[Translated article] Sagittal imbalance influences outcome of vertebroplasty in patients with osteoporotic vertebral compression fracture.

Autor: Cavanilles-Walker JM; Unidad Cirugía de Columna, Cirugía Ortopédica y Traumatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Rodriguez Montserrat D; Unidad Cirugía de Columna, Cirugía Ortopédica y Traumatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Plano Jerez X; Unidad Cirugía de Columna, Cirugía Ortopédica y Traumatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: xplanojerez@gmail.com., Iborra González M; Unidad Cirugía de Columna, Cirugía Ortopédica y Traumatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Ubierna Garcés MT; Institut Universitari Quirón-Dexeus, ICATME, Universitat Autònoma de Barcelona, Barcelona, Spain., Rios Guillermo J; Medical Statistics Core Facility, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clinic, Barcelona, Spain., Cuadras Collsamata P; Departamento de Radiodiagnóstico, Hospital Universitari Germans Trias i Pujol, Badalona, Spain., Càceres Palou E; Institut Universitari Quirón-Dexeus, ICATME, Universitat Autònoma de Barcelona, Barcelona, Spain., Pérez Andrés R; Departamento de Radiodiagnóstico, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2022 Sep-Oct; Vol. 66 (5), pp. T348-T354. Date of Electronic Publication: 2022 Jul 14.
DOI: 10.1016/j.recot.2022.07.004
Abstrakt: Background and Objectives: The correlation between sagittal balance of the spine and clinical outcome after vertebroplasty (VP) in patients with osteoporotic vertebral compression fractures (OVCF) is poorly investigated. We analysed the clinical outcome of patients with OVCF undergoing VP taking into account sagittal balance.
Methods: The primary endpoint was the change in axial back pain; disability and health-related quality of life using VAS, ODI and SF-36 respectively in correlation to the parameters that define sagittal balance (SVA). Radiographic assessment included full spine standing lateral films. Imaging and clinical data were collected pre and post procedure at 1, 3 and 12 months.
Results: Fifty-one patients were included presenting a total of 113 OVCF. Thirty patients (60.7%) had multiple OVCF. Comparing the evolution of VAS and ODI throughout the follow-up it does not seem that there are significant differences in their behaviour between the SVA>50mm and the SVA<50mm groups (p>0.05). On the contrary, preVP SF-36 scores showed worst results in the SVA>50mm group in the physical functioning section (PF) (p<0.05) and in the physical component score (PCS) (p<0.05). These differences were maintained until 3 months of follow-up in the case of the PCS and until the end of follow-up in the case of the PF (p<0.05).
Conclusions: Patients with a SVA>50mm showed a slower recovery of their quality of life after VP for OVCF, but without significant differences with respect to pain or disability, when compared with patients with SVA<50mm.
(Copyright © 2021 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: