplasty not only works to help stabilize spinal fractures but also helps to alleviate pain and improve the patient's quality of life.