Selective transpedicular balloon kyphoplasty in treatment of osteoporotic thoracolumbar multi-vertebral compressive fractures:preliminary experience in 21 cases
- VernacularTitle:后凸成形术对老年多椎体骨质疏松压缩骨折的选择治疗21例观察
- Author:
Lin WANG
;
Huiren TAO
;
Zhuojing LUO
- Publication Type:Journal Article
- Keywords:
osteoporosis;
spine;
fracture;
kyphoplasty
- From:
Orthopedic Journal of China
2006;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To evaluate the effect of selective kyphoplasty in treatment of osteoporotic thoracolumbar multi-vertebral compressive fractures based on preoperative magnetic resonance imaging(MRI).[Method]Twenty-one cases(fifty-seven vertebral bodies) of osteoporotic thoracolumbar multi-vertebral compressive fractures were treated from June 2003 to December 2006.The signal changes in different sequences were confirmed by preoperative MRI.Based on the MRI signal changes,57 vertebral bodies were treated by selective kyphoplasty.Normal balloon pressure and cement volume were performed for the painful vertebral bodies and lower pressure and cement volume were preferred for the vertebral bodies with old fracture.[Result]All patients tolerated the operation well with immediate relief of their back pain in 24 hours.The mean height of the anterior,media and posterior vertebral bodies were(1.7?0.9)cm,(1.7?0.7)cm,(2.5?0.9)cm preoperatively and(2.2?0.4)cm,(2.4?0.6)cm,(2.6?0.3)cm postoperatively.The mean kyphosis was improved from(33.7?10.9) degrees to(25.9?9.3) degrees(P
