Percutaneous Vertebroplasty: Short-term Results of 38 Cases.
10.4055/jkoa.2002.37.4.471
- Author:
Whoan Jeang KIM
1
;
Jin Sup YEOM
;
Jong Won KANG
;
Kyou Hyeun KIM
;
Byung Sung KIM
;
Chang Soo RYU
;
Kyoung Jin PARK
;
Youn Moo HUR
;
Won Sik CHOY
Author Information
1. Department of Orthopedic Surgery, Eulji University School of Medicine, Daejon, Korea. ortho@hananet.net
- Publication Type:Original Article
- Keywords:
Spine;
Vertebra;
Fracture;
Osteoporosis;
Cement;
Vertebroplasty
- MeSH:
Follow-Up Studies;
Fractures, Compression;
Humans;
Osteoporosis;
Postoperative Period;
Retrospective Studies;
Spine;
Vertebroplasty*
- From:The Journal of the Korean Orthopaedic Association
2002;37(4):471-477
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical outcome of vertebroplasty, and to analyze the causes of poor results. MATERIALS AND METHODS: The radiological and clinical results of thirty-eight patients who were followed for more than one year after vertebroplasty for painful osteoporotic compression fractures were retrospectively analyzed. RESULTS: There were 10 recollapses and 6 fractures of adjacent vertebrae. Most of these occurred in the thoracolumbar junction (9 and 5 respectively). Pain was significantly improved in the immediate postoperative period, that is, from 9.3+/-0.7 points on a 10-point pain scale preoperatively to 2.0+/-0.7 points postoperatively (p<0.001). However, at the last follow-up, this was aggravated to 3.9+/-3.3, and eleven (29%) patients had moderate (5-7 points) or severe (8-10) pain. The main causes of aggravation of pain were recollapses (5 cases) and/or fractures of adjacent vertebrae (5). CONCLUSION: Vertebroplasty resulted in excellent relief from pain in the immediate postoperative period, but the more-than-one-year follow-up results were less satisfactory, and this was particularly true in the thoracolumbar junction. The possibility of recollapse or of fractures of adjacent vertebrae must be kept in mind.
