Efficacy of a Novel Vertebral Body Augmentation System in the Treatment of Patients with Symptomatic Vertebral Body Fractures
| Autor: | Joshua A Hirsch, Alessio Spinelli, Stefano Marcia, Mariangela Marras, Emanuele Piras, Luca Saba, Alessio Mereu |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Vertebral Body Visual analogue scale Osteoporosis 030218 nuclear medicine & medical imaging Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Lumbar Quality of life Humans Medicine Radiology Nuclear Medicine and imaging Longitudinal Studies Prospective Studies Clinical Investigation Prospective cohort study Aged Aged 80 and over business.industry Prostheses and Implants Vertebral body fractures Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Oswestry Disability Index Vertebral body Treatment Outcome Vertebral body augmentation Quality of Life Spinal Fractures Female Implant Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Osteoporotic Fractures 030217 neurology & neurosurgery |
| Zdroj: | Cardiovascular and Interventional Radiology |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s00270-020-02658-4 |
| Popis: | Purpose To evaluate the safety and efficacy of a novel augmentation implant in the treatment of patients with symptomatic vertebral body fractures. Materials and Methods Thirty consecutive patients (seven males and 23 females), mean age of 70 years (range 56 to 89) with osteoporotic fractures and/or low-energy trauma fractures (osteoporosis confirmed by CT), were enrolled in an IRB-approved prospective study. The type of fracture was classified according to the Magerl classification. The patients were treated with the Tektona® dedicated vertebral body augmentation system. Visual analogue scale (VAS) and Oswestry Disability Index (ODI) scores were obtained after 1, 6 and 12 months. Quality of life was assessed with the SF36 score. Results A total of 37 vertebral bodies, mostly from T6 to L5, were treated in the 30 enrolled patients. In 67.6% of the cases (n = 25), lumbar fractures were treated. Most of the fractures (43%; n = 16) were A1.1 according to the Magerl classification. A significant pain reduction evaluated by VAS scores (p p p Conclusion Patients with confirmed osteoporosis, suffering from symptomatic vertebral body fractures (osteoporotic and/or low-energy traumatic), were treated safely and effectively using this novel implant. |
| Databáze: | OpenAIRE |
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