Combining physiotherapy with ballon kyphoplasty to treat osteoporotic vertebral compression fracture
- VernacularTitle:康复训练结合脊柱后凸成形术治疗骨质疏松性脊柱压缩型骨折的疗效观察
- Author:
Heng ZENG
;
Feng LI
;
Anmin CHEN
;
Fengjin GUO
- Publication Type:Journal Article
- Keywords:
Ostcoporosis;
Verterbral fracture;
Kyphoplasty;
Rehabilitation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2008;30(9):628-630
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effectiveness of balloon kyphoplasty combined with physiotherapy in the treatment of osteoporotic vetcrbral compression fractures (OVCFs). Methods A retrospective review was of 12 OVCF cases ( including 16 fracture vertebrae) treated with balloon kyphoplasty was performed. Each patient had also been treated with anti-osteoporotic medication and the Rehabilitation of Osteoporosis Program-Exercise (ROPE) protocol, and each had received a six-month follow-up visit. The following parameters were recorded before the operation and 1 day and 6 months afterward : fracture recurrence, the severity of pain before and after treatment, and the change of vertebral height. The severity of pain was evaluated by using a visual analogue scale (VAS). Results During the treatment, no complication or adverse event was found. The average VAS values preoperation, postoperation and at the 6-month follow-up were 7.6±1.3, 2.1±1.2 and 2.6±1.4, respectively. The average changes in vertebral height preoperation, postoperation and at the 6-month follow-up were 49.2±18% , 74.3 ±14% and 69.8±16% respectively. All of the measures evaluated improved noticeably after the combined treatment. Conclusion Balloon kyphoplasty combined with anti-osteoporotie medication and physiotherapy showed good effects in the treatment of osteoporotic veterbral compression fractures.
