Xu J.-J.,First Hospital of Chaohu City |
Li Y.-H.,First Hospital of Chaohu City |
Tang H.-R.,First Hospital of Chaohu City |
Liang J.-S.,First Hospital of Chaohu City |
And 2 more authors.
Journal of Clinical Rehabilitative Tissue Engineering Research | Year: 2010
BACKGROUND: Percutaneous vertebroplasty and percutaneous kyphoplasty are new methods for treatment of osteoporosis-caused vertebral compression fractures, they have been widely used in hospitals, but in many cases with multiple vertebral fractures, frequent classical surgeries may increase the risk of surgery, radiation exposure, and medical costs. OBJECTIVE: To explore the therapeutic effect of unilateral percutaneous kyphoplasty for the treatment of osteoporotic thoracolumbar multi-vertebral compressive fractures in aged patients. METHODS: Twelve patients (29 vertebral bodies) of osteoporotic thoracolumbar multi-vertebral compressive fractures were treated from June 2007 to June 2009 at the Second Department of Orthopaedics in the First Hospital of Chaohu City and at the First Department of Orthopaedics in Yijishan Hospital, Wannan Medical College. The painful vertebral bodies were determined according to MRI signal before operation, and were treated by selective unilateral paracentesis kyphoplasty. The pains before and after operation were assayed using visual analogous scale. The improvement, reduction of fracture and any complication happened were observed. RESULTS AND CONCLUSION: All 12 patients completed paracentesis with immediate relief of their back pain within 48 hours. Visual analogous scale score was reduced compared with preoperative score (P < 0.01). The preoperative mean height of the anterior, media and posterior vertebral bodies were lower than postoperative height. At the latest follow-up, the mean height of the anterior, media and posterior vertebral bodies was not markedly reduced compared with postoperative (P > 0.05). There were significant differences in the mean height between paracentesis side and opposite side before operation (P < 0.01), no significant difference after operation (P > 0.05). Before and after operation, the same side exhibited significant differences (P < 0.001). For the treatment of osteoporotic thoracolumbar multi-vertebral compressive fractures, unilateral percutaneous kyphoplasty has satisfactory clinical efficacy. It is also an effective way to reduce operation time, radiation dose, and cost of operation, thus available for osteoporotic thoracolumbar multi-vertebral compressive fractures in old patients.