Percutaneous Vertebroplasty as a Treatment for Osteoporotic Vertebral Compression Fractures

Percutaneous vertebroplasty is a minimally invasive procedure for the treatment of osteoporotic and neoplastic vertebral compression fractures; this procedure involves the injection of bone cement directly into the fractured vertebral body. The purpose of this study was to evaluate the efficacy of percutaneous vertebroplasty for patients with painful osteoporotic vertebral compression fractures. This was a retrospective single-center study; the total number 74 percutaneous vertebroplasty was performed in 41 patients with osteoporotic vertebral body compression fractures of the I and II degrees. Of these 41patients, 5 were male (12%) and 36(88%) were female; the average age of the patients was 66 years (range, 55-78 years). The overall procedure time was 51.2 4.2 (range, 34-55)min. The average cement volume injected into vertebra was 4.5 0.54 (range, 3.4-6.0)ml. The mean follow-up was 16.0 4.2 (range, 12-24) months. All patients achieved substantial pain relief after surgery; the Visual Analogue Scale (VAS) score decreased significantly from a pre-operative value of 8.4 1.2 to a post-operative value of 2.0 0.2 and was maintained at 2.2 0.4 at the final follow-up (p < 0.01). Our study confirmed that percutaneous vertebroplasty is effective treatment modality for osteoporotic vertebral compression fractures, which offers short and long-term statistically significant benefits in decreasing pain and increasing mobility.

Ҳали таржима қилинмаган