Percutaneous Vertebroplasty versus Conservative Treatment for One Level Thoracolumbar Osteoporotic Compression Fracture: Results of an Over 2-Year Follow-up
- Authors
- Yi, Ho Jun; Jeong, Je Hoon; Im, Soo Bin; Lee, Jung Kil
- Issue Date
- Jul-2016
- Publisher
- American Society of Interventional Pain Physicians
- Keywords
- Osteoporosis; compression fracture; vertebroplasty; osteoplasty; comparative study; thoracic spine; lumbar spine; polymethylmethacrylate (PMMA)
- Citation
- Pain Physician, v.19, no.5, pp E743 - E750
- Journal Title
- Pain Physician
- Volume
- 19
- Number
- 5
- Start Page
- E743
- End Page
- E750
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8995
- ISSN
- 1533-3159
2150-1149
- Abstract
- We retrospectively compared the clinical and radiological results of percutaneous vertebroplasty with those of conservative treatment in the management of thoracolumbar osteoporotic compression fractures. Sixty-five patients who could be followed up for more than 2 years with thoracic and lumbar spine osteoporotic compression fractures, between January 2005 and October 2010, were reviewed. The patients were divided into 2 groups according to the type of management: group 1, non-operated group treated conservatively; group 2, operated group that underwent percutaneous vertebroplasty. We assessed the clinical and radiological changes at postoperative and follow-up periods in both groups. The male-to-female ratio and mean age of the patients were 11: 54 and 73.04 years (range, 50 - 90 years), respectively. The location and number of treated vertebrae were as follows: T4 = 1, T6 = 1, T7 = 3, T8 = 1, T9 = 2, T10 = 1, T11 = 8, T12 = 11, L1 = 17, L2 = 10, L3 = 6, L4 = 3, and L5 = 1. The mean T-score was -3.37. The overall VAS score and the VAS score until 6 months post-injury were statistically more improved in group 2 than in group 1 (P < 0.05 and P < 0.005, respectively). Overall, the compression ratio was statistically more improved in group 2 than in group 1 (P < 0.05). Early pain control and restoration of the compressed vertebral body are the beneficial and real effects of percutaneous vertebroplasty in patients with thoracolumbar osteoporotic compression fractures.
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