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Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up.

Kim JH, Yoo SH, Kim JH - Asian Spine J (2012)

Bottom Line: Anterior body heig ht in the last follow-up was improved about 0.3 mm compared with the preprocedural value, but was not statistically significant.Also, the focal kyphotic angle was reduced from 12.3° at the preprocedural state to 11.7° at the postprocedural state, but was not statistically significant (p > 0.05).The cement injected vertebrae showed stable radiologic progression without significant changes in vertebral height or kyphotic angle.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

ABSTRACT

Study design: This was designed as a retrospective study.

Purpose: We assessed the radiographic and clinical outcome of patients who underwent percutaneous vertebroplasty (PVP) in osteoporotic compression fractures with a minimum of 5 years follow-up.

Overview of literature: Percutaneous vertebroplasty is effective surgical method for treating osteoporotic compression fracture.

Methods: Between January 2000 and August 2005, 159 patients were treated with PVP for osteoporotic compression fracture at our department; 43 patients died during follow-up, and 69 patients (121 vertebras) were available for follow-up for over 5 years. We analyzed the clinical and radiologic outcome including cement feature.

Results: The mean follow-up period was 5.7 years. Clinical outcome by mean visual analogue scale (VAS) score revealed a decreased 4.9 points perioperatively. A decreased score was maintained over 5 years in 46% of patients. A new adjacent vertebral fracture was documented by 33 vertebral bodies in 22 patients. During the follow-up period, 43 patients (38%) in 112 patients died. Anterior body heig ht in the last follow-up was improved about 0.3 mm compared with the preprocedural value, but was not statistically significant. Also, the focal kyphotic angle was reduced from 12.3° at the preprocedural state to 11.7° at the postprocedural state, but was not statistically significant (p > 0.05).

Conclusions: PVP for osteoporotic compression fracture is an efficient procedure for pain relief by long term follow-up. The cement injected vertebrae showed stable radiologic progression without significant changes in vertebral height or kyphotic angle.

No MeSH data available.


Related in: MedlinePlus

Visual analogue scale (VAS) score was decreased and then maintained after percutaneous vertebroplasty (PVP).
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Figure 2: Visual analogue scale (VAS) score was decreased and then maintained after percutaneous vertebroplasty (PVP).

Mentions: The average follow-up period was 5.7 years with a minimum of 5 years and a maximum of 9.5 years. Pain levels according to the VAS reduced by a value of 4.9 from the preoperative mean of 7 to the perioperative mean of 2.1. A total of 46% of the patients reported a 5 or more for reduction and maintenance of their pain level (Fig. 2).


Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up.

Kim JH, Yoo SH, Kim JH - Asian Spine J (2012)

Visual analogue scale (VAS) score was decreased and then maintained after percutaneous vertebroplasty (PVP).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3302917&req=5

Figure 2: Visual analogue scale (VAS) score was decreased and then maintained after percutaneous vertebroplasty (PVP).
Mentions: The average follow-up period was 5.7 years with a minimum of 5 years and a maximum of 9.5 years. Pain levels according to the VAS reduced by a value of 4.9 from the preoperative mean of 7 to the perioperative mean of 2.1. A total of 46% of the patients reported a 5 or more for reduction and maintenance of their pain level (Fig. 2).

Bottom Line: Anterior body heig ht in the last follow-up was improved about 0.3 mm compared with the preprocedural value, but was not statistically significant.Also, the focal kyphotic angle was reduced from 12.3° at the preprocedural state to 11.7° at the postprocedural state, but was not statistically significant (p > 0.05).The cement injected vertebrae showed stable radiologic progression without significant changes in vertebral height or kyphotic angle.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

ABSTRACT

Study design: This was designed as a retrospective study.

Purpose: We assessed the radiographic and clinical outcome of patients who underwent percutaneous vertebroplasty (PVP) in osteoporotic compression fractures with a minimum of 5 years follow-up.

Overview of literature: Percutaneous vertebroplasty is effective surgical method for treating osteoporotic compression fracture.

Methods: Between January 2000 and August 2005, 159 patients were treated with PVP for osteoporotic compression fracture at our department; 43 patients died during follow-up, and 69 patients (121 vertebras) were available for follow-up for over 5 years. We analyzed the clinical and radiologic outcome including cement feature.

Results: The mean follow-up period was 5.7 years. Clinical outcome by mean visual analogue scale (VAS) score revealed a decreased 4.9 points perioperatively. A decreased score was maintained over 5 years in 46% of patients. A new adjacent vertebral fracture was documented by 33 vertebral bodies in 22 patients. During the follow-up period, 43 patients (38%) in 112 patients died. Anterior body heig ht in the last follow-up was improved about 0.3 mm compared with the preprocedural value, but was not statistically significant. Also, the focal kyphotic angle was reduced from 12.3° at the preprocedural state to 11.7° at the postprocedural state, but was not statistically significant (p > 0.05).

Conclusions: PVP for osteoporotic compression fracture is an efficient procedure for pain relief by long term follow-up. The cement injected vertebrae showed stable radiologic progression without significant changes in vertebral height or kyphotic angle.

No MeSH data available.


Related in: MedlinePlus