Comparison of Outcomes of Conservative Treatment, Early Vertebroplasty, and Delayed Vertebroplasty in Patients with Osteoporotic Vertebral Compression Fractures.
10.4184/jkss.2016.23.3.139
- Author:
Se Hyuk IM
1
;
Young Joon AHN
;
Bo Kyu YANG
;
Seung Rim YI
;
Ye Hyun LEE
;
Ji Eun KWON
;
Jong Min KIM
Author Information
1. Department of Orthopeadic Surgery, National Police Hospital, Seoul, Korea. osahnyj@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Fractures;
Compression;
Osteoporosis;
Vertebroplasty
- MeSH:
Follow-Up Studies;
Fractures, Compression*;
Humans;
Incidence;
Methods;
Osteoporosis;
Retrospective Studies;
Vertebroplasty*;
Visual Analog Scale
- From:Journal of Korean Society of Spine Surgery
2016;23(3):139-145
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Retrospective study. OBJECTIVES: To compare the treatment outcomes of conservative treatment, early vertebroplasty (EVP), and delayed VP (DVP) of patients with osteoporotic compression fractures. SUMMARY OF LITERATURE REVIEW: VP is regarded as an effective treatment for osteoporotic compression fractures. Few studies have compared the outcomes of each of the following treatments: conservative treatment, EVP, and DVP. MATERIALS AND METHODS: A total of 202 patients who presented with thoracolumbar osteoporotic vertebral compression fractures between January 2008 and December 2013 were divided into three groups: group 1 (conservative treatment), group 2 (VP within three weeks), and group 3 (VP after three weeks). We compared the collapse rate and the visual analog scale (VAS) score immediately after the trauma and at the 1-week, 3-week, 6-week, and 1-year follow-ups. RESULTS: The three abovementioned groups consisted of 89 patients, 60 patients, and 53 patients, respectively. The bone mass density (BMD) score of group 1 was statistically significantly higher than that of the others (p<0.05). In group 2, the average VAS score was high immediately after the trauma and low at the 1-year follow-up. Only group 2 showed a significantly high vertebral compression rate immediately after the trauma (p<0.05). Although there were no statistically significant differences in the incidence between the adjacent and the non-adjacent vertebral compression fractures, more patients underwent additional VP in groups 2 and 3 (p=0.980). CONCLUSION: The treatment method of performing EVP seems to yield the best clinical outcomes for patients with osteoporotic compression fractures who exhibit a relatively low BMD, high collapse rate, and high VAS score. Conservative management is the treatment of choice for osteoporotic compression fracture patients with a relatively high BMD, low collapse rate, and low VAS score.
