Using MRI to Determine Painful Vertebrae to be Treated by Kyphoplasty in Multiple-Level Vertebral Compression Fractures: A Prospective Study
| Autor: | Tang Ts, Gang Wang, Niu Gq, Hiltner E, Liu Jy, Meng B, Huilin Yang, Guo Jj |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Pain Inversion recovery Biochemistry Fractures Compression medicine Humans In patient Prospective Studies Prospective cohort study Aged Pain Measurement Aged 80 and over Vertebroplasty medicine.diagnostic_test business.industry Biochemistry (medical) Magnetic resonance imaging Cell Biology General Medicine Middle Aged Compression (physics) Magnetic Resonance Imaging Spine Visual analogue pain scale Oswestry Disability Index Radiography Vertebral body Treatment Outcome Spinal Fractures Female Radiology business Nuclear medicine |
| Zdroj: | Journal of International Medical Research. 36:1056-1063 |
| ISSN: | 1473-2300 0300-0605 |
| DOI: | 10.1177/147323000803600524 |
| Popis: | A prospective study in 35 osteoporotic patients with 120 multiple-level vertebral compression fractures (VCFs) assessed the use of magnetic resonance imaging (MRI) to determine painful vertebrae for treatment with kyphoplasty (KP). A total of 51 vertebrae were identified as painful and selected for KP based on changes in MRI signal intensity between T1-weighted, T2-weighted and short tau inversion recovery MRI. Efficacy was assessed by the mean change in anterior/middle vertebral body height, Cobb's angle, a visual analogue pain scale and the Oswestry Disability Index at pre-operative, post-operative and final follow-up assessments. Significant improvements in all efficacy measures were observed at the post-operative versus pre-operative assessments; no significant differences were observed between post-operative and final follow-up assessments. It is concluded that painful vertebrae can be determined by MRI signal intensity changes and their selection for KP can improve outcomes in patients with multiple-level VCFs. |
| Databáze: | OpenAIRE |
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