The Existence of Intravertebral Cleft Impact on Outcomes of Nonacute Osteoporotic Vertebral Compression Fractures Patients Treated by Percutaneous Kyphoplasty
| Autor: | Qi Shan Huang, Huazi Xu, Xiang-Yang Wang, Ai-Min Wu, Yong Long Chi, Zhong Ke Lin, Wen Fei Ni |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Compressive Strength medicine.medical_treatment Radiography Percutaneous vertebroplasty Disability Evaluation Fractures Compression medicine Humans Kyphoplasty Orthopedics and Sports Medicine Aged Pain Measurement Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Bone Cements Magnetic resonance imaging Retrospective cohort study Middle Aged Magnetic Resonance Imaging Spine Oswestry Disability Index Surgery Treatment Outcome Vertebral height cardiovascular system Spinal Fractures Female Neurology (clinical) Radiology Tomography X-Ray Computed business Osteoporotic Fractures Cement leakage |
| Zdroj: | Journal of Spinal Disorders & Techniques. 27:E88-E93 |
| ISSN: | 1536-0652 |
| Popis: | Study design A retrospective comparative study. Objective The purpose of this study is to assess radiologic features of intravertebral cleft (IVC) in nonacute osteoporotic vertebral compression fractures (OVCFs) patients, and analyze the existence of IVC impact on outcomes of percutaneous kyphoplasty (PKP). Summary of background data The IVC sign is regarded as vertebral instability and the cause of persisting pain. It is more likely to happen at nonacute OVCFs patients. Patients with IVC sign have different outcomes from these without IVC treated by percutaneous vertebroplasty. There were rare reports about the outcomes of patients with IVC sign treated by PKP. Materials and methods We divided 92 nonacute OVCFs patients (total of 113 vertebrae) into 2 groups according to the existence of IVC. Preoperative and postoperative Visual Analogue Scales, Oswestry Disability Index, kyphotic angulation (KA), and anterior vertebral height were recorded; the incidence and radiologic features of IVC were analyzed. Results The diagnostic sensitivity of IVC on plain radiograph, computed tomography, and magnetic resonance imaging were 35.4%, 89.3%, and 83.3%, respectively. The IVC group had an average correction KA of 9.14 degrees and reduction of ratio of compression of 20.09%, and the non-IVC group was 8.76 degrees and 20.23%, respectively. Cleft pattern of cement accounted for 64.6% in IVC group and 27.7% in non-IVC group. Five/7 of cement leakage in IVC group was intradiscal leakage, whereas 7/9 of cement leakage in non-IVC group was perivertebral leakage. Conclusions Computed tomography and magnetic resonance imaging were more sensitivity to diagnose IVC sign than X-ray. PKP could improve pain, functional activity, KA, and anterior height of both IVC and non-IVC groups, however, there was more cleft pattern of cement and higher intradiscal cement leakage in the IVC group. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|