The clinical and radiological availability of percutaneous balloon kyphoplasty as a treatment for osteoporotic burst fractures.
| Autor: | An KC; Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea., Kang S, Choi JS, Seo JH |
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| Jazyk: | angličtina |
| Zdroj: | Asian spine journal [Asian Spine J] 2008 Jun; Vol. 2 (1), pp. 9-14. Date of Electronic Publication: 2008 Jun 30. |
| DOI: | 10.4184/asj.2008.2.1.9 |
| Abstrakt: | 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+/-2.2 degrees . 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. |
| Databáze: | MEDLINE |
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